Staff/Counselor/Volunteer Hard Copy Application

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Camp Herald Job Application Form
CCHC Camp Herald
48 Allen Street,
New York, NY 10002
718-799-8280
FOR OFFICE USE ONLY
DATE APP RECEIVED ___________________________
INTERVIEW DATE ______________________________
INTERVIEWER ________________________________
TRAINING DATES ______________________________
***PLEASE SUBMIT THE COMPLETED APPLICATION PACKET BY MAY 1ST, 2016***
Application packet includes:
1. Completed Application (p.1)
4. Resume
2. Personal Profile (p.2)
5. Health Form (18yrs old & over, most recent.
3. Two references, including one from a spiritual leader (e.g.
Under 18, dated within 1 year of camp session attending)
pastor, counselor) No relatives & staff please.
APPLICATION
Please print all information neatly.
Name: _____________________________ Age: _____ Date of Birth: __________ Gender:  M  F Status:  single  married  widowed  divorced
Street Address: ____________________________________________ City: ______________________________ State: ________ ZIP: ________________
Home tel: ________________________ Cell: _______________________ E-mail: ________________________________ AIM: ______________________
For Students:  Undergraduate  Graduate
School: ____________________________________________ Field of Study: _____________________________________ Date of graduation: _________
For Working Professionals:
Company & Position/Title: ________________________________________________ Length of Time at Current Employment: _____________________
I. Abilities:
1. Language(s):  English  Mandarin  Cantonese  Other: ________________________________________________________
2. Hobbies, talents and/or skills suitable for a camp environment: (Arts & crafts, sports, basic or intermediate swimming instructor, worship leading,
singing, playing an instrument, etc) _________________________________________________________________________________________________
3. List any certificates and instructor licenses earned. (Lifeguard, first aid, CPR, etc.) ______________________________________________________
II. Church and Ministry:
1. Name of Church you currently attend: __________________________________________________ Length of Attendance: ______________________
2. Are you a member?  Yes  No
2a. Have you been baptized?  Yes  No
3. Church ministries you serve (d) in: ________________________________________________________________________________________________
4. List your spiritual gifts (cf. Romans 12:1-8, 1 Corinthians 12:4-11, Ephesians 4:11): _______________________________________________________
________________________________________________________________________________________________________________________________
5. List some of your weaknesses (spiritual and/or practical): ____________________________________________________________________________
________________________________________________________________________________________________________________________________
III. Herald Gospel Camp:
1. I am applying to be a: ________________________________________________________
2. I plan to attend:  Session 1 6/29-7/4  Session 2 7/17-7/29  Session 3 8/7-8/12  Session 4 8/14-8/19  Session 5 8/21-8/26
3. ** Please note that there are two mandatory training sessions. ** Can you attend?  Yes
4. Do you have a driver’s license?  Yes  No
 No
3a. Do you have access to a car?  Yes  No
5. Do you have any physical conditions (sight, hearing, health, heart, allergies, diabetes) or psychological conditions that may affect your
participation in an active summer program or your ability to fulfill the responsibilities of your position?  Yes  No  Not Sure If yes or not sure,
please explain. __________________________________________________________________________________________________________________
6. Have you ever been convicted of any crime?  Yes  No
If yes, please explain _________________________________________________
IV. References: (Please have the references sent to us directly.)
Name: ______________________________ Title: _________________________ : __________________ Email: _______________________________
Name: ______________________________ Title: __________________________: __________________ Email: _______________________________
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PERSONAL PROFILE
Please type onto a separate sheet of paper.
Purpose: We desire to get to know you better. This serves a dual function. First, it helps us to pair you with a suitable partner and
camp group. Second, it helps us to best minister to you during the camp session you are attending.
Directions: Please write a one-page personal essay which encompasses the following listed items. Do not exceed one page. (TIP: If
you need to, change your margins and fonts to fit everything into one page.)
Personal / Spiritual Life:
* Brief testimony recounting how you became a believer and how your Christian walk has progressed since then
* Your present personal devotional habits, what’s your relationship with Christ like now and why?
* Church involvement
Youth / Camp Experience:
* Experiences or training in evangelism
* Experiences or training working with children/youth in a school program or camp
* Your expectations for your Herald Gospel Camp experience
* Your expectations for your campers’ Herald Gospel Camp experience
AUTHORIZATION TO CHECK CRIMINAL RECORDS
I, ____________________________________, authorize Herald Gospel Camp Ministries to receive information from any law
enforcement agency, including police departments and sheriff’s departments of any state or federal government, to the extent
permitted by state and federal law, pertaining to any convictions I may have had for violations of state or federal criminal laws,
including but not limited to, convictions for crimes committed upon children. I understand that such access is for the purpose of
considering my application as a volunteer.
Applicant’s Signature ______________________________________________ SS#: ___________________________________
Driver’s License #:
Date ______________________________
Thank you for your application and profile. We are excited to meet with you. Please pray for Camp! 
Chinese Christian Herald Crusades
CCHC Camp Herald
48 Allen Street, New York, NY 10002
Tel: 718-799-8280
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