New Staff Application

Submitted by admin on Fri, 12/02/2011 - 00:13

Full Legal Name: *

Preferred Name (if different):

Age at camp: *

Birthday: *

Gender: *

Male

Female

Email: *

Cell Phone: *

Permanent/Home Address:

Home Phone:

Temporary/College Address:

Send mail here until::

Dorm/Apt Phone:

Drivers License #: *

Drivers License State: *

Have you been accused of misconduct with a minor or a felony?: *

If yes, please explain on separate sheet of paper.

Yes

Charged, Arrested or Convicted of Crimes.: *

Have you been (or are currently in the process of being) formally charged, arrested for or convicted of crimes in relation to drug or alcohol abuse, domestic violence, or any type of criminal sexual conduct (including but not limited to pornography, child abuse/molestation, homosexuality or incest)? If yes, please explain on separate sheet of paper.

Yes

Have you ever been involved with narcotics? : *

Yes

If hired, I agree to refrain from smoking, drinking alcoholic beverages, and involvement with narcotics. : *

Yes

I am a:: *

college student

high school student

Name of school:

Major:

I am employed:

Part time

Full time

Employed by:

I am willing to serve: : *

Any position

Only in the positions listed

1st Choice Position: *

2nd Choice Position: *

3rd Choice Position:

I can arrive on May 29, 2012: *

Yes

I can serve through July 23, 2011.: *

Yes

Please call me to arrange an interview at camp.:

Yes

Please call to arrange interview at Cedarville.:

Yes

Please contact me for other interview options.:

Yes

Home Church: *

Are you a member?:

Yes

Church mailing address:

How long have you been a part of this church?:

Please give a brief description of your involvement in your local church: *

PREVIOUS EMPLOYMENT - Employer's Name - ONE:

list previous 2 years

Dates:

Briefly Describe Main Duties:

Previous Employment - Employer's Name - TWO:

list previous 2 years

Briefly Describe Main Duties:

Dates:

Previous Employment - Employer's Name - THREE:

list previous 2 years

Briefly Describe Main Duties:

Dates:

CAMP EXPERIENCE - Camp Name - ONE:

Dates:

Camp phone:

I was a:

Camper

Staff

Camp Experience - Camp Name - TWO:

Dates:

Camp phone:

I was a:

Camper

Staff

Camp Experience - Camp Name - THREE:

Dates:

Camp phone:

I was a:

Camper

Staff

My health condition is: *

Excellent

Good

Fair

Poor

Height: *

Weight: *

Do you currently have health insurance coverage?: *

Yes

If so, who is the provider?:

Pastor Reference Name: *

You will need four references and one must be your pastor.

Pastor Reference Email: *

Pastor Relationship:

Employer/Teacher

Friend

Pastor

Reference 1 Name: *

Reference Email: *

Relationship:

Employer/Teacher

Friend

Pastor

Reference 2 Name: *

Reference Email: *

Relationship:

Employer/Teacher

Friend

Pastor

Reference 3 Name: *

Reference Email: *

Relationship:

Employer/Teacher

Friend

Pastor

Describe your personal relationship with Christ, including when you became a Christian, your present participation in ministry: *

What is your goal in serving at Scioto Hills Christian Camp & Retreat Center?: *

What do you do to maintain your spiritual growth?: *

What would you say to someone if they asked the following: "Why read and study the Bible? What makes the Bible different from other books?": *

LEADERSHIP EXPERIENCE - ONE (topical, inductive, book):

# of Weeks:

Age Group:

Position:

Leader

Assist

Leadership Experience - TWO (topical, inductive, book):

# of Weeks:

Age Group:

Position:

Leader

Assist

Leadership Experience - THREE (topical, inductive, book):

# of Weeks:

Age Group:

Position:

Leader

Assist

In the event of employment, I would consider it a privilege to perform any responsibilities assigned to me by Scioto Hills’: *

Yes

If employed, I agree to abide by the spiritual standards of Scioto Hills Christian Camp: *

If employed, I agree to abide by the spiritual standards of Scioto Hills Christian Camp as well as all applicable policies & procedures. During the summer I understand this includes my agreement to refrain from smoking, drinking alcoholic beverages, involvement with narcotics, and sexual activity outside of the marriage union.

Yes

In the event of employment, I will commit myself to fulfill my contract dates.: *

Yes

I acknowledge I have not been accused of harassment of any person, including, but not limited to, workplace harassment.: *

I acknowledge I have not been accused of harassment of any person, including, but not limited to, workplace harassment. (A prior accusations is not an automatic bar to employment. The camp's policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, and other forms of harassment. The type of accusation and when it occurred will be evaluated by the camp before any decision made.

Yes

I authorize investigation of all statements herein and release Scioto Hills and all others from liability in connection with the same.: *

I authorize investigation of all statements herein and release Scioto Hills and all others from liability in connection with the same. I further authorize the State Police to conduct a criminal history check to determine the existence of any arrest resulting in conviction and to furnish a response to Scioto Hills. I understand that, if employed, I will be an at-will employee. I also understand that untrue, misleading, or omitted information herein may result in dismissal, regardless of the time of discovery.

Yes

Signed:: *

Date Signed: *

	Could Organize/Teach	Could Assist
High Ropes
Low Ropes
Painting/Drawing
Crafts
Skits
Drama
Piano
Guitar
Singing
Animal Care
Plant Life
Orienteering
Astronomy
Ecology
Tennis
Basketball
Paintball
Mntn Biking
Cross Country
Soccer
Volleyball
Baseball/Softball
Golf
Football
Field Games
First Aid
CPR
EMT
LVN
Head Lifeguard
Waterfront Lifeguard
RN
Housekeeping
Secretarial
Snack bar service
PC Computer
Mac Computer
Audio-Visual
Sound/Video Editing
Photography
Archery
Backpacking
Outdoor Living Skills
Riflery

Sciotohills