EmailMe Form - Camp Shalom Summer Staff Application

Camp Shalom Summer Staff Application

Countryside Camp & Conference Centre is a Christ-centred organization promoting global community and greater good through a commitment to love God and love our neighbour. Our programs reflect the belief that each individual’s life is important to God and makes a difference to all. “Camp Shalom”, a program of CCCCA, operates residential camps and out-trip camps for children and youth, along with programs for adults with developmental challenges.

Our programs aim to teach campers to do justice, love mercy and walk humbly with God. Our summer staff are selected for their spiritual testimony and demonstrated life experience; they serve as mentors in faith training and character development. Summer staff complete one of the most rigorous training programs currently offered in Christian camping.

Please Note
Please note that you cannot save your answers half way through this form. On the lower half of this application is an autobiography section that you may write in another word processor if you wish. You may want to answer those questions first before filling in all of the other information.

Also, note that all applicants must be 16 years of age before Dec. 31st of the current year.
Personal Information
Name *
First Last
Permanent Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone Number *
### - ### - ####
Email *
Email will be our primary means of communication.
Date of Birth *
MM / DD / YYYY
All applicants must be 16 years of age before the end of the current year.
Gender *
Male
Female
Marital Status *
Single
Married
Are you Legally Allowed to Work in Canada *
Yes
No
Please explain why you can't leagally work in Canada. *
Are you able to commit the whole summer to working at Camp Shalom? *
Yes
No
Although we try to be flexible we cannot grant more than a day or so off during the summer. This does not include exam time. There is always an overlap between our staff training and high school exams. See the FAQ page for more information.
Please explain why you can't commit the whole summer to working at Camp. *
Did another summer staff member encourage you to apply?
Yes
No
Other staff members are able to receive a referral bonus if they encouraged you to apply and you are hired.
Who was the summer staff member who encourage you to apply?
Other staff members are able to receive a referral bonus if they encouraged you to apply and you are hired.
Church Information
Name of Church Where You Hold Membership or Regularly Attend
City
Denomination
Previous Employment
1) Name of Employer/Company Name:
Employer Phone Number:
Start Date:
MM / DD / YYYY
End Date:
MM / DD / YYYY
Description of Responsibilities:
2) Name of Employer/Company Name:
Employer Phone Number:
Start Date:
MM / DD / YYYY
End Date:
MM / DD / YYYY
Description of Responsibilities:
3) Name of Employer/Company Name:
Employer Phone Number:
Start Date:
MM / DD / YYYY
End Date:
MM / DD / YYYY
Description of Responsibilities:
Education
Most Recent School's Name: *
Major/Minor/Grade Level: *
Years Attended: *
Past School's Name:
Camp Experience
Please list all of your past Camp expeince including Camp Shalom, other camps, Church VBS and any other similar program.
1) Camp Name:
Position and Responsibilities:
2) Camp Name:
Position and Responsibilities:
3) Camp Name:
Position and Responsibilities:
Available Positions
Program Coordinator (Adventure Camp and Special Needs) (13 week position) – Organizes & implements Adventure Camp and works with the other Program Coordinator to organize and implement Staff Training, Special Needs Camp and The Quest. Is in a significant leadership role over all other summer staff and volunteers.

Program Coordinator (Munchkins and Special Needs) (13 week position) – Organizes and implements Munchkins (grades 1-3), and works with the other Program Coordinator to organize and implement Staff Training, Special Needs Camp and The Quest. Is in a significant leadership role over all other summer staff and volunteers.

SPEC Program Coordinator (13 Week Position) – Organizes and implements Spec Trek, Spec Sports and Spec Arts programs. Is in a significant leadership role over other summer staff and volunteers.

Day Camp Coordinator (13 Week Position) - Design and lead our day camp program.

DISC Coordinator – Design and lead a discipleship program. During the weeks not leading DISC will be a cabin counselor.

Sr. Healthcare Coordinator (“Nurse”) – Oversees all aspects of healthcare during camp including medication administration and injuries. Must be a 3rd year nursing student or greater.

Jr. Healthcare Coordinator – Assists the Sr. Healthcare Coordinator in all aspects of healthcare during camp including medication administration and injuries. Must be a minimum of first aid certified.

Head Lifeguard – Current NLS required – Please bring a copy of your Certs with you to the interview.

Lifeguard – Current NLS required – Please bring a copy of your Certs with you to the interview.

Sr. Kitchen Assistant – Works under our Food Service Director and is hands on in preparing meals. (11 weeks)

Kitchen Assistant

Maintenance Staff

Media Coordinator – Taking photos and videos of the week at camp and creating a video to go home with the campers each week, doing daily updates to the website, etc.

Special Needs Counselor – Leads a cabin of Special needs guests by doing the daily activities with them and sleeping in the cabin.

Counselor – Leads a cabin of campers or special needs guests by doing the daily activities with them and sleeping in the cabin. Also responsible for leading a daily workshop/interest group on an activity of your choosing.

Worship Counselor – Leads a cabin of campers or special needs guests along with coordinating the musical worship at camp.
First Choice *
Second Choice
Third Choice
Any additional notes:
Essay Question
Why do you want to work at Camp Shalom? *
References
Please provide 3 references. Your references will be contacted by email.
1) Name of Reference: *
First Last
Email *
Relationship: *
Phone
### - ### - ####
2) Name of Reference: *
First Last
Email *
Relationship: *
Phone
### - ### - ####
3) Name of Reference: *
First Last
Email *
Relationship: *
Phone
### - ### - ####
Application Agreement
By submitting this form I agree to the following:
1.I hereby verify that all information that I have written on this form is true.
2.I have read, understood, and am in agreement with the Ministry Statement of “Camp Shalom” at the top of this document.
3.I have read, understood, am in agreement with, and consent to adhere to, CCCCA’s Lifestyle & Conduct Policy (if Lifestyle & Conduct Policy is not posted on website or attached to application, please contact CCCCA to obtain current copy).
4.I understand that service at “Camp Shalom” demands hard work and acceptance of the disciplines of a Christian community, including tedious and commonplace duties, as well as the more creative aspects of ministry.
5.I further understand that should I be employed by “Camp Shalom”, the essential functions of my position would include, but not be limited to, the duties listed in my job description, and that Countryside Camp & Conference Centre Association, Inc. reserves the right to add to, delete, change or modify my job duties.
6.I agree to obtain a criminal records check at my own cost upon successful acceptance with CCCCA, Inc.
If a confirmation page does not appear after you click "Submit Application," scroll up to see if you filled in all of the required fields.

Please Note

Personal Information

Church Information

Previous Employment

Education

Camp Experience

Available Positions

Essay Question

References

Application Agreement

If a confirmation page does not appear after you click "Submit Application," scroll up to see if you filled in all of the required fields.