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2870200-126527004819650-285756134100-295275 2018 Black Rock Retreat Summer Camp StaffApplicationPlease complete the entire application, save, and attach in an email to Josh Foley at: scdirector@ Note: This is the electronic version of the application meant to be filled out in Microsoft Word. This document may not work on all computers or versions of Microsoft Word, and may not work in Mac word processors like Pages. If you experience difficulty, try opening it on a computer that has a newer version of Word. If you experience difficulty, do not print and fill out this version by hand. Instead, email us at the above address and we will send you another version that will be compatible.Positions AvailablePlease number your choices of positions you are applying for in order of preference. Number as many as you feel qualified for and are interested in. Salary is $270 per week for all first-year staff regardless of position.Senior Counselor FORMTEXT ?????Junior Counselor FORMTEXT ?????Program Assistant FORMTEXT ?????Worship/Prog. Assistant FORMTEXT ?????Drama Director FORMTEXT ?????Crafts Director FORMTEXT ?????Media & Photo Specialist FORMTEXT ?????Video Specialist FORMTEXT ?????Health Care Manager FORMTEXT ?????Maintenance Host FORMTEXT ?????Dining Room Hostess FORMTEXT ?????Leadership StaffProgram Facilitator FORMTEXT ?????Office Administrator FORMTEXT ?????Women’s Director FORMTEXT ?????Men’s Director FORMTEXT ?????Name: FORMTEXT ?????Nickname (optional): FORMTEXT ?????Present Address: FORMTEXT ?????City: FORMTEXT ????? State: FORMTEXT ????? Zip: FORMTEXT ?????Phone: FORMTEXT ????? Cell: FORMTEXT ?????Best time to be reached: FORMTEXT ????? Email Address: FORMTEXT ?????Permanent Address: FORMTEXT ????? City: FORMTEXT ????? State: FORMTEXT ????? Zip: FORMTEXT ?????Phone: FORMTEXT ????? Are you at least 16 years of age, or turning 16 by August 12th, 2018? FORMCHECKBOX YES FORMCHECKBOX NODrivers License Number: FORMTEXT ????? State: FORMTEXT ????? Class: FORMTEXT ?????In compliance with federal law, all persons hired will be required to verify identity (I.D.) and eligibility to work in the United States.? Will you be able to produce the needed documentation to work in the United States?” FORMCHECKBOX YES FORMCHECKBOX NOParent(s)/Guardian(s): FORMTEXT ?????Address (If different than above): FORMTEXT ????? City: FORMTEXT ????? State: FORMTEXT ????? Zip: FORMTEXT ?????Phone: FORMTEXT ?????Emergency Contact Person: FORMTEXT ????? Phone: FORMTEXT ?????Relationship To You: FORMTEXT ????? Have you been disqualified from service under the grounds for denying employment or have you been convicted of an offense similar in nature to the crimes listed under the grounds for denying employment under the laws or former laws of the United States or one of its territories or possessions, another state, the District of Columbia, the Commonwealth of Puerto Rico or a foreign nation, or under a former law of this commonwealth?ORDo you have any charges pending against you and/or have you ever been convicted of or pleaded “no contest” to a felony or misdemeanor resulting in imprisonment or a fine over $500 during the last ten (10) years? FORMCHECKBOX YES FORMCHECKBOX NO If yes, please explain: FORMTEXT ?????Have you ever been accused or convicted of physically abusing or sexually molesting anyone? FORMCHECKBOX YES FORMCHECKBOX NO If yes, please explain: FORMTEXT ?????Do you consent to complete all of the background checks required by PA state law for applicants hired in a position working with children? FORMCHECKBOX YES FORMCHECKBOX NO If no, please explain: FORMTEXT ?????Black Rock Retreat is a drug and alcohol free organization. All employees are subject to random drug testing. Refusal to consent to being tested will result in withdrawal of any provisional employment offer. If a provisional offer of employment is extended to you, will you consent to being tested? FORMCHECKBOX YES FORMCHECKBOX NO If no, please explain: FORMTEXT ?????Have you ever served at Black Rock Retreat? FORMCHECKBOX YES FORMCHECKBOX NO If yes, what year/s and position/s? FORMTEXT ?????What is your connection to Black Rock Retreat? If you’ve never been to Black Rock Retreat, how did you hear about us? FORMTEXT ?????If a Black Rock Retreat summer staff recruited you, please list their name: FORMTEXT ?????What church, if any, do you attend? FORMTEXT ?????If you have Facebook, would you allow us to view your page? FORMCHECKBOX YES FORMCHECKBOX NOIf yes, please provide web address and/or profile name (optional): FORMTEXT ?????EducationEducationHigh schoolCollege or UniversitySchool Name FORMTEXT ????? FORMTEXT ?????Years Completed (as of 1/1/18) FORMTEXT ????? FORMTEXT ?????Diploma or Degree FORMTEXT ????? FORMTEXT ?????Course of Study FORMTEXT ????? FORMTEXT ?????Honors awards, extracurricular activities, training programs, volunteer work, etc: FORMTEXT ?????Certifications & Training (Please check all that apply): FORMCHECKBOX First Aid FORMCHECKBOX Ropes Course FORMCHECKBOX RN FORMCHECKBOX EMT FORMCHECKBOX CPR FORMCHECKBOX Lifeguard FORMCHECKBOX LPNOther: FORMTEXT ????? FORMCHECKBOX AED FORMCHECKBOX Archery FORMCHECKBOX CNAEmployment HistoryCompany Name: FORMTEXT ????? Phone: FORMTEXT ?????Company Address: FORMTEXT ?????Supervisor’s Name/Title: FORMTEXT ?????Dates of Employment: