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New Staff Online Application Form

You must provide a valid email address for us to contact you!

 

Personal Information
Name: Bird Name (if you have one):
Home phone Number: Cell phone Number:
Email address: Are you at least 18 years old? Yes No
Home Address: City:
State: Zip:
School Address (if applicable): City:
State: Zip:
Home Church (if applicable): Church Address:
City, State: Zip:
Gender: Male Female


Education & Employment
Highest Grade: Graduate Degree? Yes No
College Attended: Major Fields/Degrees:
Current Employer: Name of Supervisor:
Supervisor's Phone Number: Supervisor's Email Address:


References

List three references (not relatives) who have observed you in leadership positions and working with children. One reference should be someone from your church.

1) Name Position
Phone Email

2) Name Position
Phone Email

3) Name Position
Phone Email


Cedarbrook Staff Preferences
Check which week(s) you are applying for: Week 1 (July 15-21)
Week 2 (July 22-28)
Week 3 (July 29 - August 4)
Week 4 (August 5-11)
First Age Group Preference (Select One):
Second Age Group Preference (Select One):
Check position(s) you would like to serve: Cabin Counselor
Division Director
Horsemanship Specialist
Cook
Activity Coordinator
Special Team Coordinator
Business Manager
Life Guard
WSI
Tuck Shop Manager
Admin. Assistant
Grandma/Grandpa Birds
Nurse
Special Teams (Support)
Service Crew (Kitchen)
Service Crew Building/Grounds
Activity Specialist - Area:

Check if you are UNwilling to serve
in a co-counselor position

Co-counselor preference:
T-shirt size (men's sizes only):


Camping and Leadership Experience
Camper At: (Name of camp) Age: (when attended)
Number of Years:
Camp Staff Member At: Number of Years:
Postition(s) held:
Other experience
working with children:
Other leadership experience
(church/community):


Spiritual Information

Describe your conversion and Christian experience:

How would you explain the steps to becoming a Christian?
(Include Scripture references)



Additional Information

Why do you want to work at Cedarbrook Camp of Ohio this summer?

How did you hear about Cedarbrook Camp of Ohio?



Voluntary Disclosure Statements
Do you have any physical or mental limitations that would limit your participation in camp activities? No Yes
If yes, please explain

Do you have any contagious or communicable diseases that may endanger others? No Yes
If yes, please explain

Have you ever been convicted of a crime? No Yes
If yes, please explain

Are there any felony charges pending against you? No Yes
If yes, please explain

 

All Staff (new and returning) must undergo a mandatory annual fingerprinting and criminal background check (required by The American Camp Association and the State of Ohio). Check our website www.cedarbrookcampoh.com/staff for further instructions.



Signature I attest that everything in this application is true. No Yes
Signature: