/ Diocese of Wheeling-Charleston
Bishop Hodges Summer Staff
Employment Application
Summer 2016

1.Position Applying For(select ALL that you have interest in)

____ Activity Staff (June 2nd – August 10th)

____ Manus Christi/Camp Bosco(June 6th – Aug 5th)

2.General Information

Name (Mr. Mrs. Ms.):______Sex (M/F): _____

Best phone number to reach you:______Date of Birth:______

Permanent Address: ______

Home Phone: ______E-mail Address:______

School Address:______Cell Phone:______

Driver’s License #: ______Issuing State:____ Class/Type of license:_____

Current Parish:______City/State:______Number of Years:_____

Previous Parish:______City/State:______Number of Years:_____

3.Schedule

Please refer to the schedule(s) in the information packet.

Are you available for the mandatory staff training?

Activity StaffJune 2nd- June 7 YES _____NO _____

Manus Christi/BoscoJune 8 - June 17 YES _____NO _____

If you have a conflict with any part of the training(s) you are required to attend, please note it here:

It is imperative that you note here any conflicts that you have with the dates for which you will be employed. If any develop after being hired, you must notify Shawn Madden immediately at . Concerts and appointments are not reasons to leave. The young people are counting on us, and everybody on the team has an important job.

List any and all conflicts with dates staff are required to be on site here:

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Please direct all questions to Shawn Madden, Director of the Bishop Hodges Pastoral Center

or 304-335-2165

4. Education Information

Will you be a high school graduate by the summer? YES ______NO ______HS Graduation Year:______

Name of High School:______City:______State:_____

Name of College:______City:______State:_____

Year in College:______College Graduation Year:_____

Bachelor’s Degree in: ______

Master’s Degree in:______

5. Employment Information

Current/Most Recent Employer: ______Position: ______

Work Address:______Work Phone:______

Immediate Supervisor:______Supervisor’s Phone:______

Please answer the following questions about your last job:

a)What were you responsible for?

b)What did you enjoy the most?

c)What was your biggest challenge?

d)Who was your greatest influence?

6. Employee Conduct

a)Phone agreement: I______will not carry my cell phone, except during breaks. Or when specifically authorized to. (Your signature)

b)Addictions: Have you used any illegal substance in the last year or are you addicted to ANY

substance? (Caffeine and addictions to other legal or illegal substances might impair your ability to function at the BHPC) If yes, please explain.

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Please direct all questions to Shawn Madden, Director of the Bishop Hodges Pastoral Center

or 304-335-2165

7. Spirituality: Please briefly answer the following questions.

a)An important part of the role of any employee is witnessing to their love for Jesus and the power of faith in their lives; briefly describe part of your testimony. Explain how your testimony calls you to be a role model?

b)Explain your relationship with Jesus Christ, and how it impacts your daily life, specifically your work habits?

c)What has been your biggest struggle this year? How has this struggle helped you grow spiritually? What is the role of Christian joy in this process?

d) What has your experience with the Catholic Church been? What is your experience with youth ministry?

d)What is your greatest accomplishment in past few years? Why are you proud of this?

e)What is your current involvement at your local parish/faith community?

  1. Skills

Please rate how each of the following statements applies to you, with 1 being the least applicable and 5 being most applicable.

I strongly desire to be certified as a challenge course instructor.(Ropes certified staffis required to attend additional multi-day training provided by the Bishop Hodges Pastoral Center, and they must be comfortable with heights.) / 1 2 3 4 5
I love kids and water, and want to be a lifeguard. / 1 2 3 4 5
I plan to be a Red Cross Certified Lifeguard by summer. / 1 2 3 4 5
I love playing an instrument and people do not leave the room when I play. Instrument(s):______/ 1 2 3 4 5
I consider myself skilled and careful with tools, including power tools. / 1 2 3 4 5
Others see me as gifted in the area of office management because I pay attention to details, and I have excellent people skills. I enjoy the office environment. / 1 2 3 4 5
Vocal music is a gift that I have and would love to share. / 1 2 3 4 5
I love and am experienced at camping including setting up tents and leaving no trace. / 1 2 3 4 5
I can build a fire. / 1 2 3 4 5
I love to be in nature. / 1 2 3 4 5
Kids energize me. / 1 2 3 4 5
I realize that kids and parents expect me to be fully present from opening to closing. I realize that this very hard work. / 1 2 3 4 5
I can manage a demanding schedule and still ooze with welcome and hospitality. / 1 2 3 4 5
Punctuality is very important to me, and I can bring my group to activities on time. / 1 2 3 4 5
I am an experienced horseback rider. I know how to saddle a horse while properly caring for it and its tack. / 1 2 3 4 5
I am aware that I am applyingto be a role model of virtue and holiness. / 1 2 3 4 5
I can be compassionate, firm, communicative with the directors, and resolute in following a plan in working with homesick participants. / 1 2 3 4 5
I understand most of my conversations will be with grade-schoolers. / 1 2 3 4 5
I will teach only the approved curriculum. / 1 2 3 4 5
I will show as much enthusiasm to participants about eachactivity, formation session, chore, and experience in the last week of camp as I did in the first week of camp. / 1 2 3 4 5
I am an experienced babysitter with young children, toddlers and infants, and I like babysitting. / 1 2 3 4 5
I have earned my Eagle Scout or Gold Award. / 1 2 3 4 5
I am excellent at facilitating discussions. Listening is among my greatest assets. / 1 2 3 4 5
I have the ability to work hard when in arduous situations. / 1 2 3 4 5
I have a desire to work hard and be an example of joy. / 1 2 3 4 5
I empathize well with those that I live with. / 1 2 3 4 5
I am proficient at giving a talk or meditation to a large group. / 1 2 3 4 5
I am very flexible and can adapt well to sudden changes in schedules. / 1 2 3 4 5
  1. Health Information: The activities may include strenuous physical labor, hiking, rock climbing, camping/backpacking, sports/athletics, painting or other work involving fumes, home repair, swimming, group party games, numerous Catholic prayer experiences, and other outdoor activities.

