Form

Please be sure to fill out this form completely. This file will not save if you let it sit too long; complete it in one sitting.
Personal Information
First Name*
Last Name*
Social Security #
School Address (college)
City/State/Zip Code
Dorm Phone
Cell Phone
Home Phone*
Permanent Address*
City*
State*
Zip Code*
Date of Birth*
Month Day Year
What age will you be on June 1, 2010?*
Sex*
E-mail*
T-Shirt size
Name on Name Tag
How did you hear about Village Creek Bible Camp?
Home Church
Church City/State/Zip
Name of Parent/Guardian (if under 18 years of age)
Applicant Driver's License #
Driver's License State
How many years have you had your license?
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Positions Applying For
Please refer to "Positions Available for Summer Staff" in the Staff Information sheet. Indicate your top three choices for where you would like to serve at VCBC.
Positions Applying For

Activities Director Assistant Cook Challenge Course Facilitator Challenge Course Assistant Cabin Leader Head Lifeguard Horsemanship Counselor Housekeeping Hospitality JUMP Team Leader Food Service Staff Lifeguard/Waterfront Maintenance Office Staff Paintball Facilitator Support Staff Supervisor D-Team Leader Swing Staff Worship Leader Wrangler
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Availability
Leadership Staff are required to work the full summer. All other staff must indicate the term they are available. Staff Training is May 30-June 12, 2010, and is required for all summer staff. We encourage first year staff who are still in high school to apply for half of the summer.
Availability

Summer Prep week (May 23-30) Full Summer (May 30-August 28) First Half (May 30-July 24) Second Half (July 15-September 6) Labor Day Family Retreat (September 3-6)
Please indicate any personal responsibilities or commitments that would affect your availability for camp, and dates that you could not work.
Please indicate any personal responsibilities or commitments that would affect your availability for camp, and dates that you could not work.
Please indicate the final day you are able to work.
HIGH SCHOOL APPLICANTS: Senior High Camp is June 20-26, 2010. Please indicate whether you would like to attend or work. A limited number of high school staff are needed this week, therefore this is not guaranteed.
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I wish to ATTEND Senior High Camp as a Camper (you still need to register as normal). I wish to WORK during Senior High if I am needed.
If you are hired for the 2010 Summer Staff, you will receive a bonus at the end of the summer when you fulfill your contract agreement.
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Education
High School
Expected Date of Graduation
Month Day Year
City/State/Zip
College
City/State/Zip
Major/Minor
Expected Date of Graduation
Month Day Year
PREVIOUS EMPLOYMENT (state most recent first)
Previous Employment (state most recent first)
Employer
Position Held
City/State/Zip
Supervisor's Name
Phone
Employer
Position Held
City/State/Zip
Supervisor's Name
Phone
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Previous Summer Camp Work Experience
Dates
Camp
Address
Position(s)
Salary
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Employment/Activity Skills
Summer Staff are required to teach and/or assist in Instruction Hours. Please use the following to indicate your abilities and interests:
Music

Lead Singing Singing Piano/Keyboard Guitar Bass Guitar Drums
Outdoor Living/Nature

Fire Building Fishing Hiking Outdoor Cooking Overnight Camping Astronomy Weather Environmental Studies
Sports

Archery Basketball Football Frisbee Softball Volleyball Ropes Course Soccer
Aquatic Skills

Water Games Canoeing WSI Lifeguard
Group Activities

Bible Study Storytelling Group Games Missions Studies
Creative Skills

Painting/Sketching Leather Crafts Crafts Woodworking/Carving Skits/Drama Model Rocketry
Horsemanship

