EMPLOYMENT APPLICATION

Name*

First Middle Last

Nick Name

If you prefer to be addressed by a nick name or shortened name please indicate it here.

Email*

Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone*

School Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School Phone

Send Mail To*

Home Address
School Address

Date of Birth*

Church Affiliation

Position You're Applying For

List up to 4 positions you are applying for, in order of your preference. Refer to the current description of staff positions. While staff often serve in several positions, each holds a primary designated position (e.g. counselor, cook, etc.)

Position 1*

Position 2*

Position 3*

Position 4*

Currently a Student*

Yes
No

Indicate Your School Year*

If you are currently a student, please indicate you year (e.g. 3rd, grad, etc.)

School Attended

School(s) Attended beyond high school

Previous Camping Experience*

Previous organized camping experience - List camps you have attended, dates (years) you were there, approximate length of your attendance, and any staff positions you held.

Employment Background

List your other work experience for the past 5 years. Include Employer Name, Address and Telephone number.

Availability

Staff Training Period*

Are you able to attend the entire staff training period?

Yes
No

Not Available for Staff Training*

Please specify and explain dates you would not be able to attend Staff Training.

Entire Season*

Are you able to serve the entire basic camping season?

Yes
No

Not Available for Entire Season*

Please specify and explain dates you not be able to serve at Christikon during the basic season.

August 18th*

Are you able to stay until August 18th?

Yes
No

Special Skills & Interests

Select All that apply. (List) items (Music Instruments & Sports) will provide a text box for you to list the items.

Music - Instruments List

List the musical instruments that you play.

Sports List

List the sports that you play.

Health Care Certification

Please select all that apply and then enter their expiration date in the box provided.

Certification Expiration Date(s)*

Use a separate line for each.

References

List three personal references. If you have previously worked on a camp staff, your former camp director (or immediate supervisor) should be one of these. Ask each to complete the confidential Reference Questionnaire and mail it directly to our office.

Reference 1 Name*

First Last

Reference 1 Address*

Street Address Address Line 2 City State ZIP Code

Reference 1 Phone*

Reference 1 Position / Relationship*

Reference 2 Name*

First Last

Reference 2 Address*

Street Address Address Line 2 City State ZIP Code

Reference 2 Phone*

Reference 2 Position / Relationship*

Reference 3 Name*

First Last

Reference 3 Address*

Street Address Address Line 2 City State ZIP Code

Reference 3 Phone*

Reference 3 Position / Relationship*

Additional Questions

Why Join Us

Why do you want to be a part of the Christikon staff community?
What are your expectations for spending the summer with us?

Other Interests

In addition to those previously, do you have other interests, skills, abilities or other qualities that could be resources for your work in outdoor ministry?

Your Life of Faith

Describe your present life of faith. What and/or who have been the major influences on your growth in the faith?

Special Considerations*

Are you able to fulfill the essential functions of the position(s) for which you are applying?
If you are unclear about the essential functions, please check our Web site or contact us for a detailed description.

Yes
No

Special Considerations Explanation*

If you wish, you may describe personal commitments, dietary restrictions, necessary reasonable accommodations or other personal situations that invite consideration.

Additional Infromation

If there is anything else you would like to add, or if there are additional things you would like us to know in considering your application, please feel free to include them here.

Accurate Information*

By selecting the Check Mark, I state that to the best my knowledge, the information contained in this application form is accurate. I here by give permission to Christikon to make any necessary background and/or reference checks and/or verification of previous work history including volunteer work.

Acknowledge

Join Us on the Journey!
CHRISTIKON CAMP PROGRAMS

Join Us on the Journey!

Staff Application Form

Position You're Applying For

Availability

References

Additional Questions

SESSIONS	LOCATION	DATES	NIGHTS	AGE GROUP
May Work Weekend	On-Site	May 22-25	3	Family/Adult Session
DD Camp	On-Site	June 15-18	3	18 years old and over
Sojourners Camp	On-Site	June 21-26	5	Ages 11-13
Confirmation Camp	On-Site	June 21-26	5	Confirmation or completing Grades 6-8
Pathfinders Camp	On-Site	July 5-8	5	Completing Grades 4-6
Mountaineers Camp #1	Trails	July 11-17	6	Completing Grades 9-12
Prospectors	On-Site	July 11-17	6	Completing Grades 6-8
Trailblazers Camp	On-Site	July 19-25	6	Completing Grades 9-12
Mountaineers Camp #2	Trails	July 19-25	6	Completing Grades 9-12
Mountaineers Camp #3	Trails	July 26- August 1	6	Completing Grades 9-12
Wayfarers	Base Camp Trails	July 26- August 1	6	Completing Grades 7-9
Continuing Education Retreat	On-Site	July 27-30	3	Family/Adult Session
Mountain Weekend	On-Site	July 31- August 2	2	Family/Adult Session
CreationCare		can be arranged with Director Mark Donald		Completing Grades 9-12 and/or Adults

Join Us on the Journey!

Staff Application Form

Position You're Applying For

Availability

References

Additional Questions

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