CAMP EDEN
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2018 SUMMER STAFF
APPLICATION
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Indicates required field
Camp Eden hires Summer Staff for two lengths of time. Choose the option you are most interested in (your choice is not guaranteed and depends on need and camp size)
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Six Weeks (May 31-July 14)
Ten Weeks (May 31-Aug 4)
Summer Church Internship (May 21-Aug 10)
Upload a Picture of Yourself
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Max file size: 20MB
Personal Info
Name
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First
Last
Home Address
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City
State
Zip Code
Country
School Address
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City
State
Zip Code
Country
Age
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Birthdate (mm/dd/yyyy) *
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Social Security Number *
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Cell Phone
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Home Phone
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School Phone
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T-Shirt Size
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Small
Medium
Large
Extra Large
Double Extra Large
Email
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Emergency Contacts
Emergency Contact 1
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First
Last
Contact 1 Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone
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Work Phone
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Email
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Emergency Contact 2
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First
Last
Contact 2 Address
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Line 1
Line 2
City
State
Zip Code
Country
Home Phone
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Work Phone
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Email
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Education Info
High School Name
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College, University, or Tech School
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School Address
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School Address
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Graduated?
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Yes
No
Current Year
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(choose one)
Freshman
Sophomore
Junior
Senior
Graduated
Spiritual Life Info
Have you trusted Christ as your personal savior?
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Yes
No
Have you been baptized?
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Yes
No
Church you Attend
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Member?
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Yes
No
Church Address
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Line 1
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City
State
Zip Code
Country
Church Phone
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Pastor's Name
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First
Last
Youth Pastor's Name
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First
Last
Share your personal testimony
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Describe the process of spiritual growth
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Share three areas of spiritual growth you are focusing on currently
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Camp Skills info
How did you hear about Camp Eden?
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How certain of accepting a position are you?
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(choose one)
Very Certain
Somewhat Certain
Undecided
Why do you want to work at Camp Eden?
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Camp Skills
Are you certified in any of the following areas?
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Lifeguard
First Aid/CPR
RN
CNA
Wilderness First Aid
NRA Instructor
None of the above
Please list any other certifications you possess
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Music Skills
Do you sing solos?
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Yes
No
Maybe
What part do you sing?
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Soprano
Alto
Tenor
Bass
I have no idea
Please list any musical instruments you can play
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Activity Skills
Do you have experience in the following activities?
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Whitewater Rafting
Rock Climbing
Rappelling
Horseback Riding
Hiking
Backpacking
Please list any organized sports you've participated in
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Other Skills
Please list any other abilities you have that could be used this summer. Almost anything qualifies (e.g. Tae Kwon Do, Juggling, Sword swallowing, Tap Dancing, etc.)
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Work Info
Employer 1
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First
Last
Address
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City
State
Zip Code
Country
Phone Number
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Position
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Supervisor's Name
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First
Last
Dates Employed
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Describe your responsibilities
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Reason for leaving (if you've left)
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Employer 2
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Position
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Supervisor's Name
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First
Last
Dates Employed
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Describe your responsibilities
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Reason for leaving (if you left)
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Employer 3
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Position
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Supervisor's Name
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First
Last
Dates Employed
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Describe your responsibilities
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Reason for leaving (if you left)
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Other References
List people (non-relatives) who have known you for more than a year. Use these people as your written references.
Reference 1
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First
Last
Relationship
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Phone Number
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Email
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Reference 2
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First
Last
Relationship
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Phone Number
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Email
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Reference 3
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First
Last
Relationship
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Phone Number
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Email
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Health Info
Do you currently have any infectious diseases?
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Yes
No
Do you have any physical limitations that would prohibit you from being involved in camp activities?
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Yes
No
Do you require a special diet?
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Yes
No
If yes, what are they?
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If yes, what are they?
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If yes, what do you need?
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Please list any allergies and/or allergic reactions
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Background INfo
Camp Eden will run background checks. Criminal charges or convictions are not an automatic bar to employment. The camp will consider the nature of the offense, the date of the offense, and the relationship between the offense and the position being applied for.
Is there a criminal charge, felony, misdemeanor, or forfeiture currently pending against you? If yes, please contact the camp office with an explanation of the charge(s), legal jurisdiction, and date.
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Yes
No
Have you ever been convicted of a crime, felony, misdemeanor, forfeiture, or other criminal offense? If yes, please contact the camp office with an explanation of the charge(s), legal jurisdiction, and date.