FORMTEXT ????? to FORMTEXT ????? Reason for leaving: FORMTEXT ?????Position/Title: FORMTEXT ?????Responsibilities: FORMTEXT ?????Company Name: FORMTEXT ????? Phone: FORMTEXT ?????Company Address: FORMTEXT ?????Supervisor’s Name/Title: FORMTEXT ?????Dates of Employment: FORMTEXT ????? to FORMTEXT ????? Reason for leaving: FORMTEXT ?????Position/Title: FORMTEXT ?????Responsibilities: FORMTEXT ?????Company Name: FORMTEXT ????? Phone: FORMTEXT ?????Company Address: FORMTEXT ?????Supervisor’s Name/Title: FORMTEXT ?????Dates of Employment: FORMTEXT ????? to FORMTEXT ????? Reason for leaving: FORMTEXT ?????Position/Title: FORMTEXT ?????Responsibilities: FORMTEXT ?????References (REQUIRED)Four references are required for acceptance of application: three character references and one employer/ministry supervisor’s reference. Please do not list fellow students or relatives, but rather adult friends who know you well (pastor, employer, teacher, professor, etc). One reference may be a peer or family member if they have worked at Black Rock Retreat. Email addresses are required for all references.Name: FORMTEXT ????? Relationship: FORMTEXT ????? Years Known: FORMTEXT ?????Company/Title: FORMTEXT ????? Email: FORMTEXT ?????Address: FORMTEXT ????? Phone: FORMTEXT ?????Name: FORMTEXT ????? Relationship: FORMTEXT ????? Years Known: FORMTEXT ?????Company/Title: FORMTEXT ????? Email: FORMTEXT ?????Address: FORMTEXT ????? Phone: FORMTEXT ?????Name: FORMTEXT ????? Relationship: FORMTEXT ????? Years Known: FORMTEXT ?????Company/Title: FORMTEXT ????? Email: FORMTEXT ?????Address: FORMTEXT ????? Phone: FORMTEXT ?????Name: FORMTEXT ????? Relationship: FORMTEXT ????? Years Known: FORMTEXT ?????Company/Title: FORMTEXT ????? Email: FORMTEXT ?????Address: FORMTEXT ????? Phone: FORMTEXT ?????Personal/Ministry QuestionsPlease answer the following supplemental questions in full. Answers are required for all the questions or your application will be considered incomplete and will not be accepted until completion. 1. If hired, we expect all staff to commit to being present for all 10 weeks of the Summer Camp Program including Pre-Camp Training. The dates for summer camp 2018 are May 30th (May 29 for Program Staff) - August 12th. Please list the dates and times of any requests you may have for time off. These requests will be reviewed on an individual basis by the Summer Camp Director. Please understand we do not typically grant time off for family vacations, mission trips, or school related trips, especially if requiring 3 days or more. If these trips are non-negotiable, you may still apply but it will decrease your chances of being hired. FORMTEXT ?????2. Please share a little about your hobbies, interests, areas of expertise and how you enjoy spending free time. FORMTEXT ?????3. Describe your experience of becoming a Christian and how you know you are saved. FORMTEXT ?????4. Describe your spiritual journey currently: How have you seen God pursuing you and how have you been seeking God? FORMTEXT ?????5. Please summarize your past camp and/or ministry experience including the names of the organizations you have been involved with, a general description of your responsibilities and a brief reflection on what you learned from those experiences. FORMTEXT ?????6. What gets you excited about working at BRR and why do you feel you are qualified for the position(s) you are applying for? FORMTEXT ????? 7. How would you share the Gospel and give an invitation to follow Christ with a non-Christian camper who is willing to listen? Be specific - use Scripture (if interviewed, you will be asked to share the Gospel). FORMTEXT ????? 8. How would you describe your personality and style of leadership? FORMTEXT ????? 9. Share two of your strengths and two of your weakness. How will each of those impact your work at camp? FORMTEXT ????? 10. Briefly describe the state of youth culture today and the impact of music, entertainment, technology, social media, etc., and how you believe summer camp can make a difference. FORMTEXT ????? 11. Summer camp ministry is intense and campers will ask hard and controversial questions about the Bible and our culture. Share with us what you believe that the Bible has to say about the following topics. Share honestly! If you are unsure how to answer, we encourage you to ask a Christian you trust to help you search the Scriptures. Answering these questions can be a great way to prepare you for ministry! Please clearly and concisely (1-2 paragraphs) describe your personal views about all the following topics and list applicable Scripture you would use to support it. What do you believe about:a) God, Jesus, and the Holy Spirit FORMTEXT ?????b) The Bible FORMTEXT ?????c) Humanity FORMTEXT ?????d) Salvation, Eternal Security, & Hell FORMTEXT ?????e) God’s Purpose & Will for your Life FORMTEXT ?????f) Prayer, Speaking in Tongues, Healing, & Spiritual Gifts FORMTEXT ?????g) Marriage, Sexuality, & Gender Identity FORMTEXT ?????h) Response to Authority FORMTEXT ?????i) Handling Conflict FORMTEXT ?????Black Rock Retreat Philosophy of MinistryMission Statement of Black Rock Retreat:Black Rock Retreat is dedicated to spreading the Gospel of Jesus Christ and strengthening His church. We provide quality facilities, programs, and a serving staff within a refuge of God’s creation, which encourages spiritual