annual application

Camp Salvation Annual Staff Application

Thank you for taking your time to serve with us! This application is for returning staff. If it is your first time applying or has been more than five years since you last volunteered at Camp Salvation, please complete the Initial Application.
Rules for acceptance are the same for everyone without regard to race, color, nationality, gender, religion, or disability. We do reserve the right to refuse acceptance to our staff in appropriate cases if you are unable to complete all the requirements of the job description. If you would require constant supervision to stay on task or one-to-one assistance in order to accomplish requirements of the position, you would not be qualified to serve as a staff member, per 42 U.S. Code § 12182 of the ADA laws. Please contact us with questions.
Before you begin, please ensure that you have the following documents completed and available to upload:
- Prescription Medication Administration Form (only required for staff under 18 who will be brining prescribed medication, note that this will need signed by a health care provider)
- Any applicable certificates or licenses
These documents are avaliable on our website if these links do not work. Applications must be complete to be accepted. All paperwork must be attached in order to submit this application.

You can save your progress at anytime. Any application missing documentation will be considered incomplete.
Staff Information
First Name*
Middle Name*
Last Name*
MaleFemale
Date of Birth*

MonthDayYear
Date
MarriedSingle
Email Address*
This will be used for future staff communication. Please enter an address that you check frequently.
Address*
City*
State*
Zip*
Primary Phone*

Area CodePhone Number
YesNo
Name(s) of children:
If any children or other family members will be attending with you, they will also need to submit an application or registration. Please contact Kendra England for specific instructions if this applies to you.
Emergency Contact

If you are under 18, please list your parent/guardian.
Contact 1*
Relation*
Primary Phone*

Area CodePhone Number
Work Phone*

Area CodePhone Number
Contact 2
Relation 2
Primary Phone 2

Area CodePhone Number
Work Phone 2

Area CodePhone Number
Week and Position Selection
Elementary Week (June 15-19)High School Week 1 (June 22-27)High School Week 2 (July 6-11)Junior High Week 1 (July 13-17)Junior High Week 2 (July 20-24)
Adult Sponsor (Cabin Counselor, must be 18+)CookHelperLead CookMusic DirectorNurseOffice PersonnelRecreation DirectorSpecial SpeakerFamily Support (select this if you are attending with your spouse or other family member who is filling another role)
If you are volunteering for multiple weeks and are interested in different positions, please specify here:
Example: Helper for High School 1, Adult Sponsor for Junior High 1
Other Information
CDLFirst AidEMT/EMS/ParamedicCPROther
Upload any documentation of the certifications selected above:

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Church Information
Church you attend
City/Town
Church you are coming with (if any)
Health Information

A camp nurse is on site at all times.
It is our policy to contact the parent/guardian/emergency contact as soon as possible in the event of a serious accident or injury. If any of the information below has changed on the day of registration please inform the nurse during check-in. If you will be staying in a cabin with campers, medication will be required to be stored with the nurse. Please bring all medication or vitamins in the original container.

For the required fields below, if nothing applies, please put "NONE" in the box.
YesNo
YesNo
YesNo
If yes, please share anything that the medical staff should be aware of. *
Please list any known allergies and a description of their reactions: *
Example: peanuts= anaphylaxis
Please describe any physical or mental condition requiring Camp's special attention: *
Please list and describe any past illnesses, surgeries, accidents, or chronic health problems:*
Any activity you should be restricted from?*
Feel free to include any other helpful information:
Under 18 Release

If you are under 18, a parent must complete and sign this section. If you are over 18, please skip ahead.
Under 18 staff: List all medications, both prescribed and over the counter, all medications will be turned into the health officer except rescue inhalers or epipens, bring all medication in original containers. Please attach the required documentation:
Acetaminophen (Tylenol)Ibuprofen (Advil, Motrin)Antibiotic OintmentTumsMayloxMylantaBenadrylAfrin Nasal SpraySunscreenNone
Under 18 Staff: Current weight (for medication dosage as needed)
The following documents or links are avaliable on our website. Multiple documents can be uploaded for each section if needed. If you do not have a digital copy of a document, you can take a picture and upload that version. Supported File Types include: pdf, doc, dox, png, and jpeg.
- Prescription Medication Administration Form (only required for staff under 18 who will be brining prescribed medication, note that this will need signed by a health care provider)
Applications must be complete to be accepted. All paperwork must be attached in order to submit this application. Any application missing documentation will be considered incomplete.
Under 18 only: Please upload the Medication Administration Form if applicable.

