NWCCD 2026 STAFF Application

NWCCD 2026 STAFF Application

Registration is required for each person attending camp
Dear Prospective Staff/LIT Staff for NWCCD 2026:

Thank you for responding to our request for staff volunteers. God has blessed this camp by providing committed followers of Christ to serve each year.

We have two opportunities for staff positions - regular staff and LIT staff. LIT’s are Leaders in Training; people who have a heart for missions but have not yet gained experience in youth and family ministries.

The application process is the same for both. You may choose to be an LIT or the committee may ask you to consider. The staff fee is $75. The fee for LITs is $200.

Below is an application for you to complete. All of the information is important in processing you for a position, so please fill out all five pages completely. If you have been on staff before you maybe able to skip the Christian Life page.

Please submit the form by May 31st; sooner if possible especially for first time staff. We will contact your personal reference and pastor and need to complete background checks, and this takes time. If this is your first application, we will need to process a set of fingerprint forms as well. The sooner your forms are returned, the sooner you will be notified. After receiving this application form it will be processed and you will be notified of our decision as to whether we are able to use you as a staff volunteer.

If your children are attending camp with you, you will need to complete camper forms for each child and pay their camper fees. Camper registration forms can be downloaded at www.gmdeaf.org. You will need one set of forms for each child.

Camp staff training takes place on Sunday, July 19th, 2026 at Twin Rocks, starting at noon. Attendance is required for all staff/ LIT staff.

For questions about the application, positions, or other staff related information please contact me at nwccd2011@yahoo.com or (360) 771-9511 Voice/text

While we wait to receive all of your information and you wait to receive our decision, please commit some time to pray for NWCCD 2026. It is our desire that God be glorified and the message of Christ proclaimed.

In service for Jesus,

Jim Smith,

Camp Director, NWCCD
Select Registration Type*

Leadership in Training (e.g. College Students)Staff (e.g. Cabin Counselor, Recreation, Interpreter)
APPLICANT PROFILE

This section must be completed
Applicant Name*

First NameLast Name
Applicant Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Gender*

MaleFemale
Applicant Date of Birth*

MonthDayYear
Applicant is less than 18 years of age by July 19th, 2026

YesNo
Applicant American Sign Language Fluency

BeginnerIntermediateAdvanced
Applicant Superpower

DeafHard of HearingHearing
Applicant Marital Status

SingleMarried
Does Applicant attend church?

YesNoOther
If Yes, which church does Applicant attend?
How many years has Applicant attended the above named church?
Applicant Email
example@example.com
Applicant VP Phone Number
Please enter a valid phone number.
Applicant Cell Phone Number
Please enter a valid phone number.
Applicant Residential Phone Number
Please enter a valid phone number.
PARENT/GUARDIAN

This section is required if applicant is less than 18 years of age
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Cell Phone Number
Please enter a valid phone number.
Parent/Guardian VP Phone Number
Please enter a valid phone number.
Parent/Guardian Residential Phone Number
Please enter a valid phone number.
As Parent/Guardian, I give permission for the Applicant to be photographed during camp. The photos are shown during meals, camp blog and social media.*

YesNo
STATEMENT OF FAITH

This section must be completed
NATIONAL ASSOCIATION OF EVANGELICALS STATEMENT OF FAITH
Adopted by Gospel Ministries for the Deaf Board and the Steering Committee of the Northwest Christian Camp for the Deaf

1) We believe the Bible to be the inspired, the only infallible authoritative word of God.

2) We believe that there is one God, eternally existent in three persons: Father, Son and Holy Spirit.

3) We believe in the Deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His personal return in power and glory.

4) We believe that for the salvation of the lost and sinful men, regeneration by the Holy Spirit is essential.

5) We believe in the present ministry of the Holy Spirit, by whose indwelling the Christian is enabled to live a godly life.

6) We believe in the resurrection of both the saved and the lost; they are saved unto the resurrection of life and they are lost unto a resurrection of damnation.

7) We believe in the Spiritual unity of believers in our Lord Jesus Christ.
Applicant agrees with this Statement of Faith*

YesNo
Applicant's Signature*

Clear
CHARACTER REFERENCE

This section must be completed
As part of the application process, we will contact two references.

1) Your personal reference must not be your pastor, a family member, GMD/NWCCD leadership, or a person on our camp staff.

