2018 Summer Staff Application
Full Name *
First Middle Last
Your answer
Cell Phone *
Best number to reach you.
Your answer
Email 1 *
The one you check most often
Your answer
Email 2
Optional. Additional email, preferably not a school address.
Your answer
School Address (Street, City, State, Zip) *
Where you live during the school year.
Your answer
Home Address (Street, City, State, Zip) *
Where your parents live.
Your answer
Position you're interested in (check all that apply) *
So... what's it gonna be?
Required
How did you hear about Camp Tanako? *
Your answer
Age *
If you are under 18, please check 'other' and state your age
Do you have a valid driver's license? *
You must have a valid drivers license to drive a camp vehicle. You also must be 21 to drive a camp van.
In which state?
Your answer
Do you have a current American Red Cross or other organization certification in any of the following? (Please check all that apply)
If employed, you will receive first aid, CPR, and AED certification if you are not already trained. Counselors are strongly encouraged to become a certified lifeguard, but it's not required. General Staff, however, are required to be lifeguard certified.
If not American Red Cross, which certifying body provided your training?
Your answer
Education:
Give the years, school, major/subject, degree awarded (if applicable)
Years *
Your answer
School *
Your answer
Major/Subject *
Your answer
Degree Awarded (N/A if not applicable) *
Your answer
Past Employment:
Give the dates, employer, address, phone number, and brief description of the nature of work
Dates *
Your answer
Employer(s) *
Your answer
Address(s) *
Your answer
Phone Number(s) *
Your answer
Brief description of the nature of the work *
Your answer
Current church membership / church affiliation / church attending *
Your answer
Student ministry involvement? *
Your answer
Previous Camp Experience:
Give the dates, camp, director, address, and were you a camper or staff?
Dates *
Your answer
Camp(s) *
Your answer
Director(s) *
Your answer
Address(es) *
Your answer
Were you a camper or staff *
Your answer
REFERENCE: 1) Pastor:
Give name, email, and phone number
Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
REFERENCE: 2) Teacher:
Give name, email, and phone number
Name: *
Your answer
Email: *
Your answer
Phone Number *
Your answer
REFERENCE: 3) Your choice (except family members)
Give name, email, and phone number
Name *
Your answer
Email: *
Your answer
Phone Number *
Your answer
T-Shirt size? *
Are there any reasons you may have difficulty in performing any of the essential elements of the job for which you have applied? *
If so, please explain.
Your answer
Camp Tanako's mission is to welcome children, youth, and adults to a place set apart where they can grow in faith by experiencing God through nature and spending time in community and respond to the call of the Holy Spirit. What skills or gifts can you contribute to the fulfillment of our mission? *
Your answer
What are some experiences or training you have which might help you in the position you're applying for? *
Your answer
Describe your spiritual life. *
However it means to you.
Your answer
Are you available for an interview? *
When?
MM
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DD
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By typing my full name in the field below, I am electronically signing to authorize investigation of all statements herein and release Camp Tanako and all others from liability in connection with it. I understand that, if employed, I will be an at-will employee and that any agreement to the contrary must be in writing and signed by the director of the camp. I also understand that false, misleading, or omitted information herein may result in dismissal regardless of the time of discovery by the camp. I further understand the Camp Tanako will perform background checks prior to hiring and random drug and alcohol tests during the summer at the discretion of the camp director. *
Your answer
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