High Ropes Training: June 6-10, 2016 Camp Staff Orientation: June 14-19, 2016 Summer Camp Season: June 20-July 30, Last Name: First Name:

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1 High Ropes Training: June 6-10, 2016 Camp Staff Orientation: June 14-19, 2016 Summer Camp Season: June 20-July 30, 2016 Last Name: First Name: Camp Staff Positions Available (Please mark all positions that you are interested in) Head Counselor Counselor Lifeguard (Must be at least 21) (Must be at least 18) (Must be at least 16) Dishwasher Program Aide (Must be at least 16) (Must be at least 16) Animal Care (Must be at least 16) Certifications Please mark below if you are interested in becoming certified in any of the following: High Ropes Archery Air Rifle Lifeguard (Must be at least 18) (Must be at least 18) (Must be at least18) (Must be at lease 16) T-Shirt Size: Mail Application to: The Salvation Army Attn: Captain Alisha Cho 2445 Prior Ave. N Roseville, MN Or to: Alisha_cho@usc.salvationarmy.org

2 The Salvation Army Central Territory CAMP STAFF EMPLOYMENT APPLICATION ADDENDUM This addendum must accompany a Central Territory Application of Employment PERSONAL DATA Name (last, first, middle) Date Have you been a camper at a summer camp? Yes No If yes, years(s) attended: Camp names(s): Have you worked at a summer camp? Yes No If yes, years(s) worked: List camp names(s): List camp position(s) held: How did you find out about this camp? List any friends or family who has worked at this camp: Our camp season is generally from middle May to middle August. If you are offered a position to work at a camp, can you commit to working the entire camp season? If not, please explain when you would be available to work: Many of our camps have positions that require living on the camp grounds for the duration of the season. Are you willing to live on the grounds and be available for shifts other than the day shift? Yes No N/A (Camp is only open during the day) Are you 18 years or older? Yes No Age of children with whom you prefer to work, check all that apply: Are you willing to assume cabin responsibility? Yes No 2

3 EMPLOYMENT DESIRED Please indicate your order of preference for the following program areas. You may rank up to 4, with 1 being your first choice. (Position titles in parenthesis are common positions in each category, and may vary by camp). Counselor (Lead Counselor, Cabin Counselor, Counselor-in-Training) Food Services (Cook, Asst. Cook, Dining Room staff, Dishwasher) Aquatics (Lifeguard, Head Lifeguard) Recreation Coordinator Program (Challenge Course, Archery, Rifle Range, Wilderness, Crafts) Camp Store Maintenance (Maintenance, Groundskeeping) Housekeeping (Housekeeping, Custodial, Laundry) Health Services (Requires formal education and experience in a related medical practice) CERTIFICATIONS Give expiration dates of all licenses or certificates and state where issued. AQUATICS State Exp. HEALTH SERVICES State Exp. PROGRAM State Exp. Waterfront Lifeguard First Aid ACCT Practitioner Pool Lifeguard Wilderness Basics FA Archery Instructor Waterpark Lifeguard CPR/AED/Professional Rifle Range Instructor Small Craft Instructor Other: Driver s License In what activities have you participated that are relevant to the position you are seeking with this Camp? Consider church/corps activities, training or experience in camping, school activities, extra-curricular activities, child care and related activities, etc.) Use additional sheets, if necessary. What contribution do you think a good camp experience can make to a camper s life? 3

4 SALVATION ARMY CAMPING STATEMENT OF FAITH SALVATION ARMY MISSION: 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. PURPOSE OF SALVATION ARMY CAMPING: The mission of Salvation Army camping is to serve the needs of campers: physically, socially, and spiritually. For physical needs, our aim is to help campers develop good health habits in cleanliness, proper rest, balanced diet, exercise and care for the body. To meet social needs, the camp provides an opportunity for each camper to contribute to and receive a group living experience. To meet spiritual needs, our goal is to give campers the tools to develop a personal relationship with God through Jesus Christ. GOALS OF SALVATION ARMY CAMPING: 1. To promote awareness of God, His love, and through the love of Jesus Christ, to promote spiritual growth and knowledge of basic human needs. 2. To give children, youth, and adults a fun-filled, healthy, safe, educational, and inspirational experience in nature. 3. To help develop an understanding, appreciation, and a sense of stewardship for nature, the natural environment, and for all living creatures. 4. To develop social responsibility by providing campers the opportunity to meet, appreciate, and accept persons of different racial, religious, and cultural backgrounds. 5. To provide a loving and supportive environment where families can learn to cope with and solve their problems. 6. To facilitate creative self-expression through thought, worship, song, work, play, physical activity, and the development of new skills. 7. To encourage each person to participate in planning activities and developing leadership skills. 8. To assist in developing an appreciation of the wonder and joy of the miracles of everyday living. 9. To stress the importance of Christian values by stressing those values in daily living and actions by meaningful discussions, Bible study, and worship. 10. These goals are achieved through carefully selected staff, well- planned programs, and the highest standards of health and safety. APPLICANT AUTHORIZATION AND SIGNATURE PLEASE READ CAREFULLY AND SIGN. A CHECK IN EACH BLANK INDICATES YOUR AGREEMENT WITH THE STATEMENT. I agree with The Salvation Army Camping Statement of Faith. (If you disagree with any part, please explain on a separate sheet of paper.) I understand that by accepting a position at a Salvation Army Camp I will be committing myself to a position of service, and my behavior and attitude will be examined in terms of my modeling to others. I certify that all of my answers given here are true and complete to the best of my knowledge, and that supplying false information herein shall result in immediate disqualification for consideration for employment or termination from employment, regardless of when such false information is discovered. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision; and I hereby agree to indemnify and hold harmless each and every current or prior employer in defending against any charge, complaint or suit filed with any Federal, State or local agency, or in any court of the State or Federal government for providing an accurate, factual history of employment information. I understand that neither this document nor any offer of employment from the employer constitutes an employment contract, unless a specific document to that effect is executed by the employer and employee in writing. I also recognize that The Salvation Army is a church and agree that I will do nothing as an employee of The Salvation Army to undermine its religious mission. Signature of Applicant Date Minor Parent/Guardian s Name: Minor Parent/Guardian s Signature: 4

