First Name*:

Middile Init.:

Last Name*:

Nick Name:

Education

Past Employment Experiences

Start and End Dates*:

Employer*:

Address*:

City*: State*:

Zip Cod*e:

Phone*:

Nature of Work*:

Supervisor*:

E-mail:

Start and End Dates:

Employer:

Address:

City: State:

Zip Code:

Phone:

Nature of Work:

Supervisor:

E-mail:

Camp Experience (as staff, CIT or camper)

Start and End Dates:

Camp:

Director:

Address: 

City: State:

Zip Code:

Phone:

Status (camper, staff, etc.)

Start and End Dates:

Camp:

Director:

Address: 

City: State:

Zip Code:

Phone:

Status (camper, staff, etc.)

References

All staff applicants please provide 3 references as indicated below.
New applicants, or if it has been 2 or more years since you were on staff at CLC: provide the forms to the individuals to be returned to CLC.
Returning applicants – if you were on CLC staff in 2008 or 2009: the references you list will be called to confirm, no paper forms are needed.

List three people who will complete your reference forms. Do not list relatives.

Former Employer or someone who can attest to your qualifications for this job if you do not have previous work experience.

Name*:

Address*:

City*: State*:

Zip Code*:

Phone*:

E-mail*:

How they know you*:

CS?*:

Christian Science Practitioner or Sunday School teacher (not a family member)

Name*:

Address*:

City*: State*:

Zip Code*:

Phone*:

E-mail*:

How they know you*:

CS?*:

Someone who can attest to your ability to work with children

Name*:

Address*:

City*: State*:

Zip Code*:

Phone*:

E-mail*:

How they know you*:

CS?*:

Christian Science Church Information

Camp Activity Interest

Following is a list of typical camp activites offered. Please check any you are certified in or otherwise qualified to teach.

Archery	Arts & Crafts	Astronomy	Basketball	Boardsailing
Camping Skills	Canoeing & Kayaking	Dance	Drama	Drawing
Fishing	Horseback Riding	Mountain Biking	Music	Nature
Pottery	Rock Climbing	Ropes Course	Sailing	Soccer
Swimming	Tennis	Ultimate Frisbee	Writing

List three activities that you would like to teach at camp and your experience and/or qualifications for each:

Activity*:

Experience/qualifications:

Activity*:

Experience/qualifications:

Activity*:

Experience/qualifications:

List the other activities not mentioned above that you would like to teach:

Do you have Red Cross Certifications?* Yes No

If so, indicate the date they expire:

Lifesaving:

Water Safety Instructor:

Lifeguard Training Instructor:

First Aid:

CPR:

Other (please specify):

All staff members are required to have First Aid and CPR certifications that expire after camp concludes. Please make every effort to obtain these certifications prior to coming to camp.

Do you have other applicable certifications from a professional association or other third party? Please include copies of your certifications with the application.

CHA or other Horseback riding	Archery
Rock Climbing/Ropes Course	Other (describe)

In a separate document, please answer the points below and email this information in a Word or PDF document to: nathan@crystallakecamps.org or upload the document below:

ALL APPLICANTS:

1. Why are you a student of Christian Science?
2. How do you practice Christian Science on a daily basis?
3. Please share a recent healing experience.
4. Have you used alcohol, tobacco, or drugs (of any sort – recreational or prescription) in the past 6 months? If so, why?
5. The mission of Crystal Lake Camps is, “To promote spiritual growth in campers and staff and through them bless the world.” How do you see yourself playing a part in the accomplishment of the camp’s mission this coming summer?

Additionally, for NEW STAFF, including those who have not been on staff at CLC in 2 or more years (you were last at CLC in 2007 or before):

1. Why would you like to work at Crystal Lake Camps (versus a different camp)?
2. What do you feel are your top 3 character strengths? Please include examples of how you have applied these strengths.
3. Write a brief goals statement explaining why you would like to work as a camp counselor, and how you feel this service would relate to your future plans.

Additionally, for RETURNING staff (if you were a staff member at CLC in 2008 &/or 2009):

1. Why do you want to come back to CLC?
2. How have you been growing spiritually this year?
3. What new skills or experience have you gained since you were last at CLC?

Upload Your Personal Statements: (Word or PDF formats)

 

Employment Statement
As an applicant for a staff position with Crystal Lake Camps, and by submitting this form, I recognize and agree that a member of the CLC staff holds a position of great trust, responsibility, and honor. Being a role model for campers, while carrying out demanding responsibilities and living up to the trust that my campers’ parents have put in me to care for their child, is a job I want to fulfill. My desire to work at Crystal Lake Camps includes:

1. A faithful and dedicated daily study of Christian Science, which I will apply to all functions of camp.
2. An affirmation that I will not use or verbally support the use of tobacco, alcohol, drugs of any sort, or profanity.
3. An affirmation that I will maintain a neat and clean personal appearance, be appropriately dressed, and maintain my personal living area with the same high expectations that are placed on the campers.
4. A commitment to upholding high moral standards based in honesty and not bearing false witness in my personal and work relationships.
5. A commitment to not participate in any sexual activity outside of marriage, and I will avoid the appearance of inappropriate activity.
6. An affirmation that I will not engage in, nor allow the appearance of, any type of intimate relationship with any camper.
7. An agreement that I will keep my personal relationships private and not allow them to become the topic of conversation among campers.
8. Recognition that a CLC staff member is entrusted with camper safety and well being and serves as a role model at all times.
9. Giving my full attention to the campers I am responsible for each day, being sure each individual camper in my cabin and activities gets some period of one-on-one attention from me every day.
   
   
   I authorize investigation of all statements herein and release Crystal Lake Camps (“the camp”) and all others from liability in connection with the same. I understand that, if employed I will be an at-will employee and that any agreement to the contrary must be in writing and signed by both the Camp Director AND the Executive Director of the camp. I also understand that untrue, misleading, or omitted information herein may result in dismissal, regardless of the time of discovery by the camp.

All information obtained through this application is held in strict confidence.