Honey Creek Summer 2010

Honey Creek Summer 2010 Camp Counselor/Activity Leader Application

First Name

M.I.

Last Name

Social Security #

Gender

Female
Male

Birthday

Home Street Address

City

State

Zip

College Address

College City

College State

College Zip

Home Phone

Cell Phone

Driver's License #

Religion/Denomination

Email Address

List any dates you are not available. Priority will be given to appliants who are able to serve all summer.

Positions you are applying for: 1st and 2nd choice

If Activity Leader, specify activity: 1st and 2nd choice

Activities include: Jammin' - Swimming - Kayaking - Fishing /Crabbing - Ropes - Arts/Crafts - Nature - Drama - Photo/Video

Have you ever attended Camp Honey Creek as a Camper?

yes
no

Have you ever served on the Camp Honey Creek staff?

yes
no

Have you ever worked for another camp?

yes
no

If yes, where and in what capacity?

Do you feel you are mature enough to perform your job as a Counselor/Activity Leader including directing campers who may be your age or your friends?

yes
no

Health and Background Information

Prior to reporting to work, Camp Honey Creek requires a background check on prospective staff members. In addition you will be required to complete the camp health form.

Do you have any physical, mental, or emotional problems that might interfere with your ability to perform your assigned duties?

yes
no

If yes, explain...

Have you ever been convicted of a crime, including any sexual, drug or alcohol offense?

yes
no

If yes, explain (omit minor traffic offenses).

Education and Work Experience

Education

High School

Graduation Date

Activities and Accomplishments

College

Year

Major

Work Experience

Employer

Dates

Phone

Position Title

Describe Your Job

Employer

Dates

Phone

Position Title

Describe Your Job

Employer

Dates

Phone

Position Title

Describe Your Job

Program Skills

Please indicate your ability in teaching the following areas by checking "T" if you can teach or lead campers in the activitity and "A" if you are somewhat knowledgeable and able to assist another instructor.

Adventure/Art craft

Low Ropes Course

T
A

High Ropes Course

T
A

Initiative/bonding games

T
A

Orienteering

T
A

Tent Camping/ Overnight

T
A

Hiking

T
A

Outdoor cooking

T
A

Arts and Crafts:

Ceramics/Pottery

T
A

Religious crafts

T
A

Weaving/macrame'

T
A

Painting

T
A

Sketching/drawing

T
A

Nature crafts

T
A

Woodworking

T
A

Leatherwork

T
A

Metalworking

T
A

Beadwork

T
A

Jewelry Making

T
A

Tie Die

T
A

Drama

Creative

T
A

Play Directing

T
A

Skits and Stunts

T
A

Music:

Lead singing

T
A

Percussion

T
A

Guitar

T
A

Piano

T
A

List other:

Nature

Environmental

T
A

Astronomy

T
A

Weather

T
A

Gardening

T
A

Flowers, trees, shrubs

T
A

Sports

Archery

T
A

Baseball

T
A

Frisbee

T
A

Frisbee Golf

T
A

Volleyball

T
A

Softball

T
A

Soccer

T
A

Informal games

T
A

Kickball

T
A

Basketball

T
A

List other:

Publications

Photography

T
A

Videography

T
A

Video Editing

T
A

Photo Editing

T
A

Journalism

T
A

Water

Kayaking

T
A

Games

T
A

Swimming

T
A

Fishing

T
A

Crabbing

T
A

Certification and Training

Check the boxes for which you hold current certification.

Lifeguard
WSI
CPR
Ropes
Belay trained
First Aid

List any other certifications:

COMMITMENT OF APPLICANT:

I authorize investigation of all statements herein, including any checks of criminal records, and release the camp and all others from liability in connection with the same. I also understand that untrue, misleading or omitted information herein or in other documents that I may have completed may result in dismissal, regardless of the time of discovery by Honey Creek. I understand that Camp Honey Creek has certain codes of conduct that I must adhere to. If my application is acceted, I can be depended on for my full cooperation in maintaining these standards and I understand the importance of remaining at Camp Honey Creek and fulfilling my obligations until the expiration date of my contract.

Affirmation of Commitment

Yes
No

Please respond to each question

How would you describe Jesus to a 12 year old?

Why do you want to work at Camp Honey Creek? What quallities do you have that will make you a good counselor/activity leader?

What experience have you had working with children and youth?

Give a brief autobiography including how your faith has guided your life.

Explain what you believe to be the major responsibilities of this job.

Camp Honey Creek has implemented several changes for 2010. Do you see yourself as a team player willing to adjust to change without negative feellings or complaints? Explain.

FOR YOUR APPLICATION TO BE COMPLETE:

Download reference form. Copy and give 3 people who know you well a reference form (including your priest/pastor) and an addressed envelopeto be returned quickly.

Contracts will be issued on a rolling basis beginning in January. Applications will be accepted until all positions are filled. If you are hired, you will be required to complete the Camp Honey Creek health Form and turn it in before Training Week.

Honey Creek Camp

Photo Galleries