New Ebenezer Retreat Camp Staff Application
Please fill out every field to the best of your ability.
Email address *
First and Last Name *
Phone Number *
Date of Birth *
In order to lead a group, you must be at least 21 years of age by June 1st, 2019. If you would like to help with a group, you must be at least 18 years of age by June 1st, 2019.
Please list education and include school, major of study, graduation date, and any other important information. *
Personal Reference 1 *
References should be persons not related to you whom you have known for at least one (1) year. Please list their name, telephone, and email address. Suggestions include: teacher, advisor, boss/manager, church leader, etc.
Personal Reference 2 *
References should be persons not related to you whom you have known for at least one (1) year. Please list their name, telephone, and email address. Suggestions include: teacher, advisor, boss/manager, church leader, etc.
Personal Reference 3 *
References should be persons not related to you whom you have known for at least one (1) year. Please list their name, telephone, and email address. Suggestions include: teacher, advisor, boss/manager, church leader, etc.
Please discuss any experiences you have had (work, service, church, hobbies, etc) that would make you a great camp staff member: *
Describe your experience working with children. What do you like and dislike? *
What are your strongest qualities? What would you like to improve on? *
Why do you want to work at camp? *
Do you have current certifications? *
Please include a Copy of Certification with application via email to paige@newebenezer.org
Required
We prohibit the use of intoxicants and tobacco. Are you willing to forego the use of alcohol, drugs, and tobacco of any kind while under contract? *
Do you have any physical limitations that would prevent you from performing the work for which you are being considered? *
A staff member should be able to reasonably be active (run, jump, play) with children, lift up to 50 pounds, and withstand heat and weather.
Have you ever been arrested? *
Have you ever been accused of or involved in an incident involving abuse of a child? *
Have you ever been convicted of any criminal activity? *
Are you legally and lawfully able to be employed in the United States of America? *
If you answered yes to any of these questions, please provide explanation as to why:
How did you hear about us?
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