growth and restoration.Core ValuesBlack Rock Retreat follows a set of core values which are fundamental to our business operations and our interaction with others, both employees and those we serve. These core values are:MINISTRY – We recognize that the primary focus of this organization is evangelism and ministry. We are committed to remaining true to our Statement of Faith as we provide an atmosphere where both children and adults can experience spiritual and personal growth, restoration, and encouragement. We are committed to recognizing the diverse and changing needs of those we serve and being willing to adapt our ministry to meet those needs as the Lord leads.TEAMWORK – We are a team combining our talents and resources to serve our guests and each other in a Christ-like manner. To do this we commit to: trust each other’s unique contributions, transparently engage in open dialogue, embrace differences rather than avoid conflict and ultimately support each decision with personal action and mutual accountability.PEOPLE – Because we are all created in God’s image, we are committed to treating everyone with dignity, respect and love. We strive to create an atmosphere where all people feel valued in their relationship with Black Rock Retreat.STEWARDSHIP – Stewardship means managing all of the resources God has entrusted to us wisely and responsibly. These resources include but are not limited to our guests, grounds, facilities, natural environment, finances, staff, volunteers and Board of Directors. We are committed to exercising good stewardship in every facet of our ministry.QUALITY – Quality is recognizing and establishing appropriate standards and then managing ourselves and our organization to meet those standards. We will strive to maintain excellence in our grounds, facilities, programs and services as well as employing and training quality staff members.SAFETY – Safety is the value we place on the well-being of ourselves and those we serve. Recognizing that God is our protector, we are also committed to providing both training and a safe work environment for our staff and our volunteers, as well as a place of physical and emotional safety for those we serve.Statement of FaithWe are committed to a Biblical faith which believes in:The complete inspiration of the Old and New Testaments as the Word of God.The triune God who is Father, Son and Holy Spirit.The deity of the Lord Jesus Christ, His substitutionary atonement for sin and His bodily resurrectionThe person of the Holy Spirit and His work of conviction, regeneration and sanctification; who indwells every believer.The necessity of the new birth, in salvation by faith in Jesus Christ alone.The importance of a life fully committed to the will of God in Christ.Human life is a gift of God culminating in eternal life for the believer or eternal separation from God for the unbeliever.The fine print! Please read the following thoroughly and carefully. Your signature indicates your agreement.I understand that if I am hired by Black Rock Retreat, I am committing myself to fulfilling the expectations of Black Rock Retreat including, but not limited to, Black Rock Retreat’s established policies, procedures, standards, regulations, philosophy of ministry, duties, responsibilities and exemplification of a Biblical, Christ-centered life as a representative of Black Rock Retreat. I certify that I voluntarily agree with the Doctrinal Statement of Black Rock Retreat without reservation or coercion and agree to model and teach the principles contained therein in word and action as I fulfill my duties at Black Rock Retreat and in my personal life. Black Rock Retreat has my permission to obtain all necessary information from the references that I have listed, or any other applicable and appropriate sources, concerning my prior employment, performance, personal history, character, or criminal record, and I release all such parties from any liability for information provided in good faith. I affirm that I have neither been convicted of, nor am I the subject of pending charges for any offense involving actual or attempted child abuse. I affirm that I am not currently under investigation for such crimes.I understand that this is an application for employment and does not constitute a contract of any kind. I also understand that Black Rock Retreat may terminate my employment at any time at their discretion, with or without prior notice. If I am dismissed, I will be paid only through the date of my dismissal and agree to return all Black Rock Retreat property in my possession before being eligible to receive final payment of any amount due me upon separation. I certify that the stated information in this application is true and complete to the best of my knowledge. I understand that any misrepresentation or false statement contained herein may be considered grounds for rejection of my application or possible termination if I am employed.Signature: FORMTEXT ????? Date: FORMTEXT ?????To submit: complete the entire application, save, and attach in an email to Josh Foley at: scdirector@ Please include a photograph of just yourself, taken within the past year, which we may use for a staff picture board if you are hired. A “head shot” from shoulders up is preferable. ................
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