Crystal Lake Camps

Personal Data

Crystal Lake Camps accepts applications for staff from individuals who regularly attend (at least 3 times/month) a Christian Science church or College Organization listed in The Christian Science Journal.

To get first consideration for a position, your application must be submitted by midnight of February 29, 2012. Applications submitted after that time will be taken on a first-come, first-served basis.

Applicants who are able to commit to the full Youth Session time frame of June 13-August 5, 2012, will be given priority for all positions.

Please feel free to contact Nathan, the Camp Director, at (570) 584-5608 or via email at nathan@crystallakecamps.org if you have any questions. Thanks for your interest in Crystal Lake Camps!

Full Name: *

Birthdate *

Email address that you check regularly *

Mobile/Home Phone *

Work/Other Phone

Permanent Address (where you have tax forms sent)

Street Address *

Address continued

City *

State

Zip

Country (if not USA)

College or Temporary Address

Street Address

Address continued

City

State

Zip

Dates at this address

Availability & CLC History

I am available for the following times (note: 1st preference will always be given to individuals available for the period of Staff Training through Session 3). * Youth Camp: June 13 - August 5Family Camp: August 5-14Head Staff: June 9-13Other (please send Nathan a separate email)

If you have been on staff at CLC in the past, list which years:

If you have been on staff at a different camp in the past, please list the facilities and the years attended:

Education

Will you have graduated High School (or equivalent) by June 15, 2012? * YesNo

If not, what grade are you in now?

Name & City of High School *

College Information:

COLLEGE: Will you have graduated college or university by June 15, 2012? * YesNo

College/University Name

Degree & Major

What year are you in now (if not graduated)?

Degree earned

When did you graduate?

Driver License/ID Information

What type of government-issued ID are you providing? *

License/ID #: *

State

Provide information on any restrictions on your license:

Have you had any moving violations (not parking tickets!) since January 1, 2009? YesNo

Christian Science Information

Are you a member of The Mother Church, the First Church of Christ, Scientist, in Boston, MA, USA? (Counselors and activity instructors should be members of The Mother Church. If you are not, continue to submit your application, but also please be in touch ASAP with Nathan at nathan@crystallakecamps.org or (570) 584-5608 x203.) * YesNo

Do you regularly attend a Branch Church, or a College/University CSO? * YesNo

Which Church or CSO, listed in the Christian Science Journal do you attend? *

What church-related activities have you participated in (including committee work)?

If you are younger than 20 years old, do you attend a Christian Science Sunday School?

Have you had Primary Class Instruction in Christian Science? YesNo

Please provide the name of a Christian Science practitioner, listed in The Christian Science Journal, who we can contact on your behalf in the event of an emergency.

Practitioner's Name

Phone #:

( )

-

Work & Character Reference Information

Work History

Your work history information should come from your three (3) most recent positions you have held. We may call these employers for employment verification and work references. THESE REFERENCES SHOULD NOT COME FROM FAMILY MEMBERS. If two or more of these positions were as a volunteer, or you do not have three references, please be in touch with Nathan in the CLC office BEFORE submitting the application. You can reach him via email at: nathan@crystallakecamps.org.

Work Reference #1

Start Date *

End Date *

Employer/Company Name *

Phone #:

( )

-

Supervisor Name *

Supervisor's email (if you know it)

Address

Street Address

Address continued

City

State

Zip

Work Reference #2

Start Date *

End Date *

Employer/Company Name *

Supervisor Name *

Supervisor's email (if you know it)

Phone #:

( )

-

Address

Street Address

Address continued

City

State

Zip

Work Reference #3

Start Date *

End Date *

Employer/Company Name *

Supervisor Name *

Supervisor's email (if you know it)

Phone #:

( )

-

Address

Street Address

Address continued

City

State

Zip

Character/Personal 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 (meaning you were last at CLC in 2009 or before): provide the forms to the individuals to be returned to CLC.

Returning applicants (if you were on CLC staff in 2010 or 2011): 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 FAMILY MEMBERS OR RELATIVES.

IN ORDER TO PROTECT THE INTEGRITY OF THE REFERRAL, you should provide your referrer with the blank form and a stamped envelope pre-addressed to be sent to Crystal Lake Camps. You should not see the form again once you give it to the referrer. They may also submit the referral form via email.

Reference #1 - Christian Science Practitioner or Sunday School teacher

Full Name: *

Email address

Phone #:

( )

-

Address

Street Address

Address continued

City

State

Zip

Reference #2 - Someone who can attest to your competency for working with children

Full Name: *

Email address

Phone #:

( )

-

Address

Street Address

Address continued

City

State

Zip

Reference #3 - Former employer, or someone who can attest to your qualifications for this position, if you've not worked previously

Full Name: *

Email address

Phone #:

( )

-

Address

Street Address

Address continued

City

State

Zip

Camp Activity Skills & Interest

What camper ages are you most interested in working with? (CLC campers are 7-17.)

Other Activities not on the above list you are capable of teaching:

List the top three activities you are SKILLED in teaching, and list your background in that area

Skill Area #1

Skill Area #2

Skill Area #3

Certifications - If you have any of the following, please indicate their current expiration date in the box provided

CPR (All staff are required to have this)

First Aid (All staff are required to have this)

Lifeguarding (We ALWAYS need more of these, and you get paid extra!)

WSI/Swim Teacher (again - we're always looking for more of these, and you get paid extra!)

Lifeguard Instructor

Any other certifications from a third party - such as Horseback Riding (CHA); Rock Climbing/Ropes Course certifications; Archery; or any others?

Personal Statements

In a separate document, please answer the points below and upload this document in a Word or PDF document below (you may also email it to: nathan@crystallakecamps.org if the upload doesn't work):

ALL APPLICANTS:

Why are you a student of Christian Science?
How do you practice Christian Science on a daily basis?
Please share a recent healing experience.
Have you used alcohol, tobacco, or drugs (of any sort – recreational or prescription) in the past 6 months? If so, why?
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 2009 or before):

Why would you like to work at Crystal Lake Camps (versus a different camp)?
What do you feel are your top 3 character strengths? Please include examples of how you have applied these strengths.
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 2010 &/or 2011):

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

Employment Statement
As an applicant for a staff position with Crystal Lake Camps, and by signing my name below, 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. Being a positive role model means that I understand my behavior and opinions have the potential to influence campers’ current and future behavior and choices.

My desire to work at Crystal Lake Camps includes:

A faithful and dedicated daily study of Christian Science, which I will apply to all functions of camp.
An affirmation that I will not use or verbally support the use of tobacco, alcohol, drugs of any sort, or profanity.
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.
A commitment to upholding high moral standards based in honesty and not bearing false witness in my personal and work relationships.
A commitment to not participate in any sexual activity outside of marriage, and I will avoid the appearance of inappropriate activity.
An affirmation that I will not engage in, nor allow the appearance of, any type of intimate relationship with any camper.
An agreement that I will keep my past and current personal relationships private and not allow them to become the topic of conversation among campers.
Recognition that a CLC staff member is entrusted with camper safety and well being and serves as a role model at all times.
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.
A willingness to go above and beyond, to see a need at camp and be the person to fulfill that need.

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.

Type name here as your signature: *

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Personal Data

Work & Character Reference Information

DO NOT LIST FAMILY MEMBERS OR RELATIVES.

Camp Activity Skills & Interest

Personal Statements