Camp Anderson Anchored - Staff Application

First Name

Last Name

Email

Phone Number

Must be 18

Age

Birthday

Male/Female
Male
Female

If divorced or separated, Please explain:

Social:

Valid Drivers License Number:

Address 1

Address 2

Country

City

State

Zip/Postal Code

Instagram, Facebook, Youtube and Twitter Handles:

Have you ever been convicted of a crime?
Yes
No

If "Yes", Please Explain:

Will you be available for the full duration of Summer Camp 2023? (May 23, 2023 - August 5, 2023) This will include a mandatory week of training May 15th – 26th
Yes
No

If "No", Please explain:

Will you need to live on campus?
Yes
No

Do you own a vehicle?
Yes
No

If so, will you have the vehicle with you during the duration of camp?
Yes
No

Are you bilingual?
Yes
No

If so, what languages(s)? (Including American Sign Language)

Are you currently in college
Yes
No

Fill out if in college

Major:

Graduation Year:

Last day of School:

What are you interested in doing at camp this year?

What skills do you have that are applicable to these areas?

Past Work Experience (Fill out all three if possible)

1.

Name

Address

Phone Number

Email

What were your duties?

2.

Name

Address

Phone Number

Email

What were your duties?

3.

Name

Address

Phone Number

Email

What were your duties?

References:

Must include a Spiritual Leader Such As, Pastor, Mentor, etc. (Please fill out all three)

First Name

Last Name

Phone Number

Email Address

How have they impacted you spiritually?

First Name

Last Name

Phone Number

Email Address

How have they impacted you spiritually?

First Name

Last Name

Phone Number

Email Address

How have they impacted you spiritually?

Medical History

Do you have any physical conditions that would prohibit you from participating in any camp activities?
Yes
No

If yes, please list all that apply:

Do you have any allergies? (Food, seasonal, medications etc.)
Yes
No

If yes, please list all that apply:

Do you take any prescription medications?
Yes
No

If yes, please list all that apply:

Do you give our campus Registered Nurse permission to administer over the counter medications if needed?
Yes
No

Emergency Contact Information

First Name

Last Name

Relationship

Phone Number

Email Address

Address 1

Address 2

Country

City

State

Zip/Postal Code

Medical Insurance:

Insurance

Policy Number

Group Number

Phone Number

Primary Doctor

Preferred Hospital

Where do you attend church regularly?

Address 1

Address 2

Country

City

State

Zip/Postal Code

Pastor/Priests Name:

Are you a member?
Yes
No

In what area(s) of church do you participate?

Please tell us about any current ministry participation?

Are you comfortable speaking to youth, peers, and adults? Would you feel comfortable discipling and possibly leading them to Christ?
Yes
No

If No, Explain why?

Please share your path to salvation and testimony.

What would you like to see God do for Camp Anderson Anchored?

Camp Anderson Anchored presents Jesus Christ as Savior and Lord. In order to maintain our representation of a number of different Christian Churches in the body of Christ we focus on our relationship with Christ and others rather than promote any particular denominational issue. Speaking in tongues, healing, prophesying, baptism, administering of the Sacraments and other doctrinal issues are a part of the Christian experience for many people, however, Camp Anderson Anchored chooses not to focus on them but on the basics of the Gospel of Christ.

Do you agree to follow Camp Anderson Anchored policy on this issue?
Yes
No

Campus Staff Policies

As a camp counselor and leader, you will be accountable to other camp counselors and Camp Anderson Anchored staff. Being in a leadership role with CAA your life will be an example to others. If you are found being involved in a lifestyle that does not align with CAA’s Campus Staff Policies, it means that you will need to step down from your leadership position with Camp Anderson Anchored. Since members of this faith-based community have voluntarily chosen to be a member of staff, all staffers are obligated to a code of scriptural and community standards and behavior. As a Christ-follower and member of the community of Camp Anderson Anchored, I will:

● Practice the spiritual disciplines—regular reading of God’s Word, prayer, etc.

● Understand that regular attendance at church services is expected

● Pursue integrity and practice professional ethics

● Adhere to guidelines of dress code

● Respect the dignity of all persons and highly value the diversity of the body of Christ

● Respect the rights and property of others

● Discourage bigotry, slander, and gossip among the members of the community and will refuse to engage in such behavior

● Refrain from the possession, use or distribution of beverage alcohol (except for communion), marijuana, or other intoxicants either on or off campus

● Refrain from the possession, use or distribution of tobacco products either on or off campus

● Refrain from the possession, use or distribution of illegal substances and the abuse or illegal use of legal substances, including prescription and over-the-counter medications either on or off campus

● Refrain from all sexually immoral behavior including: premarital sex; adultery; lesbian, gay, bisexual, or transgender behavior; and involvement with pornography in any form. (Biblical marriage consists only of a faithful, heterosexual union between one genetic male and one genetic female, and biblical marriage is the only legitimate and acceptable context for a sexual relationship)

● Demonstrate compassion for others and a passion for the lost as a representative of Christ

Have you read campus staff policies
Yes
No

I hereby certify that every statement I have made in this application is true and complete to the best of my knowledge. I understand that if there are any false or incomplete answers that may be grounds for not employing me or for dismissing me after I begin working for Camp Anderson Anchored.
Yes

Staff-Application

Must be 18

Past Work Experience (Fill out all three if possible)

1.

2.

3.

References:

Medical History

Emergency Contact Information

Medical Insurance:

Campus Staff Policies

About

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Contact Info

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