2014 Salem Acres Ministry Team Application   This Application is for both paid and volunteer applicants who would like to come and serve at Salem Acres for more than 2 weeks, or if you would like to come in the capacity of a Camp Director or Speaker. We are excited that you would like to partner with us in ministry in 2014! In order to ensure that you are well-prepared for your ministry at Salem Acres, all Staff and Volunteers must participate in at least one On-Site Staff Training Weekend at Salem Acres (choose your date below). In addition, please download your reference forms from our website before you continue and request a police check (if you are over 18 years of age) and have not submitted one to Salem Acres in the past 3 years. Please read the Staff Manual. You may download it from salemacres.ca under the heading "Volunteers". Please choose the Staff Training Weekend that you will participate in. May 8-10, 2014: Onsite Training Session June 26-28, 2014: Onsite Training Session Have you submitted a police check to Salem Acres in the last 3 years? * Yes No If yes, please indicate when References Please have a church elder or pastor download the reference forms from our website and fill it out. Once completed, please email them to the volunteer coordinator at least two weeks prior to your On-Site Staff Training Weekend. If you are older than 18 years, and have not submitted a Police Check in the last three years, please contact the volunteer coordinator and have a signed "Criminal Record Check" letter sent to you. This letter is to be taken to your local Police Department to obtain a Criminal Record Check. Police Checks can take several weeks to process, so please request them early. Please give the names and contact info of three people who know you well and have agreed to act as a reference for you. Please request that they email their reference form directly to the volunteer coordinator. As a general rule, references should be at least 25 years of age and someone who has known you for at least two years. Reference #1 * Pastor Youth pastor Church leader Christian friend Christian mentor Teacher Employer Full Name * Phone Number Email Address * Reference #2 * Pastor Youth pastor Church leader Christian friend Christian mentor Teacher Employer Full Name * Phone Number Email Address * Reference #3 * Pastor Youth pastor Church leader Christian friend Christian mentor Teacher Employer Full Name * Phone Number Email Address * Please email your Police Check or Other Form to our volunteer coordinator. Personal Information First Name Last Name * Age (as of July 1, 2015) * Birthdate * Gender * Male Female Permanent Contact Information Street Address * City/Town * Province * Postal Code * Main Phone Other Phone Email Address * Is email a good way to contact you? * Yes No Temporary Contact Information (Fill in if Applicable) Street Address City/Town Province Postal Code Main Phone Other Phone Emergency Contact Information Name * Relationship to applicant * Street Address * City/Town * Province * Postal Code * Home Phone * Cell Phone   Health Information NEW MEDICATION POLICY: We will no longer be stocking medication for minors, including minors who are volunteers. Please provide any medications (including Tylenol, Ibuprofen, etc) that you anticipate will be needed while at camp in a resealable bag with the Minor's Name, Parent/Guardian Name and Emergency Phone Number. All medications in this bag must be in the original packaging with appropriate dosage for their age/size. Dosage other than what is recommended on the packaging must be indicated in writing, signed by the parent/guardian and included in the bag. We are no longer able to administer ANY medication that is not in this bag. Will you be taking any medication while at camp? If so, please describe the dosage and frequency. * Do you have have any allergies or have you ever reacted to any animals, foods, medications, environmental products or anything else? If yes, please describe the reaction and how you treat the allergies at home. Do you use antihistamines? If so, how often? * Do you have any type of disability (mental, emotional or physical) that could affect your degree of participation in any activity? * Are your immunizations (e.g., tetanus) up to date? Please provide details. * Is there any other medical information that we need to know about? Camp Roles and Availability I am applying to be a summer volunteer in one or more of the following roles (check all appropriate boxes): * Camp Director Speaker Activity Leader Worship Leader Cabin Leader LEAD Coordinator Leadership Mentor Head Cook Assistant Cook Dishwasher Dining Room / Campfire Janitor Child care Maintenance Anywhere Needed Time Commitment - please note that it is recommended for staff to show up the Saturday evening before camp and will be required to stay a few hours after the campers leave for cleaning and a weekly feedback meeting. Dates that I will be available to serve are from: * To: * I am applying to be a summer volunteer at one or more of the following camps (check all appropriate boxes): * Senior Teen Camp (ages 15 - 18) June 28-July 3 Kids Kamp I (ages 7 - 10) July 5-10 Girls Camp (ages 11 - 13) July 12-17 Boys Adventure Camp (ages 11 - 13) July 19-24 Junior Teen Adventure Camp (ages 12-14) July 26-July 31 Family Camp: NEW week long! (all ages): Aug 2-7 Kids Kamp II (ages 7 - 10) August 9-14 Timothy Project (ages 14 - 18) August 23-28 I would like the following absence(s) for these reasons: * Child Care Do you plan on bringing children with you that require child care? * Yes No If so, please give their names, ages, and any special needs they may have. Camp work is demanding and if the children require a lot of individual attention from you it may be better if you made other arrangements for them during your stay at camp (i.e., bringing additional child care help). First Child's Full Name Age Gender Male Female Comments Second Child's Full Name Age Gender Male Female Comments Third Child's Full Name Age Gender Male Female Comments Personal Character Please respond to the following questions and if necessary, upload a separate document with your complete information and send to the volunteer coordinator. Answer questions as fully as possible.   