Camp Employment Application General Information Thank you for your interest in employment at Camp Westminster. Please indicate which position you are applying for and complete the application in full to be considered. Question Title * 1. First Name Question Title * 2. Middle Name Question Title * 3. Last Name Question Title * 4. Preferred Name Question Title * 5. Address Question Title * 6. City Question Title * 7. State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Question Title * 8. Zip Code Question Title * 9. Daytime Phone Question Title * 10. Home Phone Question Title * 11. Email Question Title * 12. Position Applied For (pick as many as apply) Camp Counselor (paid position; must be in 9th grade or higher) Counselor-in-Training (volunteer position; must be in 7th grade or higher)* Extended Care (paid position; must be in 9th grade or higher) Lunch Duty (paid position; must be in 9th grade or higher) *Counselors-in-Training will receive a certificate of training and a copy of their camp reflection journal. They may be compensated with service hours and/ or references, if requested. Question Title * 13. Days/Hours Available to Work Morning Afternoon Lunch June 3-7 AM Extended Care (7:15-9am) Morning Camp (8:30am-12pm) Anytime Not available June 3-7 Morning menu Afternoon Camp (12-3:15pm) AM Extended Care (3-5:30pm) Anytime Not available June 3-7 Afternoon menu Sure Not interested June 3-7 Lunch menu June 10-14 AM Extended Care (7:15-9am) Morning Camp (8:30am-12pm) Anytime Not available June 10-14 Morning menu Afternoon Camp (12-3:15pm) AM Extended Care (3-5:30pm) Anytime Not available June 10-14 Afternoon menu Sure Not interested June 10-14 Lunch menu June 17-21 AM Extended Care (7:15-9am) Morning Camp (8:30am-12pm) Anytime Not available June 17-21 Morning menu Afternoon Camp (12-3:15pm) AM Extended Care (3-5:30pm) Anytime Not available June 17-21 Afternoon menu Sure Not interested June 17-21 Lunch menu June 24-28 AM Extended Care (7:15-9am) Morning Camp (8:30am-12pm) Anytime Not available June 24-28 Morning menu Afternoon Camp (12-3:15pm) AM Extended Care (3-5:30pm) Anytime Not available June 24-28 Afternoon menu Sure Not interested June 24-28 Lunch menu Question Title * 14. Employment Desired Full-time Part-time Full or Part-time Question Title * 15. Are you available for training April 4 (4-6pm)? Yes No Uncertain Question Title * 16. Are you available for training the week of Memorial day? (5/28, 29, or 30) Yes No Uncertain Question Title * 17. How did you hear about Camp Westminster? Question Title * 18. Why do you want to be a camp counselor/ camp employee? Question Title * 19. Church you currently attend Question Title * 20. Pastor Name Question Title * 21. Have you previously applied for a position at Westminster Christian Academy? Yes No Question Title * 22. Have you ever been convicted of a criminal offense other than minor traffic violations? Yes No Question Title * 23. If yes, please explain. A criminal conviction will only be considered in relation to the job for which you are applying. Seriousness and nature of the offense, time elapsed, and rehabilitation will be taken into account. Next