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2837180-167802004819650-285756134100-295275 -152400-1714502018 Black Rock Retreat Summer Camp Returning Staff Application002018 Black Rock Retreat Summer Camp Returning Staff Application-66675418465Please 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. 00Please 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. 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. 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 ???Present Address (College, mission base, etc.): FORMTEXT ?????City: FORMTEXT ????? State: FORMTEXT ????? Zip: FORMTEXT ?????Phone: FORMTEXT ????? Cell: FORMTEXT ?????Email Address: FORMTEXT ?????Permanent Address: FORMTEXT ????? City: FORMTEXT ????? State: FORMTEXT ????? Zip: FORMTEXT ?????Phone: FORMTEXT ????? Best time to be reached: FORMTEXT ????? Drivers License Number: FORMTEXT ????? State: FORMTEXT ????? Class: 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 ?????What years and positions have you served at Black Rock Retreat? FORMTEXT ?????What church, if any, do you currently attend? FORMTEXT ?????Personal/Ministry QuestionsPlease answer the following questions in full.1. You are already aware that we ask all staff to commit to the ENTIRE camp program. This year the dates are May 30-August 12 (May 29 for Program Staff). Please list the dates and times of any dates that you are requesting off and a brief explanation of why you are requesting it. Keeping in mind that we do not typically grant time off for family vacations, mission trips, or school related trips, especially if requiring 3 days or more. FORMTEXT ?????2. Describe your spiritual journey currently: How have you seen God pursuing you and how have you been seeking God? FORMTEXT ?????3. Reflect on what you learned practically and spiritually during the last summer you were here. FORMTEXT ?????4. How would you challenge yourself in new ways this summer? FORMTEXT ?????5. Why do you want the position(s) you are applying for? How do your strengths and experiences equip you for this position? FORMTEXT ?????6. The theme this summer is “Illuminate” with the focus being on coming out of the darkness and walking in the light. Read the following passages and comment on how you think this theme will impact campers this summer: Isaiah 9:2, Matthew 5:13-16, John 12:44-46, Ephesians 5:1-16, 1 John 1:5-10, 1 Peter 2:9. FORMTEXT ?????7. What is the hardest thing you are facing right now that you think I should know and how do you think it could impact your ministry at Black Rock? You may choose to save this answer until the re-interview. FORMTEXT ?????8. Briefly summarize any significant ministry opportunities you have had since you were last at BRR and how God has used them to impact you (e.g. working with youth, missions trips, volunteer work, conferences or seminars attended, etc.). FORMTEXT ?????9. What are some key aspects of summer camp at BRR that you think should be emphasized during pre-camp training? FORMTEXT ?????10. What other thoughts, concerns, encouragement, suggestions or comments would you like to give as you look back on the last summer you were here that would be helpful feedback for us to consider in order to improve summer camp for 2017? FORMTEXT ?????Signature: FORMTEXT ????? Date: FORMTEXT ?????To submit: complete the entire application, save, and attach in an email to Josh Foley at: scdirector@ ................
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