Complete this application legibly and give your 3 recommendation forms with stamped and addressed envelopes to those recommending you. In order to serve as a CIT you are expected to attend CIT Training June 17-18, 2008 (Tuesday-Wednesday). If you are unable to attend please contact Susan immediately to make other arrangements for training.
Upon completion, e-mail numbered responses to camp_bethel@yahoo.com, subject line: CIT APP, (your name).
1. Date of application
2. Full name
3. Social Security Number
4. Your e-mail
5. DOB (month/day/year)
6. AGE on June 22, 2008 (first eligible date of camp work)
7. Home Mailing Address (number and street or PO Box, city, state, zip)
8. Home phone
9. Cell phone
10. List your previous camping experiences (include name of camp, your position, dates there, location, highlights)
11. List your related work/volunteer or leadership experiences (include name of institution, position, duration/dates, location and description of duties):
12. You will live with and help lead a small group of children or youth each week from Sunday to Friday. Why do you wish to spend this summer working in a Christian resident camp with children and youth?
13. Are you a member of a church? If yes, include the church name, denomination and location of church.
14. Briefly describe your faith journey. Include details about your personal devotional life, your involvement in Christian community, and your vision for your work towards Christian community at Camp Bethel.
15. Camp counseling involves hard, physical work, long hours, professionalism, creativity, and a high-energy, positive attitude. Describe your work principles.
16. List any and all camp skills & activities with which you have experience. Write #1 by those in which you can assist and #2 by those you can lead for campers.
Adventure/Trips: river canoeing, backpacking, mountain biking, horseback riding, high ropes, white-water rafting, caving, other (explain)
Bethel Specific: family-style meals, table settings, farm/Heifer animals, Bethel traditions, Bethel & area history, Brethren heritage, other (explain).
Camp Skills: trail cooking, tent camping, lashing, fire building, woodcraft, other (explain)
Counseling Pro: conflict resolution, homesickness prevention, behavior management, bedtime stories, imagination games, other (explain)
Faith development: Bible study, devotions, prayer, faith-based skits, interpret/apply scripture, song leading, musical instrument, other (explain)
Nature Lore: Appalachian ecosystems, astronomy, trees/plants, wildlife/birds, pond/stream ecology, geology/rocks, other (explain)
On the Go/Activities: small group games, large group games, indoor games, trail construct/maint., hiking, challenge course, other (explain)
Pool/Waterfront: __pond fishing, creek exploring, pool games, swim lessons, canoe strokes, other (explain)
Site Work: mowing/trimming, kitchen work/duties, janitorial/housekeeping, skilled labor (explain), other (explain)
17. What other skills or experiences do you have that could be useful at camp? (ie: sign language; Spanish; juggling; courses, etc.)
18. List the certification and date below for which you will have a CURRENT card during the upcoming summer (through August 4, 2006) including, but not limited to Red Cross Lifeguard Training, Red Cross WSI, Basic Canoeing, Red Cross or American Heart Association First Aid and/or CPR, Wilderness First Aid, Wilderness First Responder or other health/safety/activity certifications.
19. We strongly emphasize the following: Camp activities are focused in the outdoors (hiking, camp-outs, cook-outs, exploration, etc.) and involve direct interaction with our 470 acre natural setting. As a camp counselor, you will be expected to lead many hikes per week, lead overnight camp-outs, and generally spend most of each week outdoors. Describe your comfort in the outdoors and your willingness to “get dirty” in order to give your campers an authentic outdoor Christian experience.
20. Share any other information about yourself that might be helpful as hiring decisions are made.
21. HEALTH: Do you have any condition (physical, psychological or emotional) which might limit your full participation in this highly demanding summer position? (If yes, explain on a separate paper.)
22. VOLUNTARY DISCLOSURE: Have you been convicted of any crime, felony, child abuse, or sexual abuse? (If yes to any, explain on separate paper.)
23. IDENTIFICATION: Do you have a valid driver’s license? If yes, give state and license number.
24. RECOMMENDATIONS: List names and phone numbers of the three persons to whom you have sent your forms.
25. DATES AVAILABLE: (CITs are invited to serve for 1 – 5 weeks and must be 2 yrs older than the oldest camper in a program) Please check the ‘08 summer calendar and list the dates you are available to serve:
26. Please type the following statement to verify the information in your application.
“I, (your name) verify the information on this application and grant the Outdoor Ministries Committee of the Virlina District of the Church of the Brethren and Camp Bethel permission to perform a routine criminal background check and driver’s license investigation.”
*INCLUDE WITH THIS APPLICATION:
You must include a photocopy or scan showing (if any) your driver’s license and any certification cards with this application. Your application is not complete without your 3 recommendation forms.
Return application, forms and photocopies to:
SUSAN CHAPMAN, Camp Bethel, 328 Bethel Road, Fincastle, VA, 24090.
If you have any questions about the application process, call Susan or Barry at (540) 992-2940 or e-mail at camp_bethel@yahoo.com.
“Rules for acceptance and participation in Camp Bethel programs are the same for everyone regardless of race, color, national origin or sex.”
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since 12.13.06