2008 CAMP HIAWATHA/CAMP VERMILION EMPLOYMENT APPLICATION

Return to: Pastor Paul Leslie, Voyageurs Lutheran Ministry, Box 1076, Cook, MN, 55723

PERSONAL INFORMATION

Name________________________________________________ Gender ___F ___M

Social Security #______________________________________________________

Present address _______________________________________________________

_____________________________________________________T-shirt Size_____

Present Phone ____________________________ Cell Phone ____________________

Present E-mail Address __________________________________________________

Permanent Address _____________________________________________________

____________________________________________________________________

Parent's name(s) __________________________________Permanent Phone _________

Date of Birth ___________________ Driver’s License # ________________________

(Some positions must be minimum age) (For our insurance co. if you drive our vehicles)

Home Congregation/Town ________________________________________ELCA? ____

EDUCATIONAL BACKGROUND

Are you a student? ______ If yes, where? (School/City)__________________________

What is your current year in school? (Circle one) Fr. So. Jr. Sr. Other _____________

Major/Field of Study/Career Goals: __________________________________________

EMPLOYMENT BACKGROUND

Give current and previous employment information, beginning with the most recent.

1) Employer: _____________________ 2) Employer: ________________________

Phone __________________________ Phone ______________________________

Supervisor ______________________ Supervisor __________________________

Position held _____________________ Position ____________________________

Dates of employment _______________ Dates of employment __________________

Reason for leaving _________________ Reason for leaving ____________________

PREVIOUS CAMP EXPERIENCE

List any camps you have attended, years of attendance, and any staff positions you have held:

____________________________________________________________________

REFERENCES Each applicant must have two references. Please use the forms provided.

ABILITIES AND INTERESTS Do you have any special background with:

_____Arts & Crafts _____Canoeing _____Clowning _____Dance _____Drama _____Guitar

_____Low Ropes _____Nature Ed. _____Photography _____Piano _____Hockey

_____Puppetry _____Singing _____Swimming _____Other musical instruments (list):

Please list other skills that you would like to share with the camp community: _____________

 

CERTIFICATIONS: VLM requests that all Staff Members who will lead off-campsite hikes, overnights, etc. have current Standard First Aid and CPR by June 1, 2008, lasting at least through mid-August, 2008. We also like to have as many lifeguards as possible. We pay an estra $15 a week for camp counselors who are lifeguard certified, or we will pay the fee if you take our lifeguard class.

 

____ I will arrive with lifeguard certification. _____ I will arrive with First Aid/CPR certification

____ I would like to take the VLM lifeguard class from May 19-23. (At Camp Hiawatha/Grand Rapids)

____ I would like to take the VLM first aid/CPR class May 25 ($30 - in cook, near Camp Vermilion)

 

Your answers to the following questions will not affect your potentialemployment. If we know these are issues for you, we can help you be the best staff member possible. (Use extra paper if necessary.) Please share any treatment histories of a) depression, b) eating disorders or c) chemical dependency:

____________________________________________________________________

RESPONSES: Please share some of your thoughts on the inquires below. Use separate sheet(s) of paper.  

  1. Describe your experiences working or participating in camping or other youth-related programs.

  2. Where are you on your "walk of faith?" How do you foresee yourself sharing this faith journey with fellow staff? With campers?

  3. Write a bit about the talents you will bring to the Voyageurs Lutheran Ministry community.

  4. What aspects of yourself have potential for additional growth?

Have you ever been convicted of a felony or misdemeanor? Yes _____ No _____

Have you been convicted of a child abuse or sexual abuse offense? Yes _____ No _____

(If you answered yes to either 5 or 6, please explain.)

STAFF POSITIONS: Please indicate which staff position(s) you are applying for in order of preference.

1.____________________________________ 2.______________________________________

DATES AVAILABLE FOR EMPLOYMENT: The camp season- May 26 to August 10, 2008.

Staff training is from May 26 - June 6. The first week of camp begins June 8.

(Canoe Guides and Leadership Staff begin training on May 23, 2008)

Your starting date: _________________ Your ending date:___________________

Please explain any scheduling conflicts or prior commitments you might have during the camp season:

 

I authorize investigation of all statements given here and release the camp and all others from liability in connection with same. I understand that untrue, misleading, or omitted information may result in dismissal, regardless of the time of discovery by the camp.

______________________________________________________________________________________________________

Signature Date

 

Thank you for your interest in becoming

an important member of the VLM family!

  Don't Forget the Reference Forms