2) Your pastoral reference (or someone on NWCCD staff with whom you have the most contact. This may be a leader in ministry in which you are actively involved such as CCC, DTQ, DYL, etc.)
Personal Reference Name

First NameLast Name
Personal Reference is the same as last year?

YesNo
Personal Reference Email*
example@example.com
Personal Reference Cell Phone Number
Please enter a valid phone number.
Personal Reference VP Phone Number
Please enter a valid phone number.
Personal Reference Residential Phone Number
Please enter a valid phone number.
Pastor Reference Name

First NameLast Name
Pastor Reference is the same as last year?

YesNo
Church/Ministry Name
Pastor Reference Email
example@example.com
Pastor Reference Cell Phone Number
Please enter a valid phone number.
Pastor Reference VP Phone Number
Please enter a valid phone number.
NWCCD STAFF/LIT EXPERIENCE

This section must be completed
All applicants will be required to pass a background check prior to camp. Signing this form gives us permission to conduct a background check for the applicant.
Applicant's first time attending NWCCD as Staff or LIT?

YesNo
If Yes, how did you hear about NWCCD? Who referred you as Staff or LIT?
If No, your most recent year at NWCCD as Staff or LIT?
(e.g. 2015, 20219)
Do you use illegal drugs?

YesNo
Do you drink alcoholic beverages?

YesNo
Have you ever been convicted of a criminal offense?

YesNo
Have you ever been charged with child neglect or abuse?

YesNo
Have you ever been charged with a sex-related crime?

YesNo
Have you ever been charged with a crime by violence?

YesNo
Have you ever been charged with threat by violence?

YesNo
Has your driver's license ever been suspended or revoked?

YesNo
Do you use tobacco?

YesNo
Are you in a sexual relationship outside of marriage?

YesNo
Christian Life Experience

This section must be completed
Are you a Christian?*

YesNo
You have filled out your Christian Life Experience before and no information has changed.*

YesNo
If you have never filled out this section before please answer the questions below. Otherwise skip to the next section "Staff Positions".
Describe your Christian Faith. What is your relationship with Jesus Christ?
Describe any previous church, community, and camp experience you have with youth/children. Please identify the church and the work involved.
List any gifts, callings, training, education or other factors that have prepared you to work with Deaf children, youth or families.
Standards Regarding Sexual Relationships

Marriage

The Bible teaches that the appropriate place for sexual expression is in the context of a marriage relationship. The biblical description of marriage is one man and one woman in a lifelong commitment. In Matthew 19:4-5, Jesus says, “Have you not read that he who created them from the beginning made them male and female, and said, 'Therefore a man shall leave his father and his mother and hold fast to his wife, and the two shall become one flesh'?” Repeatedly, God uses the symbolism of His relationship with believers as the picture of marriage. Husbands are exhorted to love their wives as Christ loves the Church and wives are exhorted to honor their husbands as the Church does Christ. With this imagery and the truth of God’s ideal for marriage in mind, any sexual relationship outside the marriage context is described in the Bible as adultery and (as stated in the sixth commandment) is prohibited throughout the Old and New Testaments. Therefore, sexual relationship between individuals not in a marriage relationship is sin. GMD/NWCCD staff, volunteers must not engage in sexual behavior or give the appearance of such a relationship with anyone other than their spouse, to include cohabitating with any sexual or romantic partner other than their spouse.

Homosexuality/Same Sex Attraction

GMD/NWCCD believes the Bible is clear that God created two genders, distinct and mutually exclusive. Genesis 1:27 tells us, “So God created man in his own image, in the image of God he created him; male and female he created them.” God’s created order has given unique identities to men and women for His glory. Gender is determined by God as identified at birth, and each person’s gender identity is assigned to them by design, not by subjective interpretation, individual choice or lifestyle inclination. Scripture uses very strong and direct language to condemn homosexual behavior (Leviticus 18:22, Romans 1:26-27). Therefore, any sexual behavior or sexual relationship between individuals of the same gender is sin. GMD/NWCCD, volunteers must not engage in or live in homosexual behavior, nor engage in a transgender lifestyle such as posing, acting or representing oneself as other than one’s gender at birth.
Staff Positions

Below you will see a variety of positions at the camp. We will do our best to place you where you want. Please be sure and check more than one position if possible.
If you are on staff, we want you to serve in an area that uses your talents, gifts, and interests. Please help us by checking any areas that interest you.