5 The Salvation Army Central Territory Application for Employment All qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, disability or protected veteran status. To The Applicant: We appreciate your interest in The Salvation Army and assure you that we are interested in your qualifications. A clear understanding of your background and work history will aid us in seeking to place you in a position which, in our judgment, best meets your qualifications, and to determine if such a position is available. PERSONAL DATA Name (last, first, middle) Date City State Zip Code Phone ( ) If employed, can you provide proof of authorization to work in the U.S.? Yes No Have you been employed by The Salvation Army before? Yes No If yes, date(s): Location(s) employed: Supervisor Name(s): Have you filed an application with The Salvation Army before? Yes No If yes, date(s): Do you have any relatives that are either an employee or an officer of The Salvation Army? Yes No If yes, name(s) and location(s): EMPLOYMENT DESIRED Position(s) and Location(s) applied for: Type of work sought: Full-time Part-time Temporary/Seasonal If Part-Time or Temporary/Seasonal, please specify hours and days desired: Salary Desired: Date available to start work: EDUCATION & TRAINING High School Diploma: Yes No G.E.D.: Yes No Years attended

6 Trade or Technical Training Degrees or Diplomas Years attended College/University Degrees or Diplomas Years attended Graduate School Degrees or Diplomas Years Attended PROFESSIONAL LICENSE(S) OR MEMBERSHIP(S) Type of License(s) Held Other Professional Memberships (You need not disclose membership in professional organizations that may reveal information regarding race, color, sex, religion, national origin, ancestry, age, disability, marital status, veteran status or any other protected status.) SPECIAL SKILLS & QUALIFICATIONS Summarize any special skills or qualifications that you acquired through employment or other experience that are applicable to the job that you are applying for: EMPLOYMENT HISTORY Begin with most recent employer. Attach additional sheet if needed. 1. Employer Dates of Employment Phone ( ) Ending Salary Title/Duties Supervisor s Name Reason for Leaving May we contact this employer? Yes No 6

7 2. Employer Dates of Employment Phone ( ) Ending Salary Title/Duties Supervisor s Name Reason for Leaving May we contact this employer? Yes No 3. Employer Dates of Employment Phone ( ) Ending Salary Title/Duties Supervisor s Name Reason for Leaving May we contact this employer? Yes No REFERENCES Please provide up to 4 professional and/or personal references. 1 Name Contact Information Relationship

8 CRIMINAL HISTORY PLEASE NOTE: Laws in Illinois, Minnesota, and Columbia, Missouri provide that applicants for employment in those locations are not required to complete this section of the application. However, where permitted by law, applicants may be asked to provide answers to these questions at a later time and/or submit to a criminal background check. Have you ever been convicted of a felony? Yes No List and explain all felonies: Have you been convicted of a misdemeanor(s) within the last two years which resulted in imprisonment/jail? Yes No List and explain all applicable misdemeanors: (Note: A conviction will not necessarily disqualify you from employment. You should not disclose any information regarding criminal arrest or conviction records that have been expunged or sealed.) APPLICANT AUTHORIZATION AND SIGNATURE I certify that all of my answers given here are true and complete to the best of my knowledge, and that supplying false information herein shall result in immediate disqualification for consideration for employment or termination from employment, regardless of when such false information is discovered. I authorize investigation of all statements contained in this application without any obligation to give me written notice of such investigation for employment as may be necessary in arriving at an employment decision; and I hereby agree to indemnify and hold harmless each and every current or prior employer in defending against any charge, complaint or suit filed with any Federal, State or local agency, or in any court of the State or Federal government for providing an accurate, factual history of employment information. I understand that neither this document nor any offer of employment from the employer constitutes an employment contract, unless a specific document to that effect is executed by the employer and employee in writing. Michigan law requires employers to make reasonable accommodations to qualified handicapped applicants and employees where the employee makes their need known to the employer, requests accommodation and such accommodation does not impose an undue hardship on the employer. With respect to State of Michigan Persons with Disability claims, persons with disabilities and applicants must request an accommodation of their handicap by notifying The Salvation Army in writing of the need for accommodation within 182 days of the date the person with a disability knows or reasonably should know that an accommodation is needed. Failure to properly notify The Salvation Army will preclude any claim that the employer failed to accommodate the person with a disability, however, this does not waive your rights under the Americans With Disabilities Act of 1990, as amended. I agree that any action (excluding governmental, statutory administrative proceedings) or suit against The Salvation Army arising out of or related to my employment or termination of employment, including but not limited to claims arising under State or Federal civil rights statutes, must be brought, if at all, within the shorter of 180 days of the event giving rise to the claim or the applicable statute of limitations, or be forever barred. I waive any limitation periods to the contrary, with the exception being that this agreed to limitations period does not supersede the Federal Equal Employment Opportunity Commission or other applicable statutes or regulations that may extend this period as provided by law. I acknowledge that this 180 day limitation on actions forms an Agreement between myself and The Salvation Army. Signature of Applicant Date 8