C.A.M.P. Constructing Assured and Motivated People Est. 1956 www.sfacamp.org Directors: David & Janice Brizius Program Director: David A. Brizius Associate Director: Karen E. Ingram Administrator: Tina G. Brizius
C.A.M.P. 2007
VOLUNTEER VETERAN STAFF APPLICATION
(PLEASE TYPE OR PRINT CLEARLY)
GENERAL INFORMATION
NAME ______DATE OF BIRTH ____/_____/______
PERMANENT ADDRESS ______
CITY______STATE______ZIP ______
HOME PHONE (______) ______- ______CELL PHONE (______)______-______
E-MAIL ______May we publish this information in the camp directory? _____
Male Female
COLLEGE ADDRESS (IF APPLICABLE) ______
COLLEGE PHONE (______) ______- ______COLLEGE E-MAIL ______
EMPLOYER'S NAME ______
POSITION HELD ______HOW LONG?______
WORK PHONE (______) ______- ______ext. ______
Please indicate if you want men’s or women’s and what size. Polo ______T-shirt______GENERAL STAFF POSITIONS
Please indicate by marking 1st choice, 2nd choice, 3rd choice in these general staff positions.
____CABIN COUNSELOR: Responsibilities may include working with a co-counselor in a cabin, supervision of up to 7 campers in your cabin, motivating and participating in ALL CAMP activities with your cabin, may also include teaching or assisting in assigned daily classes, daily activities, and clean up of assigned areas on final Saturday. This position is considered HIGH RISK according the Ohio’s “best practices” for screening volunteers who work with children. You will be required to have a background/fingerprint check.
____KITCHEN STAFF: Responsibilities for this position shall include set up of camp kitchen, preparation of meals, cleaning of kitchen area daily and final clean up for inspection on Saturday. You will also be working with counselors and campers during KP as such you will be required to complete a volunteer disclosure statement according the Ohio’s “best practices” for screening volunteers who work with children before being accepted as a kitchen staff member.
____SUPPORT STAFF: This position shall include C.A.M.P. Ministers, First Aid Providers, Craft Hall Supervisor, Mothers or Fathers with pre-camper age children and individuals that choose this staff position. This position may include teaching or assisting in classes, leading or assisting in daily camp activities and clean up of assigned area on final Saturday. Support staff is considered LOW OR MEDIUM RISK (depending on your assignments and activities for the camp week). You may be asked to complete a volunteer disclosure statement or a background/fingerprint check according to Ohio’s “best practices” for screening volunteers who work with children.
C.A.M.P. Program Skills In the list we have provided below, please put a “L” before those activities or classes you can organize and teach or lead, put an “A” before those activities or classes you can assist, and a “C” after those activities or classes that you have a current certification and attach a copy of your certification.
