Staff Application

*Required

Name* Email Address*
Permanent Address* Zip* Home Phone* Cell
School (if residing at school) State Zip
Date of Birth Age Dates available to work this summer: From to

Employment History (List all previous work experiences, name of supervisor, and current phone number. Explain what kind of work you did and why you left the job.)
 
Dates
Employer/Supervisor
Phone #
Nature of Work
Reason for Leaving
1
2
3
4
Please indicate any employer you do not wish us to contact and the reason:

Please indicate any previous camp experience you have had, including Vacation Bible School or other non-traditional camp settings:

 
Dates
Camp
Location
Camper or Staff?
1
2
3
4

Please indicate any other experience you had working with children that is not represented above:

Education (High School and Beyond):

 
Dates
School
Major Subject(s)
Degree Granted
1
2
3

 

Alkulana's aim is to reveal God's love to low-income and at-risk children and youth so that they might realize the intrinsic value in themselves and others. Please write a brief biographical sketch explaining how you see yourself fitting into this mission. What does it mean to you? How have you come to apply at Camp Alkulana? How do you feel you will help the camp accomplish this mission?

What kind of impact do you feel a well-run Christian camping experience can have on a child's life?

What specific gifts and skills do you have that you think would make you good at this job?

If given the opportunity, what are you most looking forward to about working at Camp Alkulana?

 

Limitations

Please indicate the condition of your health: Excellent Good Fair Poor
Do you have any physical limitations which would affect your participation in an active adventure camp environment? Yes
No
If yes, please describe:

Criminal History

Have you ever been convicted of a crime, other than a minor traffic offense? If yes, please describe. (Note: a prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated by the camp before any decision is made.)
Yes No
If yes, please explain:

Harrassment

The camp's policy is to prohibit all forms of harassment. This includes sexual, racial, religious, and other forms of harassment. Have you ever been accused of harassment of any person including, but not limited to, workplace harassment? (Note: a prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated by the camp before any decision is made.) Yes No
If yes, please explain:

 

References: Give names and addresses of three adults (not relatives) who have knowledge of your character, experience, work habits, and ability. At least one of these reference should have observed you at work with children and/or youth. Please let these individuals know that the Camp Director will be contacting them.

Name
Phone
Relation to Applicant

 

By clicking the Submit button, I certify that this information is true, and authorize investigation of all statements herein. I authorize any reference or supervisor listed in this application to provide any information (including opinions) that they may have regarding my character and fitness for work with children and youth in the camp setting. I also understand that untrue, misleading, or omitted information herein or in other documents completed by the applicant may result in immediate dismissal from the camp.

 

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