Camp Arnold at Timberlake

Camp Staff Application

    
  You must complete all questions on this application that are marked with a red "*".  You will not be able to submit your application if any mandatory field is left blank.  At the end of the application, please read the affirmation before pressing the "submit" button.
Personal Data
*First Name
*MI
* Last Name
*Social Security No (XXX-XX-XXXX) If you are not a resident of the United States and do not have a Social Security Number, please enter  000-00-0000 .

  

*Birth date (mm/dd/yyyy)
*At Current Address Until (if permanent, write "permanent"):  
*Age
*Address
Address #2
*City
*State/Province
Zip Code (Postal Code)
*Country
*Daytime Phone (include Country Code of Out of North America)  
Evening Phone (include Country Code of Out of North America)
*Email
*Do you smoke?

:     

Driver Information
Drivers License No
State
Exp. Date (mm/dd/yyyy)
Car Insurance Co
Policy No
Exp. Date (mm/dd/yyyy)
 
Current Certifications
CPR-Expires
First Aid-Expires
Lifesaving-Expires
WSI-Expires
Other Certifications

Parent or Guardian (if Under 18); Emergency Contact (if 18 or over)
*Name
*Address
Address #2
*City
*State/Province
*Country
Zip Code (Postal Code)
*Phone
Email
*Relationship
 
Present Status
Student
Name of School
Year in School
Major
   
Employed
Employer
Position 
How long? years (if < 1 year, use 0)

 

Past Camp Experience and Church Affiliation
*Have you ever served on a summer staff before?
If yes,
  
Name of last camp
State
Country
Last Position
   
Your Church Affiliation
Your Church

 

References

Please list names of those who will be giving references.

Pastor/Corps Officer/Youth Pastor
*Name
*Position
*Church/Organization Name
*Address
Address #2
*City
*State/Province
*Country
Zip Code (Postal Code)
*Phone
E-mail 

Employer/Teacher
*Name:
*Position

Organization
*Address:
Address #2 
*City 
*State/Province
*Country  
Zip Code (Postal Code)
*Phone 
Email 

 

Employer/Teacher/Family Friend
*Name
Position
Organization
*Address
Address #2
*City
*State/Province
*Country
Zip Code (Postal Code)
*Phone
Email

Employment Interest

Please list the two summer positions you would be most interested in (in order of preference). Under each indicate any previous experience you have had which might relate to that position. Please be specific. (please see List of Jobs page)

*First Choice
*Experience
*Second Choice
*Experience
*Earliest date you can arrive (mm/dd/yyyy)?
*Latest date you can stay (mm/dd/yyyy)?

 

Personal Experience & Spiritual Commitment
Describe your current relationship with Christ, Including when you become a Christian, and your present participation in ministry activities:
How long have you been a Christian?
What do you do to maintain your spiritual growth?
What specific strengths do you have to offer The Salvation Army Camping Ministry?
List your leadership experiences or supervisory experience:

Applicant Disclosure
Pursuant to RCW 43.43.834, Child and Adult Abuse Information Act

Please complete and return this form with your application. Once you have completed this form, please print a copy and be sure to have a witness sign the end of the form.  Answer YES or NO to each listed item. If the answer is YES to any item, explain in the area provided, indicating the charge or finding, the date, and the court(s) involved.  

  1. Have you ever been convicted of any crimes against children or other persons, as follows: aggravated murder; first or second degree murder; first or second degree kidnapping-, first, second, or third degree assault; first, second, or third degree rape-, first, second, or third degree rape of a child; first or second degree robbery; first degree arson; first degree burglary-, first or second degree manslaughter; first or second degree extortion; indecent liberties; incest-, vehicular homicide-, first degree promoting prostitution; communication with a minor; unlawful imprisonment; simple assault; sexual exploitation of minors; first or second degree criminal mistreatment; child abuse or neglect as defined in RCW 26.44.020; first or second degree custodial interference; malicious harassment; first, second, or third degree child molestation; first or second degree sexual misconduct with a minor; patronizing a juvenile prostitute: child abandonment-, promoting pornography; selling or distributing erotic material to a minor; custodial assault; violation of child abuse restraining order; child buying or selling; prostitution?

