Welcome to the Beautiful Pacific Northwest

                      

 
Look for our new website coming soon!

     

Welcome to our abbreviated online application!  Please fill out this form if you are a CIT, volunteer, or return staff

(New Applicants & Former CITs that are applying for employment, 

please complete the long application form) 

Parents: To ensure proper screening and fair representation, this

application MUST be completed solely by the applicant. Thank you.

Statement of Practice: In order to safeguard the well-being of the youth served, Camp Berachah will investigate the accuracy of the data provided in the application process for all applicants before appointment to the camp staff can be made.   The investigation will include, but is not limited to: reference checks with past employers, the military, educational institutions, volunteer organizations, civic groups, and law-enforcement agencies.
Position Applying for:

Dates Available:

Start

 through

End
Name:

Telephone:
A.K.A:

Email:

Address:

Birth date:

Age:

Gender: Drivers License #
Emergency Contact Person & Phone Number:
Medical Conditions/Allergies/Medications: 
Have you worked at Camp Berachah before?

Position:

What experience do you have that qualifies you for the position you are applying for?
List two current references and their phone numbers, and submit one reference form :

1.

2.
Have you ever been accused or convicted of any criminal offense?  If yes, explain:
Have you ever had DSHS or other childcare/adult contracts or licenses terminated or denied?  If yes, explain:

Christian Experience

1.  Do you have a personal relationship with Jesus Christ?

Please

describe
2.  How often do you attend church?  Describe your involvement.
3.  What is your church affiliation & Christian background experience (i.e. charismatic, traditional)
4.  Describe your ministry experience.  (i.e. leading bible study, worship, etc).
5.  Please briefly describe what you believe about:

Personal Beliefs:

 Values:

The Bible

Tobacco/drugs/alcohol

Salvation & how to lead a camper to Christ 

 Body art/piercing

Jesus Christ  

 Pre-marital sex

The Holy Spirit   

Homosexuality

Gifts of Spirit  

    

Prayer

    

Certification

I certify that this information is true.  I authorize a government background check and investigation of all statements contained in this application for employment.  In the event I am employed, I understand that any false or misleading information given by me may result in discharge.

               

Signature/Name                                                                                                              Date