Returning Staff Online Application Form

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Please provide the following contact information:

Your Name (first and last)
Your Local Church name and Location
Your Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Cell Phone/Work Phone
Home Phone
FAX
E-mail
Date of Birth			Sex Male Female
Have you attended Higher Ground as a camper?	YES NO	If yes, where?
Higher Ground Staff before?	YES NO	If yes, when and where?
T-Shirt Size?			Small (34-36) Medium (38-40) Large (42-44) Extra Large (46-48) Extra Extra Large (Over 48) 3XL
Does the applicant have a condition that limits or prohibits applicant’s physical activity?		YES NO
If yes, please explain below.  If no response is given, Higher Ground will assume that applicant can engage in all camp-related activities.
Why would you like to be a Higher Ground Summer Camp Staff Volunteer?

 

Please select all the areas you are willing to serve this year.

 

Counselor (which age group can you effectively lead)?        8-11 12-1415-18
Assistant Counselor (which age group can you effectively lead)?  8-11 12-14 15-18
Water Polo	Riflery	Archery
Wilderness Skills/Hiking	Camp office/store	Arts and Crafts
Basketball	Dining Hall Monitor	Nurse/EMT
Flag Football / Ultimate Frisbee	Mini Camp Leader (ages 3-7 years old)	Video/Photography
Worship team (play instrument, sing)	Audio/Visual – Stage help	Disc Golf
Chapel Coordinator	Activities Coordinator	Paintball
Chapel Speaker	Dance DJ	Block Party / Special Events Coordinator
Swimming	Kitchen Crew	Dorm Parent
Dodgeball	Challenge Course	Other:
Maintenance	Dance Instruction

 

Preferred Positions & Experience - Describe your experience, training and certification in the areas that you have selected. If you desire to be on the counseling staff, please let us know the preference of the age group.

 

First Choice:	Experience, training and certification:
Second Choice:	Experience, training and certification:
Third Choice:	Experience, training and certification:

I have current CPR certification                      

 I have current First Aid certification

 I have current Life saving certification            

 I have current Archery/riflery certification

Other

 

Higher Ground Staff Volunteer Service Request

 I, the undersigned, hereby agree to donate any and all my time served as a Staff Volunteer at Higher Ground, voluntarily, without expectation of payment or compensation, in order to assist the Higher Ground program.

 

If I am accepted as a Higher Ground volunteer, I understand that all my time is donated of my own free will.  Further, I understand that during the time that I serve, I am a volunteer, not an employee, nor do I hold expectations for future employment as a result of my volunteering.  I do not expect benefits for which I would otherwise be entitled as an employee. 

 

I also understand that if accepted as a volunteer, this service relationship is mutually agreed-upon and is terminable at will by either party.  Tentatively, I would like to volunteer my services in the following capacity and duration:  (service area)   (duration (date of camp)).

 

It is understood that the above-mentioned time for service is only an intention on my part for planning purposes and does not commit me to any binding scheduled hours.

Applicant Information (This supplemental information is required for applicants for volunteer service at Higher Ground Summer Camp whose desired position includes, or might include, working with, or in close proximity to, minors.)

 

Do you ever drink alcohol to the point of drunkenness?	YES NO
Do you use illegal drugs?	YES NO
Have you ever been arrested for or convicted of a crime?  (You may exclude certain misdemeanors the law exempts from disclosure.  Conviction will not necessarily disqualify you.)	YES NO
Have you ever been arrested for or convicted of child abuse, child molestation, child neglect, sexual assault, rape, or any other sex crimes, drug crimes or violent crimes?	YES NO
Have you ever had a civil judgment entered against you or is there a pending complaint against you concerning intentional injury against others or your treatment of minors?	YES NO
I attend a church worship service or small group at least twice a month	YES NO
I am baptized (not a requirement)	YES NO
I agree with and support the camps statement of beliefs	YES NO
I am willing/able to camp in a tent should not enough staff housing not be available	YES NO
Date(s) of arrest/conviction(s)  Case number(s)
Location(s) of arrest/conviction(s)
Is any such criminal or civil case currently pending against you or on appeal?	YES NO
What were you convicted of? What was the judgment entered against you?

                                                                                         

Applicant Certification

I am making application for voluntary service with the Higher Ground Summer Camp (herein “Higher Ground”).  I certify that to the best of my knowledge the information provided by me in this application is accurate, complete and without material omission.

I authorize Higher Ground to investigate the statements contained in the application.  I also release Higher Ground and any person, company or institution that provides Higher Ground with information concerning my background from any and all liability or claims that may result from the investigation, use or disclosure of such information, and/or any damage that may result.  I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer, the withdrawal of an offer, or if I am accepted as staff, in my dismissal from staff position.

 I understand and agree that this certification will become a part of the terms and conditions of acceptance if I am offered, and accept a staff position.  I acknowledge that acceptance by Higher Ground is neither guaranteed, permanent, nor for any specified period of time, and that I may resign, at-will, at any time and Higher Ground may terminate my staff position, at-will, at any time with or without cause, and with or without prior notice.

 I understand that this application augments all other applications previously submitted to Higher Ground by the undersigned applicant.

 I understand that Higher Ground does not provide personal medical or health insurance, and that it is my responsibility to provide personal insurance.

Higher Ground may use any photos or videotapes taken of me at any camp event in their publications or those of their sponsor, the Worldwide Church of God.

 

I agree with the enclosed “Summary Statement of Our Christian Faith” and support the policies of Higher Ground.

 

In keeping with its Christ-centered mission, the Higher Ground Summer Camp sets high standards of personal conduct. These standards include rules against intoxication or possession of intoxicants, sexual misconduct, use or possession of illegal drugs, stealing, smoking, disorderly conduct, intentional destruction of property, refusal to cooperate with Higher Ground personnel or any conduct or attitudes not in keeping with Christian standards.

 

I understand that staff members who do not abide by the rules and policies of Higher Ground, or whose conduct or attitude undermine the wholesome, positive, and Christ-centered camp environment, may be dismissed, and their travel arrangements to return home will be made at their own expense.

THE UNDERSIGNED HAS CAREFULLY READ THIS CERTIFICATION AND FULLY UNDERSTANDS

AND AGREES WITH ALL OF THE ABOVE.

 X                     X

      Applicant’s signature                                                                     Date

PRIVATE Application Process

  DEADLINE:  Applications will be reviewed as they are received and information packets will be sent to the volunteer upon acceptance.  Please submit this application by May 30, 2009  to be considered for acceptance.