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Camp Staff application 2020
If you would prefer to fill out a paper copy of this form, you can find a link to it at the bottom of this page.
Please check the weeks that you will be
UNAVAILABLE
and state the reason below.
Camp Weeks:
*
Staff Training, Bismarck (June 3-7)
Dakota Campmeeting, Bismarck (June 8-14)
Staff Training, Flag Mountain (June 14-16)
Cub Camp, Flag Mountain (June 17-21)
Junior Camp, Flag Mountain (June 21-28)
Teen Camp, Flag Mountain (June 28-July 5)
Cub Camp, Northern Lights (July 8-12)
Junior Camp, Northern Lights (July 12-19)
Teen Camp, Northern Lights (July 19-26)
Pastor's Retreat, Northern Lights (July 26-30) *optional
Family Camp, Northern Lights (July 30-Aug 2) *optional
Reason for unavailability:
*
Personal information
*
Indicates required field
Name:
*
First
Last
Permanent Address:
*
Line 1
Line 2
City
State
Zip Code
Country
School Address:
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email:
*
Gender:
*
Male
Female
Age:
*
Birth Date
*
Grade level for 2020/2021 school year:
*
School attending next year:
*
T-shirt Size:
*
Date of application:
*
One thing you want us to know about you:
*
Criminal history
Have you ever been arrested and/or convicted of a crime involving sex, illegal drugs, alcohol, or violence?
*
Yes
No
if yes, please explain:
*
All employees of the Dakota Conference are subject to background checks.
Education
current:
*
previous 1:
*
previous 2:
*
field of study:
*
have you completed this degree?
*
Yes
No
If you do not attend an Adventist academy or college, where do you want your payroll check sent at the end of the summer?
*
Line 1
Line 2
City
State
Zip Code
Country
past employment
Please list previous three employers and positions.
Employer 1
*
Phone Number:
*
Email:
*
position:
*
Dates employed:
*
Employer 2
*
Phone Number:
*
Email:
*
position:
*
dates employed:
*
Employer 3
*
Phone Number:
*
Email:
*
position:
*
Dates employed:
*
CAMP EXPERIENCE
CAMP:
*
position:
*
sumers served:
*
camp:
*
position:
*
summers served:
*
additional camp experience you want to mention:
*
Skills and interests
Please check the activities you can organize and teach:
*
Climbing/Rappelling
Zip Lining
Caving
Hiking
Outdoor Survival
Mountain Biking/Boarding
Rock Climbing
Camping/Backpacking
Horses
Ceramics
Painting
Photography
Bracelet Making
Archery
Frisbee Golf
Team Sports
Capture the Flag/Tug of War/Relay Races
Water Skiing
Wake Boarding
Wake Surfing
Knee Boarding
Tubing
Jet Skiing
Canoeing/Kayaking
Swimming
Please check the activities you would be willing to learn/participate in:
*
Climbing/Rappelling
Zip Lining
Caving
Hiking
Outdoor Survival
Mountain Biking/Boarding
Rock Climbing
Camping/Backpacking
Horses
Ceramics
Painting
Photography
Bracelet Making
Archery
Frisbee Golf
Team Sports
Capture the Flag/Tug of War/Relay Races
Water Skiing
Wake Boarding
Wake Surfing
Knee Boarding
Tubing
Jet Skiing
Canoeing/Kayaking
Swimming
do you have any certifications:
*
First Aid
CPR
other certifications:
*
Please check the activities you can assist in teaching:
*
Climbing/Rappelling
Zip Lining
Caving
Hiking
Outdoor Survival
Mountain Biking/Boarding
Rock Climbing
Camping/Backpacking
Horses
Ceramics
Painting
Photography
Bracelet Making
Archery
Frisbee Golf
Team Sports
Capture the Flag/Tug of War/Relay Races
Water Skiing
Wake Boarding
Wake Surfing
Knee Boarding
Tubing
Jet Skiing
Canoeing/Kayaking
Swimming
Please check any skills you have:
*
Acting
Play Directing/Writing
Play Set-up/Tear-down
Song Leading
Singing
Instrumental
Music Set-up/Tear-down
Graphic Design
Lighting
Sound
Marketing
IT/Computers
PowerPoint
Videography/Production
Boat Driving
Lifeguarding
Boat Mechanics
Carpentry
Electrical
Plumbing
Janitorial
Landscaping/Mowing
Cooking
If you play an instrument, please list here:
*
other skills or interests you think we should know about:
*
Health information
are there any reasons you may have difficulty performing any of the essential elements of the job for which you have applied?
*
Yes
No
if yes, please explain:
*
Allergies:
*
date of last TB test:
*
Emergency contact:
*
relationship to you:
*
Phone Number
*
please upload a copy of your insurance card or proof of insurance:
*
Max file size: 20MB
Spirituality
are you a member of the Seventh-day adventist church?
*
Yes
No
If yes, what is your home church?
*
if no, what is your religious affiliation?
*
Pastor:
*
home church:
*
pastor:
*
Please answer the following questions in a separate document and upload your answers below.
We are looking for honesty and authenticity, not perfection.
Who is God to you?
Describe your current spiritual state: the good, the bad, and the ugly.
What is your vision for camp?
For yourself:
For the staff:
For the campers:
Upload File
*
Max file size: 20MB
personal references
Please list three individuals who can give a reference for you. Examples may include teachers, coaches, pastors, mentors, etc.
Relatives are not an acceptable reference.
At the bottom of this page is a recommendation form that must be completed by your references and returned to Dakota Adventist Camps.
Name:
*
First
Last
[object Object]
Email:
*
Phone Number:
*
occupation:
*
relationship to you:
*
Name:
*
First
Last
Email:
*
Phone Number:
*
occupation:
*
relationship to you:
*
Name
*
First
Last
Email
*
Phone Number
*
occupation:
*
relationship to you:
*
By submitting this application...
I hereby certify that this application was completed by me and all entries on it and information in it are true and complete to the best of my knowledge. I understand that false or misleading information given in this application, in my interview(s), or otherwise in the application process will void this application or subject me to discharge at any time, if I am employed.
I expressly agree that my prior employer(s) and current employer may be contacted for the purpose of investigating my background, and I understand that information regarding my prior and current employment(s) may be used by Dakota Conference of Seventh-day Adventists in considering this application. I also hereby permit my present and prior employer(s) to disclose to Dakota Conference of Seventh-day Adventists information in their possession or subject to their control, including information contained in my personal file(s). In this regard, I expressly release Dakota Conference of Seventh-day Adventists from any and all liability of any kind and nature which, at any time, may result from obtaining and making an employment decision based upon requested information. I also give permission to share my application with other conferences and camps if I am not employed by Dakota Adventist Camps (Dakota Conference of Seventh-day Adventists).
If you are under 18
A parent or guardian must print, complete, and return by mail the form below.
Submit
Parental Consent Form
File Size:
18 kb
File Type:
pdf
Download File
Recommendation Form
File Size:
189 kb
File Type:
pdf
Download File
Printable Copy of Staff Application
File Size:
251 kb
File Type:
pdf
Download File
Home
Our Desire
Our Practice
Our Prayers
Camps
Camps
>
Flag Mountain Camp
Northern Lights Camp
Rentals
Staff Application
Youth
Children's Ministry
Dakota Adventist Academy
Elementary Schools
Pathfinders & Adventurers
Young Adults
Public Campus Ministry
>
Apologetics
Resources
Donate
Merchandise
contact
