Eagle Lake Bible Camp Staff Application Name Age Birthday Email Address City Province ManitobaOntario Postal code Phone no. Your marital status SingleEngagedMarriedOther Present occupation Employer Are you bringing along any children of your own that will NOT be campers? YesNo Number of boys Number of girls What experience do you have at Eagle Lake Bible Camp? State briefly your prior and present involvement in Christian ministry. Home church Blumenort Community ChurchVermilion Bay Evangelical Mission ChurchOther Please name your church If you do not attend the Blumenort Community Church or Vermilion Bay Evangelical Mission Church, please provide two references, i.e., pastor/youth pastor/mentor. Reference 1 name Reference 1 address Reference 1 phone no. Reference 2 name Reference 2 address Reference 2 phone no. Are you a member of this church? YesNo Manitoba Residents, have you had a Criminal Check done for the Blumenort CC Church? YesNo Manitoba Residents, have you had a Child Abuse Check done for the Blumenort CC Church? YesNo Ontario Residents, have you had a Vulnerable Persons Check done for the Vermillion Bay Evangelical Mission Church? YesNo Which weeks of camp you are willing to serve at? Week 1 (July 1-6/Gr. 9-10)Week 2 (July 8-13/Gr. 7-8)Week 3 (July 15-18/Gr. 3-4)Week 4 (July 22-26/Gr. 5-6)Week 5 (July 29-Aug 2/Gr. 6-7) Position for week 1 (1-6/Gr.9-10) —Please choose an option—Head Life GuardAssistant LifeguardHead CookKitchen StaffKitchen ReliefMaintenance PersonnelFirst Aid PersonnelSenior CounselorJunior CounselorRelief CounselorBible TeacherWorship LeaderRecreation Team MemberSkill LeaderPrayer Central Member Position for week 2 (July 8-13/Gr.7-8) —Please choose an option—Head Life GuardAssistant LifeguardHead CookKitchen StaffKitchen ReliefMaintenance PersonnelFirst Aid PersonnelSenior CounselorJunior CounselorRelief CounselorBible TeacherWorship LeaderRecreation Team MemberSkill LeaderPrayer Central Member Position for week 3 (July 15-18/Gr.3-4) —Please choose an option—Head Life GuardAssistant LifeguardHead CookKitchen StaffKitchen ReliefMaintenance PersonnelFirst Aid PersonnelSenior CounselorJunior CounselorRelief CounselorBible TeacherWorship LeaderRecreation Team MemberSkill LeaderPrayer Central Member Position for week 4 (July 22-26/Gr.5-6) —Please choose an option—Head Life GuardAssistant LifeguardHead CookKitchen StaffKitchen ReliefMaintenance PersonnelFirst Aid PersonnelSenior CounselorJunior CounselorRelief CounselorBible TeacherWorship LeaderRecreation Team MemberSkill LeaderPrayer Central Member Position for week 5 (July 29-Aug 2/Gr.6-7) —Please choose an option—Head Life GuardAssistant LifeguardHead CookKitchen StaffKitchen ReliefMaintenance PersonnelFirst Aid PersonnelSenior CounselorJunior CounselorRelief CounselorBible TeacherWorship LeaderRecreation Team MemberSkill LeaderPrayer Central Member Because it is our hope and prayer that campers will come to know Christ through their camp experience, we ask you for the following commitment I hereby affirm my commitment to be an example of a dedicated follower of Christ through my speech, conduct, love, faith and purity. I am willing to accept responsibility for camp order and discipline and work cooperatively with the Camp Director, Program Coordinator and other staff. I have read and am in agreement with the Camp Staff Application Package. Eagle Lake Bible Camp Staff Medical Form The following information is required for all camp staff and will be kept confidential by the Camp Director and Camp First Aid Personnel. Name of parent/guardian Phone no. of parent/guardian Medical numbers 6 digit number 9 digit number Do you have any serious health challenges (allergies, handicaps, any medication required)? YesNo Please explain your health challenges (ex. an allergy, state reaction, anaphylactic shock) PLEASE NOTE, SPECIAL FOOD NEEDS: There will be no special food prep or meals prepared for staff members who do not indicate when they apply that they have special dietary needs. Our kitchen staff work very hard to cook meals for 100+ people at a time, and cannot cater to individual “dislikes” or “preferences”. However, if you require a medically necessitated diet, we will try to accommodate basic special needs if given the appropriate advance notice. If you have concerns, feel free to be in touch with the Camp Director ahead of time to establish what will work best for your particular situation, i.e., bringing some of your own meals. I give permission for treatment in case of emergency Emergency contact(s) Day emergency contact Name Relationship to you Phone no. Is your night emergency contact the same contact as your day emergency contact? YesNo Night emergency contact Name Relationship to you Phone no. In your own words, please respond briefly to the following questions If you were staff last year, you do not have to answer the questions below – just put in “see previous year answers”. Comment on your view of the Bible. What do you believe about Jesus Christ? What is your understanding of the Holy Spirit? Are you a Christian? What does it mean to be a Christian? Explain how you might help a person become a Christian. Is there anything in your past or present spiritual or moral life that could potentially hinder you from being a camp worker with children or youth? Give a brief testimony including your conversion and possible circumstances leading up to it (home background, training, experiences, etc.). Are you willing to provide transportation for a few other staff members if you are planning/willing to travel to camp in your own vehicle? YesNo Including luggage, how many people do you think you could have with you?
