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: _______________________________ 1 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 2