Boys CounselorGirls CounselorElementary CounselorMiddle School CounselorHigh School CounselorSpecial NeedsLIT(Leader in Training)Dining Room LiaisonASL/English InterpreterMedia TechRecreation TeamCraft AssistantHigh School TeacherHigh School Teacher AssitantMiddle School TeacherMiddle School Teacher AssistantElementary School TeacherElementary School Teacher AssistantWork where needed
Safety Information. Please check the following.

I am Standard First Aid trainedI am CPR Trained. If yes please submit a copy of your certificate to nwccd2011@yahoo.com
HEALTH / MEDICAL CHECKLIST

This section must be completed
Health/Medical Checklist for Applicant, {ApplicantName}
Applicant is permitted to engage in recreational activities such as running, swimming, competitive games and hiking

YesNo
Applicant is permitted to swim (there are lifeguards on duty at the beach)

YesNo
If No, explain why
Applicant has the following health conditions

AsthmaDiabetesEpilepsyOther
Applicant has other health conditions not listed above
Applicant requires the following for mobility

WheelchairCrutchesOther
Applicant has the following non-food allergies

PenicillinPoison OakBee StingOther
Applicant has the following non-food allergies not list above
Applicant has food or drink allergies*

YesNo
Applicant had surgical operations in the past 12 months

YesNo
If Yes, please describe the nature of surgical operations
Applicant had a tetanus shot within 10 years

YesNo
Date of last Tetanus shot

MonthDayYear
IN CASE OF ILLNESS OR INJURY

This section must be completed
IN CASE OF ILLNESS OR INJURY for Applicant, {ApplicantName}, after every reasonable effort has been made to contact parent/guardian of Applicant 18 years or younger, or in the event that an adult camper is unable to authorize treatment, I authorize the camp nurse to sign in my place for necessary treatment by a local physician and/or for hospital care.
Parent/Guardian, {ParentGuardianName}
Date

MonthDayYear
Parent/Guardian's Signature for Camp Nurse to sign in my place for necessary treatment

Clear
APPLICANT EMERGENCY CONTACTS

This section must be completed
Emergency Contacts for Applicant, {ApplicantName}
Emergency Contact #1 Name*

First NameLast Name
Emergency Contact #1 Superpower

DeafHard of HearingHearing
Emergency Contact #1 Cell Phone Number
Please enter a valid phone number.
Emergency Contact #1 VP Phone Number
Please enter a valid phone number.
Emergency Contact #1 Residential Phone Number
Please enter a valid phone number.
Emergency Contact #1 Relationship to Applicant
(e.g. Aunt, Grandpa, Cousin, etc.)
Emergency Contact #2 Name*

First NameLast Name
Emergency Contact #2 Superpower*

DeafHard of HearingHearing
Emergency Contact #2 Cell Phone Number
Please enter a valid phone number.
Emergency Contact #2 VP Phone Number
Please enter a valid phone number.
Emergency Contact #2 Residential Phone Number
Please enter a valid phone number.
Emergency Contact #2 Relationship to Applicant
(e.g. Aunt, Grandpa, Cousin, etc.)
Physician Name

First NameLast Name
Physician Phone Number
Please enter a valid phone number.
Dentist Name

First NameLast Name
Dentist Phone Number
Please enter a valid phone number.
MEDICAL INSURANCE

This section must be completed
Medical Insurance for Applicant, {ApplicantName}

Insurance must be valid in the State of Oregon. If not, you are personally responsible for any medical expenses necessary for camper.
Applicant has Medical Insurance that is valid in State of Oregon*

YesNo
Health Insurance Company
Health Insurance Phone Number
Please enter a valid phone number.
Health Insurance Member ID
Health Insurance Group ID
MEDICATION

This section must be completed
Medication Checklist for Applicant, {ApplicantName}

Attention All Campers! Please read this notice.

You will meet with the camp nurses during registration on Sunday. They will be checking your forms for accuracy and collecting your medication.

All your prescription medication must be in PHARMACY LABELED CONTAINERS.

