Name
              
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                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Gender
              
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                  Male
                
                  Female
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Date of Birth
              
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                    MM 
                   
                
                
                  
                     
                    DD 
                   
                
                
                  
                     
                    YYYY 
                   
                
               
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              Address
              
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                    Address 1 
                   
                
                
                  
                     
                    Address 2 
                   
                
                
                  
                     
                    City 
                   
                
                
                  
                     
                    State/Province 
                   
                
                
                  
                     
                    Zip/Postal Code 
                   
                
                
                  
                     
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Home Phone
              
             
          
                
                
                
                  
                     
                    (###) 
                   
                
                
                  
                     
                    ### 
                   
                
                
                  
                     
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Cell Phone 
              
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                    (###) 
                   
                
                
                  
                     
                    ### 
                   
                
                
                  
                     
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
              
                
            
              Degree-Major
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Applying For
              
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                  A/V TECH ($250+/wk): Provide audio and visual tech support for camp, document camp sessions through pictures and video.
                
                  ACTIVITIES MANAGER ($300+/wk): Plan, organize, teach, and lead all camp classes and games throughout the camp day.
                
                  AQUATICS MANAGER ($250+/wk): Certified lifeguard who manages pool safety and leads swim class.
                
                  BUSINESS MANAGER ($300+/wk): Communicate with parents to help with registration, field questions, and organize camp office operations.
                
                  CABIN COUNSELOR ($225+/wk): Guide campers through the day as their mentor, supporter, teacher, and coach to directly share Shiloh’s mission.
                
                  CIT PROGRAM COORDINATOR ($300+/wk): Manage teen training program to grow in leadership, faith, professionalism, and life skills.
                
                  HEAD COUNSELOR ($350+/wk): Empower counseling squad as they navigate guiding campers.
                
                  LIFEGUARD ($225+/wk): Certified lifeguard to maintain pool safety and teach swim class.
                
                  KITCHEN MANAGER ($500+/wk): Manage meal plans, food orders and supplies, and supervise kitchen staff.
                
                  KITCHEN LEAD ($275+/wk): Assist the Kitchen Manager to prepare the food and the space to serve campers nutritionally.
                
                  KITCHEN SUPPORT ($225+/wk): Assist the Kitchen Lead to prepare the food and the space to serve campers nutritionally, and no bookkeeping.
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Why do you want to return to Shiloh this summer?
              
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              List three ways you could improve your effectiveness in building relationships with the children and the staff.
              
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              After reviewing the above camp policies, do you agree to them and have no issues adhering to these policies as outlined? 
              
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                  Agree
                
                  Do Not Agree
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Are you legally employable under the U.S. Immigration Laws?
              
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                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Have you been convicted of a felony since you were last employed by Shiloh?
              
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                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If yes please explain the felony you were convicted of. 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Can you perform the essential functions of the job for which you have applied, with or without reasonable accommodations?
              
                * 
              
             
          
                
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              If you answered no please explain your answer about physical impairments. 
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you agree to the above statement?
              
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                  Agree
                
                  Do Not Agree
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Arts and Crafts
              
             
          
                
                
                  Painting
                
                  Photography
                
                  Ceramics
                
                  Sketching / Drawing
                
                  Sand Art
                
                  Creative Expressio
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Music / Drama
              
             
          
                
                
                  Improvisation
                
                  Directing
                
                  Song leading
                
                  Instrumnets
                
                  Story Telling
                
                  Creative Drama Activities
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Nature / Camping
              
             
          
                
                
                  Hiking
                
                  Outdoor Cooking
                
                  Overnight Camping
                
                  Wildlife Knowledge
                
                  Orienteering
                
                  Conservation
                
                  Ecology
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Spiritual 
              
             
          
                
                
                  Camper Devotionals
                
                  Group Devotionals
                
                  Worship Service
                
                  Public Praying
                
                  Telling Bible Stories
                
                  Worship Leading
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Athletics / Activities 
              
             
          
                
                
                  Basketball
                
                  Baseball / Softball
                
                  Swimming
                
                  Flag Football
                
                  Gymnastics
                
                  Creative Activities
                
                  Rock Climbing
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Certifications
              
             
          
                Do you hold a current certification card for:
                
                  First Aid
                
                  CPR
                
                  Lifeguard