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).
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Gender
Male
Female
Current Age
*
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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 Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Have you received certification or training in any of the following?
CPR
First Aid
Life Guard
Nurse
EMT
Counseling or Therapy
Describe your certification and/or training
Do you have previous background or training in working with children?
Yes
No
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?
No
Yes
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?
No
Yes
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 old
4-7 years old
9-12 years old
13-17 years old
Adults
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 Meals
Leading Hikes and other outdoor activities
Leading Music
Leading Large Games
Supervising Crafts
Lifeguarding
Sacristan
Planning and Scheduling
Cleaning and Organizing
Which Section(s) of Summer are you interested in attending?
June 9-July 6
July 11-Aug 3
Either one will work
Both sections (stay for whole summer)
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.
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