JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2020 Staff Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name:
*
Your answer
Last Name:
*
Your answer
Preferred Name:
*
Your answer
Mailing Address:
Your answer
Phone Number:
*
Your answer
What position(s) are you applying for?
Overnight Counselor
Day Camp Counselor
Operations Staff
A/V Staff
Activities Staff
Education & Experience
What school are you attending, if any, and what year are you in?
Your answer
Please list your highest diploma received:
Your answer
What are your educational/occupational goals?
Your answer
What summer camps have you attended?
Your answer
Have you ever worked at a camp previously?
Choose
Yes
No
If you answered "yes" to the question above, please list the camp and the position you served in.
Your answer
Please list any certifications or qualifications you have received that would benefit the camp.
Your answer
Please list any practical experience that will help you with the position(s) you are applying for.
Your answer
Camp Program Skills
*
Please mark each skill you would be comfortable assisting with or teaching
Teach
Assist
Neither
Team Building/Low Challenge Course
Climbing/Rappelling/High Ropes
Orienteering
Wilderness Skills
Canoeing
Archery/Riflery
Sports - baseball, soccer, etc.
Drama - dancing, singing, etc.
Art - painting, sketching, etc.
Musical Instruments
Teach
Assist
Neither
Team Building/Low Challenge Course
Climbing/Rappelling/High Ropes
Orienteering
Wilderness Skills
Canoeing
Archery/Riflery
Sports - baseball, soccer, etc.
Drama - dancing, singing, etc.
Art - painting, sketching, etc.
Musical Instruments
What not listed would you be interested in teaching or assisting?
Your answer
Would you be willing to obtain your Red Cross Waterfront Lifeguarding Certification at camp?
*
You are not committing, but expressing interest.
Yes
No
Required
Would you be willing to obtain your High Ropes Course Instruction Site Qualification at camp?
*
You are not committing, but expressing an interest.
Yes
No
Required
Christian Life & Personal Character
How long have you been "saved"? Please give a statement of your testimony with scripture.
Your answer
How would you explain the plan of salvation to someone?
Your answer
What would those who know you well say are areas of strength in your life?
Your answer
What would those who know you well say are areas of weakness in your life?
Don't be intimidated to answer. Honesty is appreciated.
Your answer
By entering my name below, I verify that all information submitted on this form is accurate.
*
Enter Full Name:
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of Patrick Henry Family Services.
Report Abuse
Forms