*Answer:  If yes, explain: 

  1. Have you ever been convicted of crimes relating to the financial exploitation if the victim was a vulnerable adult, as follows: first, second, or third degree extortion; first, second, or third degree theft; first or second degree robbery; forgery?

*Answer:    If yes, explain: 

  1. Have you ever been found in any dependency action under RCW 13.34.030 (2) (b) to have sexually assaulted or exploited any minor or to have physically abused any minor?

*Answer:   If yes, explain: 

  1. Have you ever been found in any domestic relations proceeding under Title 26 RCW to have sexually abused or exploited any minor or to have physically abused any minor?

*Answer:   If yes, explain: 

  1. Have you ever been found in any disciplinary board final decision to have sexually or physically abused or exploited any minor or developmentally disabled person or to have abused or financially exploited any vulnerable adult?

*Answer:   If yes, explain: 

  1. Have you ever been found in any protection proceeding under chapter 74.34 RCW, to have abused or financially exploited a vulnerable adult?

*Answer:   If yes, explain: 

 

Pursuant to RCW 9A.72.085, I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.

*Applicant
*Date (mm/dd/yyyy):
Place

The Salvation Army Northwest Division Camping Mission Statement

Our mission is to use nature and the great outdoors as a setting to share the Gospel of Jesus Christ, teach environmental awareness, encourage pro-social behavior and safely provide opportunity to every camper for fun and adventure.

The Doctrines of The Salvation Army

  1. We believe that the Scriptures of the Old and New Testaments were given by inspiration of God, and that they only constitute the Divine rule of Christian faith and practice.

  2. We believe that there is only one God, who is infinitely perfect, the Creator, Preserver, and Governor of all things, and who is the only proper object of religious worship.

  3. We believe that there are three persons in the Godhead - the Father, the Son and the Holy Ghost, undivided in essence and co-equal in power and glory.

  4. We believe that in the person of Jesus Christ the Divine and human natures are united, so that He is truly and properly God and truly and property man.

  5. We believe that our first parents were created in a state of innocency, but by their disobedience they lost their purity and happiness, and that in consequence of their fall all men have become sinners, totally depraved, and as such are justly exposed to the wrath of God.

  6. We believe that the Lord Jesus Christ has by His suffering and death made an atonement for the whole world so that whosoever will may be saved.

  7. We believe that repentance towards God, faith in our Lord Jesus Christ, and regeneration by the Holy Spirit, are necessary to salvation.

  8. We believe that we are justified by grace through faith in our Lord Jesus Christ and that he that believeth hath the witness in himself.

  9. We believe that continuance in a state of salvation depends upon continued obedient faith in Christ.

  10. We believe that it is the privilege of all believers to be wholly sanctified, and that their whole spirit and soul and body may be preserved blameless unto the coming of our Lord Jesus Christ.

  11. We believe in the immortality of the soul; in the resurrection of the body; in the general judgment at the end of the world; in the eternal happiness of the righteous; and in the endless punishment of the wicked.

The Salvation Army Mission Statement

The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.

Certification

I hereby understand and concur with the Camping Mission Statement, the Doctrines of The Salvation Army, and The Salvation Army Mission Statement.  I agree that my actions while employed by The Salvation Army Camp Arnold will uphold rather than detract from these cardinal principles of faith.

By submitting this application, I certify that the information and answers given above are complete and accurate.

The Salvation Army Camp Arnold
33712 Webster Rd. E.
Eatonville, WA 98328
(253) 847-2511
 
253.847.2511 (Phone)

33712 Webster Road E , Eatonville WA 98328
253.847.2910 (Fax)

camp arnold is accredited by the aca
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