Certified Instructor Advanced Intermediate Elementary
Healthcare

First Aid CPR EMT LVN RN
Other Skills

Restroom Sanitation Minor Mechanical Repair Operating Food Machinery Tractor Operator Institutional Cooking Cashiering Housecleaning Quantity Recipes Painting Operating Chain Saw Prep Cooking Childcare
Legal Violations
We are compelled to ask the next questions in order to protect the children and youth in our ministry. Answering yes will not automatically disqualify you from working with children or youth. If you prefer, you may discuss your answer directly with the Camp Director.
Have you ever been accused of any type of sexual improprieties?*
Have you been convicted of any offense other than a minor traffic violation?*
If yes, please explain:
The Spiritual You
In making an effort to present a consistent message to our campers and guests, we ask you to thoroughly answer the following questions:
Write a description of your spiritual life, including important decisions and highlights.*
How is your current relationship with Christ?*
Describe how the Scriptures apply to your daily life.*
What do you do to cultivate your relationship with Christ?*
What struggles and temptations do you face?*
How do you overcome these struggles and temptations?*
Why do you want to minister and serve as a staff member at camp?*
What do you believe the Bible teaches about the following areas? Give Scriptural support for your answer and indicate what you practice:
Use of tobacco, illegal drugs, and alcohol*
Homosexual/Lesbian involvement*
Premarital and extramarital sex*
Divorce and remarriage*
What God-given talents and abilities do you have that would benefit your ministry at Village Creek Bible Camp?*
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References
Please give each of your references the website link to the 2010 Staff Reference Form located on www.villagecreek.net. All three* references must be returned before your application can be processed. Please do not use relatives or roommates. *If you have worked at Village Creek Bible Camp before, only one reference is necessary.
REFERENCE #1
Name*
Relationship*
Phone*
Email Address
REFERENCE #2
Name
Relationship
Phone
Email Address
REFERENCE #3
Name
Relationship
Phone
Email Address
Applicant\'s Release
For the protection of Village Creek Bible Camp, for your protection, and for the safety of our children and youth, we request that you carefully read and sign the following:
PART ONE: (If under 18, to be completed by parent or guardian)
I hereby give permission for the applicant to participate in all activities at Village Creek Bible Camp, including, horse-back riding, high ropes challenge course, canoe trips, rock climbing trips, paintball, and all other sanctioned camper/staff activities.
PART TWO:
I grant permission for the Directors at Village Creek Bible Camp to conduct a background check of my record and references.
I hereby release and hold harmless from all liability all persons, organizations, and other entities that provide references or information to Village Creek Bible Camp with regard to my background, fitness and character, provided they do so in good faith and without malice.
I hereby hold harmless from liability Village Creek Bible Camp staff, board, employees and volunteers with regard to any decision that is made regarding my application. Should my application be accepted, I agree to be bound by the By-laws, policies, and Statement of Faith of this camp. Further, I agree to refrain from unscripted conduct in the performance of my services, public or private, on behalf of this camp.
I hereby affirm and acknowledge, by signing below, that all of the information provided and all of my answers to the foregoing questions are true and complete, and that any misrepresentation or omission may be grounds for rejection or, if later employed, dismissal.
PART THREE:
Conditions of Application
1. Staff are expected to subscribe to the camp’s doctrinal statement (this can be found at www.villagecreek.net).
2. Staff are expected to conform willingly to the timetable throughout the day. Punctuality and cooperation are essential for the well being of the camp and for personal discipline.
3. Staff are expected to maintain a clean and neat appearance. Moderation and modesty are required at all times regardless of the prevailing fashions in a permissive society.
4. Staff may not wear jewelry in any body piercing on or off camp property, however women may wear earrings. Staff may not obtain body piercings or tattoos while an employee of Village Creek Bible Camp.
5. The use of all forms of alcoholic beverages, tobacco, and recreational drugs is not allowed while an employee of Village Creek Bible Camp.
6. Staff are not permitted to bring firearms to camp.
7. Additional rules and guidelines will be in effect during employment at Village Creek. These are fully explained and presented in the Staff Manual which each staff member will receive in their contract packet and is available to review on the website.
Application Agreement (to be signed by all applicants)
I fully understand and agree to the Conditions of Application. I will accept the decisions of the Directors in all matters pertaining to the time of employment and will submit to the disciplines of Village Creek Bible Camp.
By selecting the "Yes, I agree" button below, I am signing my name electronically.
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Should be Empty:

Personal Information

Positions Applying For

Availability

Education

Previous Employment (state most recent first)

Previous Summer Camp Work Experience

Employment/Activity Skills

Legal Violations

The Spiritual You

References

Applicant\'s Release