Welcome to our abbreviated online application! 

Please fill out this form if:

1- You'd like to become a CIT (Counselor In Training),

2- You'd like to volunteer at Camp Berachah, or

3- You have served at Camp Berachah before and would like to return.

 

(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.

 

Camp Berachah Application

secured site

  Position Applying for:*

Dates Available:

Start:* End:*

  Full name:*
 Telephone:*:
  A.K.A:
 Email:*
 
Address: (Street, City, State & Zip)
  Birth date:
 Gender:
 Age:
 Drivers License #:
  Marital Status:
 Housing Needs:

If worked at CB previously:

  Please give dates and position(s) held:
  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

    

T Shirt Size:

XS: S: M: L: XL: XXL:

 

 

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


Date

 

Additional Comments:
       

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