Tell the nurse of any meds that you must keep in your possession for emergencies (asthma, allergies, heart conditions).
Applicant will bring prescription medication to camp*

YesNo
Applicant will bring over the counter medication to camp*

YesNo
Applicant has the following in their possession for emergencies

Asthma MedicationDiabetes MedicationEpilepsy Medication
CAMP NURSE PHARMACY

This section must be completed
Camp Nurse Pharmacy permission for Applicant, {ApplicantName}

The most common complaints during camp are stomach aches and headaches. The camp nurse pharmacy will have medication available to dispense. See below.
Parent/Guardian gives permission to Camp Nurse to dispense the following to the Applicant during camp

Ibruprophen (Advil)Acetaminophen (Tylenol)Liquid and tablet antacids (ex. Maalox)BenedrylNone of the Above
Parent/Guardian, {ParentGuardianName}
Date

MonthDayYear
Parent/Guardian Signature for Camp Nurse Pharmacy

Clear
APPLICANT PRESCRIPTION MEDICATION

This section must be completed
Perscription medication for Applicant, {ApplicantName}

If Applicant is bringing prescription medication to camp. Prescription medication is kept by the Nurse.
Prescription #1 Medication Name
Prescription #1 Dosage Amount
(e.g. one tablet, two tablets, etc.)
Prescription #1 Time to be Taken
(e.g. before, after or during breakfast, lunch and/or dinner, before bedtime, etc.)
Prescription #1 How to take Medication
(e.g. my mouth, injection, inhalant, etc.)
Prescription #2 Medication Name
Prescription #2 Dosage Amount
(e.g. one tablet, two tablets, etc.)
Prescription #2 Time to be Taken
(e.g. before, after or during breakfast, lunch and/or dinner, before bedtime, etc.)
Prescription #2 How to take Medication
(e.g. my mouth, injection, inhalant, etc.)
Prescription #3 Medication Name
Prescription #3 Dosage Amount
(e.g. one tablet, two tablets, etc.)
Prescription #3 Time to be Taken
(e.g. before, after or during breakfast, lunch and/or dinner, before bedtime, etc.)
Prescription #3 How to take Medication
(e.g. my mouth, injection, inhalant, etc.)
Prescription #4 Medication Name
Prescription #4 Dosage Amount
(e.g. one tablet, two tablets, etc.)
Prescription #4 Time to be Taken
(e.g. before, after or during breakfast, lunch and/or dinner, before bedtime, etc.)
Prescription #4 How to take Medication
(e.g. my mouth, injection, inhalant, etc.)
Prescription #5 Medication Name
Prescription #5 Dosage Amount
(e.g. one tablet, two tablets, etc.)
Prescription #5 Time to be Taken
(e.g. before, after or during breakfast, lunch and/or dinner, before bedtime, etc.)
Prescription #5 How to take Medication
(e.g. my mouth, injection, inhalant, etc.)
Prescription #6 Medication Name
Prescription #6 Dosage Amount
(e.g. one tablet, two tablets, etc.)
Prescription #6 Time to be Taken
(e.g. before, after or during breakfast, lunch and/or dinner, before bedtime, etc.)
Prescription #6 How to take Medication
(e.g. my mouth, injection, inhalant, etc.)
APPLICANT OVER THE COUNTER MEDICATION

This section must be completed
Over the counter medication for Applicant, {ApplicantName}

If Applicant is bringing over the counter medication to camp. Over the counter medication is kept by the Nurse.
Over the Counter #1 Medication Name
Over the Counter #1 Dosage Amount
(e.g. one tablet, two tablets, etc.)
Over the Counter #1 Time to be Taken
(e.g. before, after or during breakfast, lunch and/or dinner, before bedtime, etc.)
Over the Counter #1 How to take Medication
(e.g. my mouth, injection, inhalant, etc.)
Over the Counter #2 Medication Name
Over the Counter #2 Dosage Amount
(e.g. one tablet, two tablets, etc.)
Over the Counter #2 Time to be Taken
(e.g. before, after or during breakfast, lunch and/or dinner, before bedtime, etc.)
Over the Counter #2 How to take Medication
(e.g. my mouth, injection, inhalant, etc.)
Over the Counter #3 Medication Name
Over the Counter #3 Dosage Amount
(e.g. one tablet, two tablets, etc.)
Over the Counter #3 Time to be Taken
(e.g. before, after or during breakfast, lunch and/or dinner, before bedtime, etc.)
Over the Counter #3 How to take Medication
(e.g. my mouth, injection, inhalant, etc.)
MEDICAL RELEASE

