2008 Camp Pecometh Staff Application
(* means required field)
  General Information
First Name: * M.I.:  Last Name: *
Social Security Number: *(required) Email: *
Home Phone:    Cell Phone:  Other contact:
Street Address: *
City: *
State: *
Zip: *

College Address:
City:
State:
Zip: Phone at School:
Gender:  Male Female
 Employment and Education
High School: * Year graduated or will graduate: *
College:   Major:   Number of Years:
Name of Last Employer: *
Name of Supervisor: *  Phone Number: *
Address:
What was your Position:
Christian/Religious Information
Name of your local church: * Denomination:
Pastor's Name: Phone Number:
Address:
Are you active in your local church (If yes, please describe activities):

Skills and Certifications
Community First Aid Yes No Expiration Date 
Adult CPR Yes No Expiration Date 
ARC:   Life Guarding Yes No Expiration Date 
Waterfront Yes No Expiration Date 
Water Park Yes No Expiration Date 
Pool Operator's License Yes No Expiration Date 
MD Safe Boater Course Yes No Expiration Date 
Other certifications that may be useful:
Please Rank yourself on a scale of 1-10 (10 being the highest) in your competency of the following areas:
Archery Horseback Riding Sailing
Arts & Crafts Kayaking Soccer
Basketball Music/Singing Swimming
Canoeing Nature Studies Volley Ball
Challenge Course Outdoor Cooking Wake Boarding
Dance Outdoor Skills Water Skiing
Drama Rock Climbing White Water Rafting

Please list any other skills that you possess that you feel may be useful:

Do you have any experiences with Challenge/Ropes Courses:  Yes No
If Yes, write the name and location: 
Please list experiences:
If you play a musical instrument can you bring it to camp?  What do you play?
Are you comfortable singing, speaking and performing in front of others?  Yes No
 Expectations and Other Items
Camp life can be very demanding.  Are you prepared to be on call or with campers 24 hours a day, sometimes without breaks, to help out where ever needed?  Yes No
Are you in good health?  Yes No  
If NO, please explain:
Do you smoke?  Yes No
Camp Pecometh is a smoke free environment.  Are you prepared not to smoke while on camp property or during camp sponsored activities?  Yes No
Do you have physical or mental disorders/conditions that limit your abilities to perform specific types of work? Yes     No
If Yes, please explain then write what accommodations will allow you to perform your functions sufficiently:
Are you currently being or have you ever been treated for a mental disorder?  Yes   No
If Yes, provide description: 
Camp Pecometh has one week every summer that accommodates Special Needs Adults (physical and mental challenges) aged 16 and up.  Would you find it difficult to work with or around this population with training provided?  Yes No
As a staff member, it is essential that you be a positive Christian role model for others, on and off camp.  Will you agree to provide such leadership for our campers and your fellow staff members?  Yes No
Do you have a valid driver's license?  Yes No    Will you bring a car to camp?  Yes No
Staff training for summer staff begins on June 8, 2008; will you be available:  Yes No
If not, when will you be available? 
If necessary, some select-specialized staff training (Life Guarding, Boat Driver Training, Adventure Staff Training, etc.) begins around May 27, 2008. Will you be available then? Yes    No
If not, when will you be available? 
The summer season runs until August 8, 2008; will you be available to work until that date?  Yes No
If not, when would your last day need to be?:
Committing to work at a summer camp is a big decision.  We ask that summer staff miss as few days as possible (a bonus system is set up as incentive for staff).  Can you foresee any dates that may conflict with working from June 8 until August 8, 2008?  If so, please list those dates and the reason for being away from Camp. 
I am applying for the position of:
1st Choice: *
2nd Choice (if any):
3rd Choice (if any):

Describe your religious beliefs.

How do you live your life for Christ?

Why are you interested in working at a Christian Summer Camp?

Describe how you would share the Good News with the Camp Pecometh community (campers and staff).