1. What is your story of how you came to know Jesus as your personal Saviour? * 2. Describe two things that have happened recently (i.e., the last six months) that shows you that God is working in your life. * 3. How do you think you are different from others around you who are not Christians? * 4. How do you feel about making Jesus Christ known to others (especially campers)? And how do you think you can make Jesus known? * 5. Do you have a community of believers (i.e., church, small group, Bible study) to whom you are accountable to? * Yes No If yes, what is the name and/or function of the group? If no, please explain why you have not been attending church/accountability group. * Accountability group or church address: Pastor’s or leader's name: Pastor's or leader's telephone #: 1. Describe past ministry and leadership experience (clubs, Sunday School, etc). * 2. Why did you select Salem Acres as a place to serve God, this summer? * 3. Establish and list some goals for the summer. (What do you hope to contribute to camp? What would you like to see accomplished in your life as a result of being on staff?, etc) * 4. What do you see as your main strengths and weaknesses as you seek to develop your leadership ability? * 5. How can Salem Acres and its staff help you achieve your goals or help your develop leadership? * 6. Beside each attribute, rate yourself using a number between 1 (poor) and 5 (excellent): Ability to listen 1 2 3 4 5 Ability to control your temper 1 2 3 4 5 Getting along with children 1 2 3 4 5 Getting along with adults 1 2 3 4 5 Neat and organized 1 2 3 4 5 Persevere under stress 1 2 3 4 5 Physical fitness 1 2 3 4 5 Public speaking 1 2 3 4 5 Response to authority 1 2 3 4 5 Self-motivated 1 2 3 4 5 Thoughtful of others 1 2 3 4 5 7. Describe your relationships with family members (parents, siblings, spouse, kids, etc) *   Qualifications, Skills, Training & Experience 1. Valid Driver's Licence * Yes No Class Province 1. Do you have valid first aid certification? Yes No If yes, please provide the expiration date: Select up to 7 of your top skills and provide details, such as the extent of training and/or experience, certification and date received, etc.. This information serves to give us a basis of knowledge about your skill level & interests. It is not used as the sole criteria to determine your suitability for being a volunteer staff member or participant in either of the training programs. A willingness to serve God is more important to us than experience in various skills. Skill #1 Canoeing / Rafting Low or High Ropes Team Sports Archery Music Drama Backpacking/hiking/camping Orienteering Crafts Nature study Working with kids Swimming Nurse Cooking for large groups Maintenance skills Construction skills Program directing Leadership experience (clubs, church, etc.) Teaching experience (Sunday school, clubs) Details Skill #2 Canoeing / Rafting Archery Low or High Ropes Team Sports Music Drama Backpacking/hiking/camping Orienteering Crafts Nature study Working with kids Swimming Nurse Cooking for large groups Maintenance skills Construction skills Program directing Leadership experience (clubs, church, etc.) Teaching experience (Sunday school, clubs) Details Skill #3 Canoeing / Rafting Archery Low or High Ropes Team Sports Music Drama Backpacking/hiking/camping Orienteering Crafts Nature study Working with kids Swimming Nurse Cooking for large groups Maintenance skills Construction skills Program directing Leadership experience (clubs, church, etc.) Teaching experience (Sunday school, clubs) Details Skill #4 Canoeing / Rafting Archery Low or High Ropes Team Sports Music Drama Backpacking/hiking/camping Orienteering Crafts Nature study Working with kids Swimming Nurse Cooking for large groups Maintenance skills Construction skills Program directing Leadership experience (clubs, church, etc.) Teaching experience (Sunday school, clubs) Details Skill #5 Canoeing / Rafting Archery Low or High Ropes Team Sports Music Drama Backpacking/hiking/camping Orienteering Crafts Nature study Working with kids Swimming Nurse Cooking for large groups Maintenance skills Construction skills Program directing Leadership experience (clubs, church, etc.) Teaching experience (Sunday school, clubs) Details Skill #6 Canoeing / Rafting Archery Low or High Ropes Team Sports Music Drama Backpacking/hiking/camping Orienteering Crafts Nature study Working with kids Swimming Nurse Cooking for large groups Maintenance skills Construction skills Program directing Leadership experience (clubs, church, etc.) Teaching experience (Sunday school, clubs) Details Skill #7 Canoeing / Rafting Archery Low or high ropes Team Sports Music Drama Backpacking/hiking/camping Orienteering Crafts Nature study Working with kids Swimming Nurse Cooking for large groups Maintenance skills Construction skills Program directing Leadership experience (clubs, church, etc.) Teaching experience (Sunday school, clubs) Details 3. Would you be interested in being a part of a worship team while at camp? In what capacity? 4. Additional comments:   Statement of Faith ~ We cherish the Bible; it is the complete and reliable revelation of God to humankind, relevant to our life and future. ~ We believe in one God, eternally existing in three Persons: Father, Son, and Holy Spirit. ~ We follow the Lord Jesus Christ; He, as both God and man, stepped into human history dealing decisively with our issues of purpose, sin, and death. ~ We trust that Jesus Christ died for our sins, and He, by rising from the dead, gives eternal life to all who believe in Him. ~ We love all people; each person is uniquely created in the image and likeness of God, is to be highly valued, and will exist forever. ~ Through willing obedience, we believe our ultimate goal is to bring glory to God through Jesus Christ and to enjoy Him forever. ~ We are committed to applying the principles from the life of Jesus Christ and from the Bible, as a whole, to our everyday lives. ~ Our purpose, in the words of Jesus, is to "Love the Lord your God with all your heart, soul and mind...and to love your neighbour as yourself." (Luke 10:27) I agree with Salem Acres' Statement of Faith * I agree     I have received, read and understand the policies described in the Staff Manual. * I agree By entering my name in the box below and submitting this form, I am agreeing to obey the camp guidelines. I also understand my role at camp as described in the Staff Manual and will strive to serve God and the campers through diligent exercise of my responsibilities. I realize that my Camp Director(s) and the Salem Acres Board of Directors are committed to supporting me through prayer, communication, practical help and support as I carry out my duties. By entering my name and the current date and by submitting this form I am committing to the above statements. Your Full Name * Today's Date *