This section must be completed
Medical Release for Applicant, {ApplicantName}

Medical Release—Authorization for care, and Liability Agreement

I, {ApplicantName/Gaurdian}, I accept full responsibility for transportation, and/or any related costs for medical services, should the need for any service occur during the week of NWCCD. I authorize the camp nurse, camp physician, or camp director to transfer the above person to an advanced level of care facility for treatment, including a hospital, a clinic, and/or emergency transport vehicle. I authorize release of: Medical health history information, Health are provider, and Insurance information. I have medical insurance that is valid in the State of Oregon. I authorize the camp nurse to dispense medications as indicated on the NWCCD Medications Form. I have listed every medication on the NWCCD Medications Form.
Applicant, {ApplicantName}
Applicant Signature

Clear
Parent/Guardian, {ParentGuardianName}
Date

MonthDayYear
SPECIAL DIET

This section must be completed
Special Diet for Applicant, {ApplicantName}
Applicant has Special Diet Needs for camp*

YesNo
Note from NWCCD Staff: Special food items are ordered two weeks before camp. If you do not get your request in before that time, then you will be responsible for special dietary needs.

Twin Rocks kitchen staff is able to help you with your special diet needs in two ways: by providing enough variety in the menu from which you may choose, and by making substitutions for some (although not all) menu items in order to give you well-rounded meals. The menus for this week/weekend are posted on the wall to the right of the podium.

You are welcome to bring into the Dining Center any food items to supplement what we are offering you. There is a small refrigerator in the dining room under the beverage counter where you may store these items. We do ask those with no dairy or no wheat allergies to supply their own milk and bread. We offer only fresh fruit as an alternative to dessert for diabetics, so please bring your own sugar-free desserts if you want them. We hope you join us often for future camps. Upon request, we are happy to supply the week or weekend’s menu ahead of time in order to help you with your planning.

Below, please list your special diet needs. Please be as specific as you can, i.e., “no dairy, no wheat, vegetarian, vegan, no peppers or onion, diabetic, etc.” Please list only those diet needs that are related to food allergies, medical issues, or lifestyle choices, but not food preferences. Thank you.
If Yes, describe Applicant Special Diet Needs
Applicant Fees
Staff training starts at noon on Sunday, July 19th, 2026 at Twin Rocks. Attendance is required.

Please list the names of family that are coming with you on Sunday, July 19th

**Please list all, including children 2 and under. We need this for planning.

Staff/LIT are required to arrive at camp by noon 7/19 and to remain at camp.
Number of Staff you are paying for?
If you are filling out another form for a different staff person you may include the fees here in one place.
Number of LITs you are paying for?
If you are filling out another form for a different LIT person you may include the fees here in one place.
How many children are you bringing for Saturday training?
If you are a staff and are bringing kids to stay overnight on Saturday please note how many here.
Total Fees
Staff training starts at noon on Sunday, July 19th, 2026 at Twin Rocks. Attendance is required.

Please list the names of family that are coming with you on Sunday, July 19th

**Please list all, including children 2 and under. We need this for planning.

Staff/LIT are required to arrive at camp by noon 7/19 and to remain at camp.
List Names of family coming with you on July 19th Sunday
Applicant statement

The information contained in this application is correct to the best of my knowledge. I understand that the information I have provided on this form will be verified by a police background check and by contacting persons or organizations that may have information concerning me. I release and agree to hold harmless from any liability any person that provides information. I authorize any references or churches listed in this application to give you any information they may have regarding my character and fitness for children/youth work, and I release all such references from liability for any damage that may result from furnishing such evaluations to you. I also agree to hold harmless the NWCCD board of directors/Gospel Ministries for the Deaf, and their representatives.
Name

First NameLast Name
Signature

Clear
Should be Empty:

NWCCD 2026 STAFF Application

APPLICANT PROFILE

PARENT/GUARDIAN

STATEMENT OF FAITH

CHARACTER REFERENCE

NWCCD STAFF/LIT EXPERIENCE

Christian Life Experience

Staff Positions

HEALTH / MEDICAL CHECKLIST

IN CASE OF ILLNESS OR INJURY

APPLICANT EMERGENCY CONTACTS

MEDICAL INSURANCE

MEDICATION

CAMP NURSE PHARMACY

APPLICANT PRESCRIPTION MEDICATION

APPLICANT OVER THE COUNTER MEDICATION

MEDICAL RELEASE

SPECIAL DIET

Applicant Fees