Sr. Staff Application

Personal Information

Applicant's Name *

Applicant's Name

First Name

Last Name

Birthdate *

Birthdate

YYYY

Gender *

Age as of Dec. 31, 2015 *

Social Insurance #

Email Address *

Mailing Address *

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone *

Home Phone

(###)

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Cell Phone *

Cell Phone

(###)

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Staff Shirt Size *

unisex: small - XXL

Employment Record

Please give a brief summary of your work experience in the last 2 years (where you worked and your role in that job). *

Education & Developmental Programs

Have you done any post-secondary schooling? If so when and where? *

Have you participated in any developmental programs (SOAR, YWAM, TREK, etc.)? If so, when and where? *

Health Information

Applicant's Name *

Applicant's Name

First Name

Last Name

Personal Health # *

Family Doctor *

Clinic *

Doctor's Phone *

Doctor's Phone

(###)

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Next of Kin *

Next of Kin

First Name

Last Name

Next of Kin Address *

Next of Kin Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Next of Kin Home Phone *

Next of Kin Home Phone

(###)

###

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Next of Kin Cell Phone

(###)

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Next of Kin Work Phone

(###)

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Emergency Contact *

Emergency Contact

This should be someone different than the person named next of kin.

First Name

Last Name

Relationship to the Applicant *

Emergency Contact Home Phone *

Emergency Contact Home Phone

(###)

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####

Emergency Contact Cell Phone

(###)

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Emergency Contact Work Phone

(###)

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Health History

Do you suffer from any medical/emotional condition that in any way restricts normal activities including land and water sports? *

Asthma

Diabetes

Epilepsy

Other

Nothing

If you answered 'other' to the question above, please explain.

Are you subject to any of the following? *

Fainting

Convulsions

Seizures

Other

Nothing

If you answered 'other' to the question above, please explain.

Have you been treated by a health care professional for any medical/emotional conditions in the past 12 months? *

Yes

If you answered 'yes' to the question above, please explain.

Please list any allergies that you have. *

Penicillin

Peanuts

Bee Stings

Other

Nothing

If you checked off an allergy in the question above, or if you allergy was not listed, please explain what you are allergic to and the severity of the reaction.

Please list any medications (if any) that you are currently taking. *

If you are not taking any medication, please write 'none'.

Are you on a special diet? *

Yes

If you answered 'yes' to the question above, please explain.

I declare this health history to be accurate to my knowledge. I hereby give permission to the doctor/nurse selected by the camp to provide me with medical treatment in the case of an emergeny.

Signature *

Signature

Parent/guardian if applicant is under 18 years of age.

First Name

Last Name

Date *

Date

YYYY

Personal Questions

How did you become a Christian? *

Describe your relationship with the Lord, how you are growing and what your devotional habits are? *

Do you attend a church, if so which one? What has your involvement in church looked like in the past few years? *

What do you consider your strengths/talents to be? What are areas that you could grow in? *

What do you hope to gain by working at camp? *

What do you hope to give while you are working at camp? *

Have you ever been convicted of a criminal or sexual office? *

If you answered 'yes' to the questions above, please explain.

Apply for a Staff Position

Sr. Staff Positions (May 1 - Aug 23) - For more information on each position please visit our website.

Additional Comments about the position(s) you are applying for:

Honorariums

Honorariums are available for a number of staff positions. Please indicate whether you would like to: *

Once you have been accepted for a position at camp, you will be given details about the honorarium that you may receive. (Jr. Cabin Leaders and City Day Camp Workers are not eligible to receive an honorarium)

Camp Skills

Please list the 4 skills that you are most interested in leading/helping with during the summer. If you rate yourself as ‘intermediate’ or ‘expert’ please provide an explanation of your previous experience.