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Yes
No
Have you ever been convicted of an offense involving a minor or endangering the welfare of a minor, such as child abuse, child neglect, etc. or any offense against a person, such as assault? If yes, please contact the camp office with an explanation of the charge(s), legal jurisdiction, and date.
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Yes
No
Is there anything preventing you from legally working in the United States? If yes, please contact the camp office with an explanation.
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Yes
No
Statements & Permissions
Application/Employment Statement
It is understood that this application and records become the property of Camp Eden, which reserves the right to accept or reject it. I further agree to abide by all rules, regulations, and policies of the camp. I agree to any medical examination or drug testing which may be required upon offer of employment and understand that my employment is contingent upon successful completion of the examination. I understand that employment is “at will” and may be terminated by Camp Eden or myself at anytime.
I have applied to Camp Eden for employment and authorize them to contact references, past or present employers, and any other source of information which may be relevant to my application. I authorize these references, employers, and sources to furnish any and all information requested. Furthermore, I hold harmless and release the same from all liability for any damage associated with providing this information. This authorization voids any prior or written agreements limiting release of said information.
I understand Camp Eden is a conservative Christian camp serving churches from the West. I am convinced my reputation, current lifestyle, personal standards and theological beliefs would be consistent with Camp Eden and its constituency.
Confirm the Following:
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I have read, understand, and agree with the Application/Employment Statement
Perjury Statement
“Any applicant who knowingly or willingly makes a false statement if material fact or thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.”
Confirm the Following:
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I have read, understand, and agree with the Perjury Statement
Child Abuse Reporting Statement
Under the “Child Protection Act of 1987” (C.R.S. 19-3-301) in the Colorado Children’s Code, child care center workers are required to report suspected child abuse or neglect. The law at 19-3-304 states that if a child care worker has “reasonable cause to know or suspect that a child has been subjected to circumstances of conditions which would reasonably result in abuse or neglect shall immediately report or cause a report to be made of such fact to the county department or local law enforcement agency.”
“Abuse” or “child abuse or neglect” means an act of omission in one of the following categories which threatens the health or welfare of a child: skin bruising, bleeding, tissue swelling, or death; any case in which a child is subjected to sexual assault or molestation, sexual exploitation, or prostitution; any case in which a child is in need of services because the child’s parents, legal guardian, or custodian fails to take the same actions to supervision that a prudent parent would take.
If at any time a staff member reasonably suspects child abuse, it is the responsibility of that staff member to report or to cause a report to be made of this suspicion to the local county department of social or human services at Camp Eden or the police department. It is not the staff’s role to investigate suspected abuse—only to report it. Persons who make a good faith report are immune from civil and criminal liability. Additionally, the law provides for the protection of the identity of the reporting party.
A child care worker who fails to report suspected child abuse or neglect commits a class 3 misdemeanor and will be punished as provided in section 18-1-106, C.R.S. The staff person could also be liable for damages “proximately caused thereby.”
Confirm the Following:
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I have read and understand the above requirements concerning my responsibility regarding child abuse reporting
Statement of Affirmation
I hereby affirm that I have not been convicted or entered into a differed judgment for any of the following crimes: incest, child abuse, child sexual behavior, murder; any crime involved with child prostitution or the sale or possession of sexually explicit materials harmful to children; any crime which adversely reflects upon my character and suitability as a resident of a family day care home; or any crime which might indicate that I pose a threat to the health, welfare, and safety of children.
Confirm the Following:
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I have read, understand, and agree with the Statement of Affirmation
Background Check Release
Disclosure
As part of the employment process, Beth Eden Ministries, will obtain a consumer report, which I understand may include information regarding my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living.
Authorization
During the application process and at any time during the tenure of my employment with Beth Eden Ministries, I hereby authorize ChoicePoint WorkPlace Solutions Inc., on behalf Beth Eden Ministries to procure a consumer report which I understand may include information regarding my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living. This report may be compiled with information from credit bureaus, court record repositories, departments of motor vehicles, pastor or present employers and educational institutions, governmental occupational licensing or registration entities, business or personal references, and any other source required to verify information that I have voluntarily supplied. I understand that I may request a complete and accurate disclosure of the nature and scope of the background verification, to the extent that such investigation includes information bearing on my character, general reputation personal characteristics or mode of living.
Confirm the Following:
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I have read and agree with the authorization for Beth Eden Ministries to run a background check on me.
Signature
Applicant Name
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Date (mm/dd/yyyy) *
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Social Security Number *
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* For identification purposes only
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