Camp Good News Registration Form Please Print

No candidate will be considered for employment without the completion of this application.
This position requires an eight week commitment and two reference forms must be received
before any hiring decision is made.

(Legal) First Name _____________________ Last Name ________________________ Grade Entering ________

Birthday ___/___/______ Social Security # _____-____-_______ Driver’s License # ___________ State ________

Male ___ Female ___ Height ________ Weight _______ E-mail Address _________________________________

Permanent Address ____________________________________________________________________________

City _________________________ State _____ Zip Code ____________ Best Contact # (____) _____- ________

College/University _______________________________________ Major/Degree _________________________

School Address ________________________________________________________________________________

City _________________________ State _____ Zip Code ____________ School # (_____) _____-- ____________

Emergency Contact Name__________________________________ Address ______________________________

City ________________________ State ______ Zip Code ___________ Best Contact # (____) _____- _________

Position Applying For:
Counselor
Nurse
Cook
Program Director
Activities Director
Lifeguard
CIT
Kitchen Crew
Work Crew
Crafts

How did you hear about Camp Good News? _________________________________________________________

Date you are available to begin ___________________________________________________________________

Activity	No-Low Skill	Participant	Qualified to Assist	Qualified to Lead
Archery
Arts and Crafts
Baseball
Basketball
Canoeing
Dance
Diving
Fishing
Nature Instruction
Photography
Ropes
Sign Language
Soccer
Swimming
Team-building initiatives
Work Crew (maintenance)
Other__________________

If you currently have or have ever had certification if the following areas please indicate
the association and date of expiration :

Certification	Association	Expiration
CPR
First Aid
Lifeguard Training
Wilderness EMT
Canoeing
Ropes

List any languages you are fluent in: ________________________________________________________________

List any instruments you play: _____________________________________________________________________

First choice of camper age group: _______________

Please fill in the information about your three most recent jobs, starting with the most recent.

Dates of Employment	Employer	Phone Number	City/State	Position

Please indicate any employer whom you would prefer we did not contact and state the reason for this request:

Camping background or lack of camping background does not necessarily qualify or disqualify you from a position here:

Have you ever been a camper and, if so, what camp? ________________________________________________

Are there any physical problems that might hinder constant activity this summer? _________________________

Have you ever worked at another camp? _______________________________
If so, please fill out the table below:

Camp	Your Position	Dates of Employment	Contact Person	Phone Number

In one sentence, why are you applying to Camp Good News?
_______________________________________________________________________________________
_______________________________________________________________________________________
________________________________________________________________________________________

The following questions will help us in knowing your background in the area of camping,
children, ministry, and your relationship with Jesus Christ.
All of these are important aspects in regard to working at Camp Good News.

Please answer carefully and honestly.
The reference contacts that you provide will help to confirm details given in this portion of the application.

What are you currently involved in at school?
______________________________________________________________________________________________

______________________________________________________________________________________________

Are you a leader in any of these activities? Please describe your role in these activities (even if you are not a leader):

______________________________________________________________________________________________

What is the name of the church you are currently attending? ______________________________________________________________________________________________

Please describe how you came to be a Christian and significant events in your life since then (testimony):

______________________________________________________________________________________________

How would your closest friends describe you in terms of personality, strengths, and weaknesses?
______________________________________________________________________________________________

______________________________________________________________________________________________

We will run a criminal background check; this is for your safety, the peace of mind of parents,
and the safety of the campers. The information below is a quick reference for us. Another form for a
background check will be attached to this application.
You must fill it out as well. Please answer the following honestly:

Have you ever been convicted of a felony or misdemeanor? __ Yes___ No
If yes, please provide convictions, dates, and circumstances:
______________________________________________________________________________________________

______________________________________________________________________________________________

Have you ever been charged with a DUI? __ Yes___ No If yes, please explain
______________________________________________________________________________________________

______________________________________________________________________________________________

Have you ever (1) been adjudged liable for civil penalties or damages involving sexual or physical abuse of a child, (2) been subject to a court order involving sexual or physical abuse of a child, or (3) had your parental rights terminated because of sexual or physical abuse of a child? __ Yes___ No If yes, please explain
______________________________________________________________________________________________

______________________________________________________________________________________________

You will make it a goal to get along well with other staff members, volunteers, and directors? __ Yes___ No

You will conduct yourself in every situation and every place (on and off the campgrounds) in conformity with camp policies, demonstrating the character of Christ? __ Yes___ No

You will abstain from alcohol during your employment at Camp Good News? __ Yes___ No

You will be flexible and eager to fit into the camp program, doing diligently and wholeheartedly whatever jobs are assigned to you? __ Yes___ No

Please fill out this information for three people that you know well. Include one form from someone in
ministry and please do not list your friends or relatives as references. It is your responsibility to make sure that we receive these forms so that we can complete the application process.

First Name: _________________________ Last Name: _______________________

Home Number (____) ______-__________ Work Number (____) ______-__________

E-mail _________________________________________________________________

Address ________________________________City ____________________________

State __________ Zip Code _________________ Country _______________________

Title___________________________________________________________________

Organization ____________________________________________________________

First Name: __________________________ Last Name: _______________________

Home Number (____) ______-__________ Work Number (____) ______-__________

E-mail _________________________________________________________________

Address ________________________________City ____________________________

State __________ Zip Code _________________ Country _______________________

Title___________________________________________________________________

Organization ____________________________________________________________

Reference Three

First Name: __________________________ Last Name: _______________________

Home Number (____) ______-__________ Work Number (____) ______-__________

E-mail _________________________________________________________________

Address ________________________________City ____________________________

State __________ Zip Code _________________ Country _______________________

Title___________________________________________________________________

Organization ____________________________________________________________