Are you in good health and able to participate in such activities? YES _____ NO _____

Sections 10-12 are specific to the sections you are open to working. Everyone needs to fill out sections 13 and 14.

  1. Camp Bosco Specific Questions (Only answer if applying for this position)

Note: For the first 49 years, Camp Bosco was known as camp Tygart

  1. Have you worked at Camp Tygart/Bosco before? If yes, what years?
  1. Have you attended Camp Tygart as a camper? If yes, what years?
  1. Have you attended any other summer camps? If yes, which one(s) and when?
  1. Why do you want to work at Camp Bosco this summer? What excites you most about Camp Bosco?
  1. Activity Staff Specific Questions (Only answer if applying for this position)

A.Activity specialists will work mainly with the ropes course, horses, pool, and canoes. What experience do you have in any of these areas? Which area excites you the most? Which do you like the least? Are there any that concern you?

B.What certifications have you earned? What was the certifying agency, and are they current?

  1. Manus Christi Specific Questions (Only answer if applying for this position)

A.Have you attended a mission experience before? If yes, what was it and when?

B.Have you ever facilitated or run a service or mission experience before? If yes, please describe it and your role.

C.Why do you want to work at Manus Christi this summer? What excites you most about ManusChristi?

D.What type of projects(s) would you feel most uncomfortable or unconfident about working?

E.What type of projects(s) would you feel most comfortable or confident about working?

Service Project Skills Inventory: Manus Christi provides participants with varied meaningful service opportunities. Please fill out this inventory describing your skills in various areas, with 1 being no skills and 5 being extremely skilled.

Skill / Skill Level / Experience
Working with elderly / 1 2 3 4 5
Working w/ mentally or physically challenged / 1 2 3 4 5
Working w/ young children / 1 2 3 4 5
Artistic
What kind of art? / 1 2 3 4 5
Gardening/farming / 1 2 3 4 5
Babysitting / 1 2 3 4 5
Organizational Skills / 1 2 3 4 5
Clearing of brush and/or trails / 1 2 3 4 5
Carpentry / 1 2 3 4 5
Electrical
What specifically? / 1 2 3 4 5
Plumbing / 1 2 3 4 5
Roofing / 1 2 3 4 5
Drywall / 1 2 3 4 5
Power tools
What specifically? / 1 2 3 4 5
Flooring / 1 2 3 4 5
Porches / 1 2 3 4 5
Wheelchair ramps / 1 2 3 4 5
Retaining walls / 1 2 3 4 5
Siding / 1 2 3 4 5
Windows & doors / 1 2 3 4 5
Cabinets / 1 2 3 4 5
Ceiling tile / 1 2 3 4 5
Digging / 1 2 3 4 5
Lawnmower/weed eater / 1 2 3 4 5
Other / 1 2 3 4 5

Everyone must fill out sections 13 and 14.

  1. References: Please list the two supervisors/mentors (not peers or relatives) whom you have asked to fill out your reference forms, one of which should be from your local parish.

1)Name:______Phone Number:______

2)Name:______Phone Number:______

  1. Confirmation & Signature

I have read and filled out this application in its entirety. I have read, filled out, and enclosed the Bishop Hodges Seasonal Staff Application in its entirety. I understand what will be required of me this summer if hired and am excited to serve God’s people in this way. I confirm that all information that is in this application is true and accurate and understand that any false information or misrepresentations contained here-in are grounds for termination if hired.

