Summer Camp Intern Application

Heart Ridge Summer Family Camp Intern Application

All information is held strictly confidential. This form must be completely filled out. The information is vital to your acceptance and possible placement as an intern.
Full Legal Name*

First Name Middle Name Last Name
Last four digits of your Social Security Number*
Your Full Social Security number may be required separately to obtain the criminal background check from a third party.
Please also upload a current photo of yourself (headshot).
Gender

MaleFemale
Current Age*
Home Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
School Address if you are in college

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
If you currently do not live at home with your parents outside of school, please indicate that here.
E-mail*

Confirmation Email
Phone Number: Best one to contact you*

Area Code Phone Number
Emergency Contact*
Relationship *
Phone (Emergency Contact)*
T-Shirt Size

Adult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-Large
Have you received certification or training in any of the following?

CPRFirst AidLife GuardNurseEMTCounseling or Therapy
Describe your certification and/or training
Do you have previous background or training in working with children?

YesNo
If yes, in what way?
MEDICAL CONCERNS

Camp can be physically tiring, even exhausting. The facility or activities may require volunteers to manage uneven terrain, be at a high altitude, require hiking, climbing, running, swimming, lifting, stairs, and other strenuous activities depending on the position. Your medical condition (physical fitness, recent or chronic injuries, allergies, physical or emotional limitations, etc.) and even the medications you take may be affected by the activities, the altitude, the foods served, or the sleeping conditions.
Do you have any medical conditions or concerns, or are you taking any medications that you believe could prevent you from being an effective intern that we need to know about in order to help you be effective at camp?

NoYes
Please describe:
Education
High School Name*
Date of Graduation*
College
College Major
Date of Graduation
Other Education
Personal References* No relatives.
Reference #1 - Name*

First Name Last Name
Reference #1 - Phone*

Area Code Phone Number
Reference #1 - Email*

Confirmation Email
Reference #2 - Name*

First Name Last Name
Reference #2 - Phone*

Area Code Phone Number
Reference #2 - Email*

Confirmation Email
Job Experience
Please list 3 jobs, experiences, or volunteer positions and skills learned in those positions that would be helpful in this summer internship.
Personal Profile
Are you a practicing Catholic?

NoYes
What parish do you presently attend?*
In a couple of sentences, describe what part faith plays in your life.*
Give 3 reasons why you want to be a summer intern at Heart Ridge*
List five (5) strengths that you'd bring to the Summer Intern Team*
I would prefer to work with campers:

2-3 years old4-7 years old9-12 years old13-17 years oldAdults
Besides working with campers in small groups, the interns take on the other jobs of running a camp. Which of these would you feel comfortable doing?*

Cooking and Serving MealsLeading Hikes and other outdoor activitiesLeading MusicLeading Large GamesSupervising CraftsLifeguardingSacristanPlanning and SchedulingCleaning and Organizing
Print Name*
Signature*
Thank you for your interest in being a part of the Heart Ridge Summer Intern Program !

If you seem like a good fit for our summer intern program, we will follow through with a zoom interview.
Should be Empty:

Heart Ridge Summer Family Camp Intern Application

MEDICAL CONCERNS

Education

Personal References* No relatives.

Job Experience

Personal Profile

Thank you for your interest in being a part of the Heart Ridge Summer Intern Program !