Skill #1 *

Skill #1 Experience Level *

Comments on Experience

Skill #2 *

Skill #2 Experience Level *

Comments on Experience

Skill #3 *

Skill #3 Experience Level *

Comments on Experience

Skill #4 *

Skill #4 Experience Level *

Comments on Experience

References

All applicants need to provide the names of 1 Pastor/Mentor and 2 Adult Acquaintances over 25 years of age who have known you for at least 3 years and are not relatives. Redberry Bible Camp will send detailed reference forms directly to your reference using the emails that you provide for them. Please inform your references that they will be receiving a form from Redberry Bible Camp to fill out regarding your application.

Reference #1 Name *

Reference #1 Name

First Name

Last Name

Relationship to You *

Reference #1 Email *

Reference #1 Phone *

Reference #1 Phone

(###)

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Reference #2 *

Reference #2

First Name

Last Name

Relationship to You *

Reference #2 Email *

Reference #2 Phone *

Reference #2 Phone

(###)

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Reference #3 Name *

Reference #3 Name

First Name

Last Name

Relationship to You *

Reference #3 Email *

Reference #3 Phone *

Reference #3 Phone

(###)

###

####

Authorization of the Applicant regarding Reference Forms *

Authorization of the Applicant regarding Reference Forms

I authorize the release of the disclosed information by the people completing character reference forms for the consideration of the applicant. I waive any right or privilege to inspect or challenge the contents of this form. I understand that the information will be held in confidence by RBC and will not be released to anyone (other than employees, agents, representatives, and/or professional advisors of RBC) without the permission of the person giving such character reference of in the absence of Court Order, Subpoena or laws requiring the disclosure of such information.

First Name

Last Name

Date *

Date

YYYY

Additional Questions

These questions are for specific positions. If you are not applying to these positions, please skip this section and move on to the 'Personal Evaluation' portion of the application.

Cook/Assistant Cook

If you are accepted into this position at camp, you will have to supply us with a copy of your certification.

What experience to you have in cooking? Have you cooked for large groups of people before?

Do you have your Food Safe Certification?

If so, what year did you take the Food Safe Course

Lifeguard/Assistant Lifeguard Questions

If you are accepted into this position at camp, you will have to supply us with a copy of your certification.

Do you have your NLS, Water Safety and Swim Instruction Qualifications with either AEC or CPR C and First Aid training?

If you do not have the certification listed above, what qualifications do you have?

Describe any previous lifeguarding experience you have.

Do you have any further qualifications for lifeguarding? If so, what are they?

Wrangler Questions

What experience do you have with horses? How often do you ride? Do you take lessons? What is your discipline(s)?

Do you have your own horse? Can you bring your horse to camp? Do they have any vices? How much special schooling do they require on a regular basis?

Do you have the skills to correct bad behavior/habits that camp horses pick up during the summer?

Are you able to work 8-10 hours of physical labour?

Do you know how to fix: barb wire fence, plank/wood corrals and horse tack?

How would you deal with the following situation: You are on a trail ride with 10 children and 1 other staff member. One child falls off their horse and hits their head and their horse runs away. What would you do?

Would you be able to plan and lead a skill on your own? Roughly outline 5, 1 hour beginner/intermediate lessons.

How would you incorporate God/your relationship with God into skills/lessons at camp? What are the teachable, God-related moments that occur when working with horses?

Personal Evaluation

Please choose the statement that you believe best applies to you.

Responsibility *

Work Habits *

Respect for Authority *

Initiative *

Leadership *

Judgement *

Concern for Others *

Personal Integrity *

Team Spirit *

Social Skills *

Spiritual Maturity *

Signatures

In submitting this application I declare that all of the information is accurate to the best of my knowledge.

Applicant's Name *

Applicant's Name

First Name

Last Name

Date *

Date

YYYY

Redberry Bible Camp

Since 1943 Redberry Bible Camp has opened its doors to children and adults alike. Our goal at Redberry Bible Camp is to communicate the Good News of Jesus Christ through the uniqueness of a camp experience.

No matter you are a child or just a child at heart there is always a place for you. From kids camp, to Leadership training programs, and family camps. We look forward to seeing you here at camp.

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