29 Sentinel Lodge Road
Center Tuftonboro, NH03816
(603) 539-4839
- Application -
Check one: Paid Staff: ( )Volunteer ( )
Dates Available to Work: ______
Name______Phone (______)______
Last First Middle
Current mailing address______
Street City State Zip
Permanent address if different______
StreetCityStateZip
Home phone (______)______Age______e-mail Address______
Date of birth_____/______/19______S.S. #______
Position applying for 1.______2.______
Education______Major______Current grade______
Work experience (including camp). List most recent first.
1. ______
Position Employer Salary
SupervisorPhone Number Dates
2. ______
Position Employer Salary
SupervisorPhone Number Dates
3.______
PositionEmployer Salary
Supervisor Phone Number Dates
4.______
Position Employer Salary
Supervisor Phone Number Dates
Questions:
(PLEASE USE A SEPARATE SHEET OF PAPER.)
- What do you feel is the purpose of Christian camping? Why is that purpose important to you?
- Why do you desire to serve at camp this summer?
- What special skills or qualities do you think you can bring to the position you are applying for?
- How will the campers and staff benefit by your presence?
- What do you hope to gain personally through serving at a Christian camp this summer?
Have you ever been accused of, convicted of, or discharged for any physical or sexual abuse-related activity?
( ) Yes ( ) No If yes, please fully describe on a separate sheet of paper.
Have you ever been convicted of any crime? ( ) Yes ( ) No
If yes, please fully describe any and all current, pending and past arrests on a separate sheet of paper.
Cities and states of residency during the past ten years
Do you have a valid driver’s license? ( ) Yes( ) No
State______License Number______Class______Expiration Date______
Should you be employed, anticipated employment will encompass the entire summer session (unless arrangements are made with the director).
I hereby attest that the above information is accurate and factual to the best of my knowledge as of this date. I also give CampSentineland its agents the right to check with references and law enforcement agencies to verify my statements. I hereby give permission to Sentinel and Gove Hill to publish photographic and video images of myself for promotional purposes
______
(Signed) (Date)
______
(Signature of parent/guardian if under 18 years old) (Date)
Please check the appropriate box:
E= some experienceS= skilled inT= can teach
SPORTS ES TWATERFRONT E S T
Basketball ______Lifesaving______
Archery______Canoeing______
Volleyball______Rowing______
Soccer______Swimming______
Sailing______
CAMP CRAFTSESTGROUP ACTIVITIESEST
Hiking______Lead Singing______
Mountain Biking______Play Guitar______
Orienteering______Bible Study______
Canoeing______Arts & Crafts______
Rock Climbing______Drama / Skits______
Rope Course______Story Telling______
MAINTENANCEE STFOOD SERVICEEST
Mechanical______Dishwasher______
Lawn Care______Pots & Pans______
Plumbing______Baking______
Electrical______Food Prep______
Carpentry______
List certificates held (Red Cross, Life guarding Scouting, Other)
Date expires
1.______
2.______
3.______
Give three references (other than relatives) to who reference forms will be given. One reference must be given to your pastor
1.______
NameAddressStateZipPhone Number
2.______
NameAddressStateZipPhone Number
3.______
Pastor’sNamePhone Number
AddressChurch
/ Please return application to:CampSentinel
29 Sentinel Lodge Road
Center Tuftonboro, NH03816
Email:
Phone (603) 539-4839 /
/ CampSentinel
29 Sentinel Lodge Road
Center Tuftonboro, NH03816
(603) 539-4839
EMPLOYMENT REFERENCE
Page 1 of 2
Name of Applicant ______Phone ______
Name of Reference ______Phone ______
Positions for which I am applying:
1.
2.
3.
Dear Reference:
The above applicant has submitted an application for employment with the camping program at CampSentinel. In order to know the applicant better, I would appreciate your honest evaluation. The candidate will not be considered for employment until the evaluation is returned. All references will be held in confidence. Thank you for your cooperation.
- How long have you known the applicant?______And in what capacity?______
- Comment on the applicant’s ability to get along with others.
- What are the applicant’s outstanding abilities?
- Why do you feel the applicant would excel in the position?
- Would you want your child or teenager placed under the direct supervision, influence and care of this person?
Please explain why or why not.
- It is part of our ministry to help our staff to grow. In what areas can we help this applicant grow or improve?
- Additional comments:
EMPLOYMENT REFERENCE
Page 2 of 2
Please rate the following traits in the applicant by circling the best answer.
Below Above
AttitudeDon’t KnowPoor Average Average Average ExcellentTeachability 0 1 2 3 4 5____
Adjustability 0 1 2 3 4 5____
Punctuality 0 1 2 3 4 5____
Conscientiousness 0 1 23 4 5____
Integrity 0 1 23 4 5____
Trustworthiness 0 1 23 4 5____
Neatness of Person 0 1 23 4 5____
Mental Alertness 0 1 2 3 4 5____
Spiritual
Spiritual Maturity 0 1 23 4 5____
Knowledge of the Bible___ 0 1 23 4 5____
Fruitful Witness for Christ 0 1 23 4 5____
Consistency of Testimony 0 1 23 4 5____
Apparent Desire for
Christian Growth 0 1 23 4 5____
To your knowledge, has the applicant been involved in Christian related activities? Give examples.
Maturity
Well-rounded Interests 0 1 2 3 4 5___
Commonsense/Judgment 0 1 2 3 4 5__
Marital Harmony (If applicable) 0 1 2 3 4 5___
Social Poise 0 1 2 3 4 5___
Tactfulness 0 1 2 3 4 5___
Outgoing Personality 0 1 2 3 4 5___
Other
Health 0 1 2 3 4 5___
Friendliness 0 1 2 3 4 5___
Ability to Communicate 0 1 2 3 4 5___
Not Never Rarely Sometimes Often Apparent to a
Stability Apparent Apparent Apparent Apparent Apparent Serious Degree
Irritability 0 1 2 3 4 5___
Discouragement 0 1 2 3 4 5___
Anxiety/Worry 0 1 2 3 4 5___
Moodiness 0 1 2 3 4 5___
Infatuation 0 1 2 3 4 5___
Depression 0 1 2 3 4 5___
Domineering Manner 0 1 2 3 4 5___
Critical Attitude 0 1 2 3 4 5___
Rebelliousness 0 1 2 3 4 5___
Laziness 0 1 2 3 4 5___
How does this applicant respond to authority?
Please send to: CampSentinel, 29 Sentinel Lodge Rd, CTR Tuftonboro, NH03816
Signed______Date______