| Have you read the Application e-Booklet? |
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What is your First Name: |
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| What is your Last Name: |
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| What is your Social Security Number (xxx-xx-xxxx) |
This site is not secure. If you would rather send this information separately, please enter 000-00-0000. If you are not a resident of the United States and do not have a US Social Security Number, please enter 000-00-0000. |
| What is your gender: |
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| What is your Birthdate (MM/DD/YYYY): |
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| What is your Age: |
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What is your email address: |
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| What is the best day of the week and time for a phone interview: |
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| What is your phone number? |
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| If you have a cell phone, what is that phone number? |
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| Please tell us the name of your parents or guardians: |
(if you are under 18 years of age) |
Are you a US Citizen? |
Yes
No
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CURRENT ADDRESS |
| Street Address: |
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| City, State & ZIP or Postal Code: |
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| Country: |
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| This address is useable until what date? |
(if permanent, type permanent)
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PERMANENT ADDRESS
(if different from above) |
| Street Address: |
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| City, State & ZIP or Postal Code: |
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| Country: |
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EMPLOYMENT INTEREST |
| Please give us your first and second choice of positions on the Homelani team. |
| My first choice is |
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| My second choice is |
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| Do you meet the age requirement for these positions? |
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| If not, what qualifies you for the position? |
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DATES OF SERVICE |
| Do you have any conflicts with the summer employment dates? |
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| If yes, please explain: |
The
Specific dates you are available for employment are extremely
important. Preference is given to applicants with Full Summer
Availability. Orientation is Mandatory. |
SOME IMPORTANT QUESTIONS |
| Do you have a driver's license? |
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| If yes, what state or country? |
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| Driver's License Number |
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| Date of driver's license expiration |
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| Do you have any traffic violations on your current driving record? |
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| If yes, please explain: |
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| Do you smoke? |
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| Do you drink alcohol? |
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| Do you take illegal drugs? |
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| If yes to any of the above substances, will you refrain from using them during your employment at Camp Homelani? |
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| Have you ever been convicted of child abuse, sexual abuse or any other felony? |
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| If yes, please explain: |
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| Are there reasons you may have difficulty in performing any of the essential elements of the job for which you are applying? |
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| If yes, please explain: |
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| Have you ever filed an application with Camp Homelani before? |
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| If yes, when? |
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| How did you hear about Camp Homelani? |
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| Please give us some details: (like who told you about us or what website, etc.) |
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| If hired, would you need housing for any other person(s) other than yourself? |
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| If yes, for whom: |
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EDUCATION |
| Are you currently attending school? |
(if you are not attending, please mark that and skip to the Employment Section) |
What school are you currently attending? |
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| If you have one, what is your major? |
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| When will you graduate? |
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| Before the school that you are currently attending, what school did you attend last? |
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| When did you graduate? |
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EMPLOYMENT |
| Are you currently employed? |
(if you are not currently employed, please check no but put your most recent job information)
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| Where do you currently (or most recently) work? (company name) |
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| What are your current (or most recent) employment dates? |
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| Who is/was your supervisor? |
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| What is the phone number of your current (or most recent) employer? |
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| Please give another way to contact your supervisor (i.e., e-mail or complete mailing address): |
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| What is/was your job title or basic job duties? |
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| If you are no longer employed here, why did you leave? |
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Previous Employment: |
| Where did you work prior to above? (company name) |
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| What were the dates of this employment? |
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| Who was your supervisor? |
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| What was the phone number of this employer? |
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| Please give another way to contact this supervisor (i.e., e-mail or complete mailing address): |
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What was your job title or basic job duties? |
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| Why did you leave? |
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And one more employment experience prior to that: |
| Where did you work prior to above? (company name) |
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| What were the dates of this employment? |
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| Who was your supervisor? |
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| What was the phone number of this employer? |
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| Please give another way to contact this supervisor (i.e., e-mail or complete mailing address): |
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What was your job title or basic job duties? |
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| Why did you leave? |
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| May we contact these people for reference? |
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| If no, please explain: |
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CAMP EXPERIENCE |
| Please list your most recent camp experience first |
| What is name of the Camp? |
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| What were the dates you were there? |
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| Where you a camper or staff member? |
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| If staff member what was your job? |
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| Who was the Camp Director |
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| Please give a way to contact that camp (i.e., phone, e-mail address, web site or complete mailing address or all of them) |
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Previous camp experience |
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| What is name of the Camp? |
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| What were the dates you were there? |
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| Where you a camper or staff member? |
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| If staff member what was your job? |
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| Who was the Camp Director |
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| Please give a way to contact that camp (i.e., phone, e-mail address, web site or complete mailing address or all of them) |
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And Previous to that camp experience |
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| What is name of the Camp? |
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| What were the dates you were there? |
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| Where you a camper or staff member? |
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| If staff member what was your job? |
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| Who was the Camp Director |
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| Please give a way to contact that camp (i.e., phone, e-mail address, web site or complete mailing address or all of them) |
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CURRENT CERTIFICATIONS |
Do you have any of the following certifications?