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Parent Permission: I realize there are inherent risks involved in participating in Camp activities. In case of emergency I understand that every effort to contact me will be made. If I cannot be reached, I give my permission to the physician selected by an authorized staff member to hospitalize and give proper treatment to my child if necessary for the safety and well being of my child and other people at Camp Salvation.

I acknowledge
- that I will review Camp Salvation's expectations and policies with my child before arrival at camp.
- that failure to comply with these terms might result in a refusal of admission.
- that if my child is dismissed for being a safety concern, disruption, or for conducting themselves in a detrimental manner, I will be required to pick them up in a timely manner
To participate in all Camp activities except those previously mentionedTo allow Camp Salvation to use any pictures my child is in for promotional use.To be transported by staff for supervised off-site activities in staff/Camp vehicles.To be contacted via email, if one has been provided.
By completing the following, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. I understand that the above named camper will only be released to the names listed above, an update may be completed at registration.
Electronic signature:
Staff Acknowledgment
Staff Expected Behavior: We want to see God work at Camp, so it is important that we pray and prepare ourselves to be a blessing at Camp. We do not expect staff to have everything in their lives in perfect order, but we do expect you to strive to be a good example in your attitude and manner of living. You are examples to these impressionable Campers and we want you to take that seriously by striving to honor God in your lives both on and off the Camp grounds.

What to bring to Camp: Excitement, a great attitude, Bible, notebook, pens, sleeping bag, heavy blanket, pillow, and a fitted sheet to cover the mattress, personal hygiene items like soap, shampoo, towels, toothbrush and toothpaste, hair care items, deodorant, etc…

Clothes: Our Policy is Modesty. If you choose to dress inappropriately, you will be asked to change. By planning ahead and packing appropriately, you will save yourself the inconvenience of having to change and you will be contributing to a pleasant camp atmosphere. General Guidelines:
- No sleeveless shirts
- Pants and Shorts (shorts must reach close to the knee)
- Clothing should not be immodest, revealing, or inappropriate
What not to bring to Camp: Don’t bring a bad attitude to Camp or a desire to do wrong. Any “noise” that keeps us from hearing God at Camp; like non-Christian music, headphones, video games, internet surfing, inappropriate physical contact or clothing that is distracting. We want you to hear God better while you are here. Don’t bring valuables that could be misplaced. There is zero toleration for drugs, tobacco, or alcohol. Pursuant to sections 26.5-5-314(2) 26-6-106(2)(e), 25-14-103.5, and 18-13-121, C.R.S., tobacco and nicotine products are prohibited by law from use in and around licensed child care facilities.
there are inherent risks involved in participating in activities at Camp and in signing this application I am accepting the risksI promise to keep the Camp’s rules and policies as reviewed here and on the Camp Salvation Website.I agree to follow the Camp’s doctrinal statement while at Camp Salvation. Found on our website.I understand that a background check may be completed for me or I may be requested to fill out an Initial Form. *If you believe that this background check will disclose any other negative information, please send an explanation of how the issue has been resolved to secretary@campsalvation.comAny applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury according to section 18-8-503, C.R.S. and will be dealt with appropriately.2.410.K RULES AND REGULATIONS: I verify that I have read and been trained on the rules and regulations governing my child care program, including General Rules for Child Care Facilities, Rules Regulating Children's Resident Camps. Links are available on the staff page of our website.
By signing below, you are consenting to the above guidelines unless otherwise noted.
Electronic Signature:*
Please verify that you are human*
Should be Empty:

Camp Salvation Annual Staff Application

Staff Information

Emergency Contact

Week and Position Selection

Other Information

Church Information

Health Information

Under 18 Release

Staff Acknowledgment