______

SignatureDate

______

Printed Name

To ensure your application is complete, please check that you have:

  • Thoroughly read the BHPC Summer Staff Info Packet
  • Mail back:
  • Completed sections 1-9, appropriate sections of 10-12, and sections 13-14
  • Signed Professional Code of Ethics
  • A photo of yourself. Wallet-sized is fine (will not be returned). Ideal but optional, upload a video to YouTube introducing yourself and send the link.
  • Sent the reference forms to 2 supervisors/mentors who will fill them out promptly
  • Background check
  • If mailing the application, add additional postage—the Post Office will not deliver it with one stamp

Please scan and email to

Or send completed applications to:

Shawn Madden, 39 Catholic Conference Center,

Huttonsville, WV 26273

1

Please direct all questions to Shawn Madden, Director of the Bishop Hodges Pastoral Center

or 304-335-2165

Diocese of Wheeling-Charleston Office of Youth and Young Adult Ministry

Professional Code of Ethics

All those of who minister to youth through the diocesan Office of Youth and Young Adult Ministry will refer to this document, the Policies and Procedures Concerning Sexual Misconduct, and the staff manual of their specific program for direction concerning the policies and procedures concerning behavior. All of the young people in the diocese deserve to have our Catholic youth programs run by leaders that behave professionally. In order to work as a youth leader for diocesan programs you must agree to conduct yourself as a professional.

Professional youth ministers:

1.Actively seek personal spiritual growth experiences.

2.Go to Mass regularly and engage in a sacramental life.

3.Do not have alcoholic beverages at their professional events with under age persons.

4.Do not drink alcohol with under age persons.

5.Do not drink alcoholic beverages excessively or use illegal drugs.

6.Do not use tobacco products at youth events or around kids.

7.Let the Holy Spirit guide the words that they speak.

8.Avoid debasing jokes, sexual innuendo, racial slurs and abusive language.

9.Follow the Policies and Procedures Concerning Ethics, Sexual Misconduct, Transportation, Lodging and Sexual Harassment.

10.Foster the Godly mental, spiritual and social maturation of children. We protect the innocence of children.

11.Use positive reinforcement and communication rather than criticism, unhealthy competition or comparison.

12.Avoid any form of excessive familiarity, inappropriate language, or any situation and conduct that exploits or could give the appearance of exploiting another.

13.Behave only in ways that are public, appropriate, and non-sexual with minors and all they minister to (both in person and digitally).

14.Do not purchase, download, possess, or distribute pornography.

1 Corinthians 8: 8-13 calls us to be conscious of the example that we set for those in our care. “Now food will not bring us closer to God. We are no worse off if we do not eat, nor are we better off if we do. But, make sure that this liberty of yours in no way becomes a stumbling block to the weak. If someone sees you, with your knowledge, reclining at table in the temple of an idol, may not his conscience, too weak as it is, be “built up” to eat the meat sacrificed to idols? Thus through your knowledge, the weak person is brought to destruction, the brother for whom Christ died. When you sin in this way, against your brothers and wound their consciences, weak as they are, you are sinning against Christ. Therefore, if food causes my brother to sin, I will never eat meat again, so that I may not cause my brother to sin.”1 Corinthians 8: 8-13

I have read, understood, and will act on the expectations for me as a youth leader. My signature says that I agree to uphold these standards. Any misrepresentation of information on my staff application may be considered grounds for termination.

Signature: ______Date: ______

Printed Name: ______

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Please direct all questions to Shawn Madden, Director of the Bishop Hodges Pastoral Center

or 304-335-2165


/ Diocese of Wheeling-Charleston
Bishop Hodges Seasonal Staff
Reference Form
Summer 2016

Two supervisors/mentors, not peers or relatives, are to complete reference forms. One of these is to be from your local parish/faith community.

All information is confidential. Please be honest. Young people are counting on us to bring them closer to the heart of Christ. We need you to help us assemble the finest team. We need these recommendations for every employee in order to complete their child protection file. Without these recommendations we will be unable to hire them. Please answer the following questions, using the back or an attached sheet if more space is needed.

Applicant’s Name: ______Your name:______

Your address:______Your phone number:______

I have known this applicant for_____years.
How do you know this person?

How would you describe the applicant’s spirituality and their relationship to the Catholic Church?

How would you describe their character and work ethic?

How would you describe their involvement in their local faith community?

Check one box.

I would trust the person named above to work with children in a residential Catholic church camp/mission setting without reservation.
I would not trust the person named above to work with children in a residential Catholic church camp/mission setting.

Please send completed reference forms to:

Shawn Madden

39 Catholic Conference Center

Huttonsville, WV 26273

1

Please direct all questions to Shawn Madden, Director of the Bishop Hodges Pastoral Center

or 304-335-2165