(Select all that apply; use CTRL-click to select) |
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| Please give the expiration dates of the above certifications and description of other certifications held. |
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LEADERSHIP EXPERIENCE AND TRAINING |
| Please give a brief description of any Ministry Leadership and/or Bible Study Leadership experience you have. Please state when, where and for how long you participated in this leadership capacity. |
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| What do you think works best in discipling children? |
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| What experience have you had in disciplining children? |
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| What do you find most rewarding in working with children? |
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| Please list any additional specilized training in leadership, child abuse or sexual abuse prevention, crisis prevention, etc. |
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REFERENCES |
| Three (3) references are required. These people should have knowledge of your character, experience and abilities. One must be your Corps Officer or Pastor. If you are related to your Corps Officer/Pastor, please seek another pastoral person. After you finish this application, you want to contact these three people and have them complete the recommendation form on your behalf. |
| What is the name of your Corps Officer/pastor? |
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| What is the name of the Corps/Church? |
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| What is the best way to contact this person? (i.e., phone, e-mail, etc.) |
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| Please give another way to contact this person (i.e., e-mail, another phone or complete mailing address) |
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Reference #2 |
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| What is the name of your second reference? |
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| What is their relationship to you? (i.e., employer, family friend, teacher) |
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| What is the best way to contact this person? (i.e., phone, e-mail, etc.) |
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| Please give another way to contact this person (i.e., e-mail, another phone or complete mailing address) |
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Reference #3 |
| What is the name of your third reference? |
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| What is their relationship to you? (i.e., employer, family friend, teacher) |
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| What is the best way to contact this person? (i.e., phone, e-mail, etc.) |
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| Please give another way to contact this person (i.e., e-mail, another phone or complete mailing address) |
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**Please note that your application will not be complete until all reference forms are completed and returned.** |
CHRISTIAN EXPERIENCE |
| What is the name of the church you attend? |
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| How long have you attended? |
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| What do you do to stay in fellowship with God? |
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| What do you do to stay in fellowship with other believers? |
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| Do you have any conflicts with The Salvation Army Doctrines? |
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| If yes, please explain: |
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PERSONAL STATEMENT AND SPIRITUAL COMMITMENT |
| Describe how your relationship with Jesus Christ began and what that relationship is like today. |
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| Describe your current participation and/or leadership in ministry activities. |
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| Describe two major influences in your life and growth as a Christian. |
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| Explain why it is important to serve the way Christ did and how our example is worth more than words? |
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| What expectations or goals would you have for yourself as a member of the Homelani team? |
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| Why do you want to work at Camp Homelani and what will you do if you are not offered a position? |
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PROGRAMMING |
| Please check activities that you feel comfortable doing in front of a group and would be willing to lead: |
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What is the highest Musical Theory level you can teach? |
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Which one(s)?
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Which one(s)?
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| Please list any sports activities you can lead: |
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| Please list any other talents and contributions not listed above: |
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THE SALVATION ARMY'S MISSION STATEMENT |
| The Salvation army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the Love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination. |
CAMP HOMELANI'S MISSION STATEMENT |
| Camp Homelani exists to create a Christian environment where people can be challenged to have a life-changing experience. |
AGREEMENTS AND UNDERSTANDINGS |
I certify that answers given
herein are true and complete to the
best of my knowledge. I authorize
investigation of all statements contained in this application for employment
as may be necessary in arriving at an employment decision.
I understand that, if I am offered
a position, it will be offered on
the condition that I agree to abide by
policies and procedures established by The Salvation Army, American Camp Association (ACA), neighborhood board and camp administration. Furthermore, I will not, during my time of employment contract be involved with smoking,
drinking alcoholic beverages, clubbing, or using illegal drugs.
Additionally,
theft, immorality, damaging of property, physical injury to others, deception
and other forms of socially unacceptable behavior may be causes for immediate
dismissal. I will commit myself to fulfill my contract dates.
I hereby understand and
acknowledge that, unless otherwise defined by applicable law, any employment
relationship with this organization is of an at-will nature, which means that
the employee may resign at any time and the employer may discharge employee at
any time with or without cause. It is further understood that this at-will
employment relationship may not be changed by any written document or by
conduct unless an authorized executive of this organization specifically
acknowledges such change in writing.
In the event of employment, I understand that false or misleading information given in my application and/or
interview(s) may result in dismissal. I understand, also, that I am required
to abide by all rules and regulations of the employer. |
| I have read the above statements. |
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**Please Note: For the protection of our campers, criminal background checks will be conducted after an offer of employment is made. Background check findings may result in a withdrawal of the employment offer.** |
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Is there anything else you need to tell us or ask us? |
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