Application Form

	Volunteer Staff Application Form	This is not a secure web-site, if you would like to print out a form and mail it in, please click here.
Scroll down through this form to see how long it is before beginning. You can't "save" partway through and finish later, so be sure you have time to complete it as you begin.

Contact Information

Full Name		Bird Name
Home or Permanent Address
Address		E-mail Address
Address
City, State, Zip
Country		Church Affiliation
Home or Work Phone		Church Name
Cell Phone		Church Location

Camp Sessions

Dates of Camp: All sessions begin on Sunday and end on Saturday except Session 6, which will consist of specialty camp. mini-camp and a Father / Daughter session (ending 8/16). Check all sessions for which you are applying.

Session:
Begins:

#1
7/4-10

#2
7/11-17

#3
7/18-24

#4
7/225-31

#5
8/1-7

#6-Spec
8/8-13

#6 Mini
8/8-11

F/D
8/13-15

Family Members Coming With You

Names of family members coming to camp with you	Gender	Age	Camper
	Male Female		Yes No
	Male Female		Yes No
	Male Female		Yes No
	Male Female		Yes No
	Male Female		Yes No

Job Preference

- Select the position(s) for which you are applying:
1 = first choice, 5 = fifth choice

Food Service Assistant

Maintenance Assistant

Office Assistant

Assistant Nurse

Counselor to Volunteer
Staff Children

Activity Assistant area

Volunteer Training

New Volunteers Only check one required Weekend Training Session that you will attend:
May 1 - Albany, NY
May 8 - Northport, Long Island, NY
May 15 - Hawthorne, NJ

Personal References

Please give the names, addresses, and phone numbers of three people (no relatives) who have knowledge of your ability, experience, and character. This applies to return staff as well as to new staff. We are required by law to check references each year.

	Reference 1	Reference 2	Reference 3
Name
Address
Address 2
City, State, Zip
Country
Home Phone
Business Phone
E-mail

Education

Years	School	Major Subject	Degree(s) Granted

Previous Employment

Dates	Employer	Address/Phone	Nature of Work	Supervisor	Reason for Leaving

I am a New Applicant Returning Applicant

NEW APPLICANTS

- Please answer the following questions:


1. How did you become a Christian? Please give a brief testimony of your experience.
2. Why do you want to be a part of the Camp Cedarbrook staff?
3. What experience have you had in the tasks related to the position for which you are applying?
4. Do you have a legal right to work in this country?	Yes No If no, please explain
5. Have you ever been convicted of a felony or a misdemeanor or any crime related to the abuse, mistreatment, or molestation of children?	Yes No If yes, Please explain
6. Are there any reasons you may have difficulty performing any of the essential functions of the job for which you have applied?	Yes No Please explain. Include suggestions for reasonable accommodations that would enable you to perform the job for which you are applying
7. Are you between the ages of 18 and 70?	Yes No If no, please explain.

RETURNING STAFF

I understand that being a Cedarbrook staff member means serving, cooperating with the administration and other staff members, obeying camp policies, and sacrificing personal desires for the best interests of campers and the good of the camp. My chief aim will be to share Christ through word and the example of a Biblical lifestyle. I understand that the use of alcohol and/or tobacco, drug abuse, abuse of campers or other staff members and sexual immorality (homosexuality, adultery, fornication) are inconsistent with this lifestyle and incompatible with the goals of the camp, and that engaging in any of these behaviors or promoting them to others will result in my immediate dismissal from staff/camp.

I authorize investigation of all statements herein and release the camp and all others from liability in connection with 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 the director of the camp. I understand that untrue, misleading or omitted information herein may result in dismissal, regardless of the time of discovery by the camp.

Camp Cedarbrook in the Adirondacks is an equal opportunity employer, providing equal opportunities to employees and applicants without regard to race, color, national origin, age, disability, or veteran status.

By clicking "Submit Form" I am indicating both that I understand and agree to the above.

VolunteerStaff Application Form

Home or Permanent Address

Church Affiliation

Volunteer
Staff Application Form