AM & PM Classes
___Aerobics ___Photography ___Confidence Building ___Archery ___Yoga ___Challenge/ropes course ___Dance ___Poetry Writing ___Drawing/Painting ___Drama ___Nature ___Woodworking ___Jazzercise ___Choir ___Fencing ___Hiking ___Ping Pong ___Ultimate Frisbee ___Juggling ___Newspaper/Yearbook ___Sand Volleyball ___Magic ___Trail Blazing -Juniors ___Swimming - Beginners ___Boating/Canoeing/ ___Trail Blazing - Seniors ___Swimming - Advanced Kayaking ___Hackey Sack ___Sports ___Fishing ___Tie Dye (PM Only) ___Other______Golf ___Rappelling give brief description:______
Daily Assignments ___Chapel ___Breakfast Supervisor ___Treats ___Vespers ___Dining Hall Supervisor ___Bug Juice Mixer ___Morning Watch ___Lunch Supervisor ___Campfires ___Flag AM ___Dinner Supervisor ___Town/Tent ___Flag PM ___Cabin Inspector Coordinator Special Activities ___Walk Alone (set-up) ___Friday Banquet (set- ___Sunday Reception & ___Registration set up up) Mixer ___Walk Alone (service) ___Great Day at the Boat ___Music Vespers ___Communion (set-up) Races ___Talent Show Advisor ___Communion (service) ___Olympic Day ___Stunt Night Advisor ___Tuesday night event
Special Skills: In the list below please check ( ) those items in which you have experience and skills. If you hold a current certification please mark a “C” on the line provided. If you hold certifications not listed please fill those in on the blank lines provided. ___American Red Cross ___ARC Water Safety ___Computer/software Lifeguard Instructor ___Auto Mechanics ___Waterfront ___Head Lifeguard ___Electrician Endorsement Endorsement ___Plumber ___YMCA Swimming ___ARC Community First ___Security Instructor Aid ___CDL ___Boy Scout Lifeguard ___Adult/Child CPR ___Therapist ___ARC Standard First ___EMT (specify) ___Massage Therapist Aid ___RN or LPN ___Other______Computer/technical ___Chef
Leadership Positions Please indicate with a check ( ) the position(s) you are applying for. Provide qualifications, past experience and certifications (if applicable) in space provided.
___Waterfront Director ___Hill Supervisor ___Security Supervisor ___First Aid/EMS Director ___Choir Director ___DJ/Music Coordinator ___Senior Camper Advisor ___Maintenance/Grounds ___Saturday Clean Camp ___Boating Director ___Craft Hall Director ___Other______
Please fill us in on any changes or exciting new in your life: ______
I have completed this application truthfully and to the best of my ability. I affirm that I have never been convicted of any charge of child abuse or neglect or unlawful sexual offense. I understand that misrepresentations or falsifications found to be evident after investigation may result in dismissal, regardless of the date of discovery by the camp. I also have read and agree to follow the C.A.M.P. Code of Conduct/Counselor agreement.
Print Name ______Signature______Date______Thank you for applying to be a member of our C.A.M.P. program! All correspondence will be done via email unless it is not applicable, then post cards will be sent. Return application to: CAMP, POB 307371, Gahanna, OH 43230 or email to [email protected]
Instructions for the 2007 C.A.M.P. Staff Application
Please choose the correct application that applies to you:
New Volunteer Staff Application – Forms needed: 1. Completed new staff application 2. Letter of recommendation 3. Results of fingerprint background check (note: only for cabin counselors) 4. Volunteer disclosure statement (note: only for support or kitchen staff)
A New Volunteer Staff Application is to be completed by anyone that has never served as a staff member at C.A.M.P. OR if you were not on C.A.M.P. staff last year (2006) you will be required to completely fill out a new volunteer staff application (which includes reading the counselor agreement and signing at the end of the application) and returning it to the C.A.M.P. address listed. Additionally, if you are applying to be a cabin counselor you must submit a fingerprint background check results to be considered for this year’s C.A.M.P. staff. If you have had a fingerprint background check done within this past year, you may supply C.A.M.P. with a copy of the results for our records.
Volunteer Veteran Staff Application – Forms needed: 1. Completed application (submit on line) Or 2. Completed application (submit by mail)
A Volunteer Veteran Staff Application is to be completed by anyone that has been a C.A.M.P. staff member consecutively since 2005. You will be required to complete this application (on line (NEW) if applicable) or submit the paper form if you have no access to the internet. If you submit your application on line, NO confidential information concerning social security number or driver’s license is required. NOTE: if you have moved within the past year another fingerprint background check results will need to be submitted.
Additional C.A.M.P. Staff Information:
The first Staff Meeting will be held on Sunday, April 15 at 3:00pm in the Gahanna Community Church’s Sanctuary.
C.A.M.P. 2007 runs August 5 through August 11 with staff reporting August 4. Applications need to be submitted by May 1, 2007.
Questions can be directed to Tina Brizius at [email protected] or by calling 614-475-0740.