Camp Work Application
Name
*
First Name
Last Name
Middle Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Member Congregation
*
Address
*
Street Address
Street Address Line 2
City
State
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
Dietary Restrictions
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I am applying for:
Positon
*
Please Select
Director
Assistant Director
Teacher
Counselor
Other
If "Other" please specify location and event
Camp Locations (select all that apply)
Stony Lake Camp
Hasscib Lake Camp
Silver Springs
Kamp Kipa
Prairie Shores Camp
Pacific Northwest
Other
Stony Lake Camps
LLC Ministers Camp April 4–6
Mother Daughter Camp 1 April 11–13
Mother Daughter Camp 2 April 25–27
Mothers Camp 1 May 2–4
Music Camp May 16–18
Seniors Camp May 22–22
Father Son Camp 1 May 30–June 1
Youth Music Camp 1 June 6–8
Youth Music Camp 2 June 8–10
Youth Music Camp 3 June 10–12
Confirmation School SLC 1 June 14–21
Confirmation School SLC 2 June 22–29
Youth Language Camp July 9–11
Confirmation School SLC 3 July 12-19
Confirmation School SLC 4 July 20-27
Pre-Confirmation Camp SLC July 28–31
7th grade youth camp 1 August 1–3
7th grade youth camp 2 August 3–5
6th grade youth camp 1 August 6-8
6th grade youth camp 2 August 8–10
5th grade youth camp August 11–13
4th grade youth camp August 13–15
3rd grade youth camp August 15-17
2nd grade youth camp August 17–19
Mothers Camp 2 August 22–24
Mother Daughter Camp 3 September 5–7
Content Creators Workshop September 12–14
Bible Course October 3–5
Father Son Camp 2 October 10–12
Veterans Camp October 24–26
Other
Hasscib Lake Camps
Father Son Camp June 13–15
Confirmation School HLC July 13–20
Pre-Confirmation Camp HLC 1 July 21–24
Pre-Confirmation Camp HLC 2 July 24–27
Pre-Confirmation Camp HLC 3 July 27-30
Youth Camp (2nd-7th) Whole Family August 1-3
Mother Daughter Camp August 8-10
Youth Days August 29-September 1
Couples Camp September 12-14
Seniors Camp September 19–21
Other
Silver Springs Camps
Chronically Ill & Caregivers LLC Office May 2–3
2nd grade youth camp August 4–6
3rd grade youth camp August 6–8
4th grade youth camp August 11–13
5th grade youth camp August 13–15
Silver Springs Youth Days October 10–12
Other
Kamp Kipa Camps
Mens Camp May 9–11
SW Youth Days 15+ May 16-18
Pre-Confirmation Camp 1 May 19-22
Pre-Confirmation Camp 2 May 29-June 1
2nd Grade Youth Camp June 2–4
3rd Grade Youth Camp June 4–6
4th Grade Youth Camp June 6–8
5th Grade Youth Camp June 8–10
6th Grade Youth Camp June 10–12
7th Grade Youth Camp June 12–14
Confirmation School 1 June 15–22
Confirmation School 2 July 13–20
Father-Son Camp 1 August 1–3
Mother-Daughter Camp August 15–17
Music Camp August 22–24
Mothers Camp September 5–7
SW Youth Days 15+ September 12–14
Father-Son Camp 2 September 19–21
Other
Prairie Shores Camps
Language Camp July 7–14
Confirmation School July 20-27
Pre-Confirmation Camp August 17–20
Other
Pacific Northwest Camps
Confirmation School WC July 19-26
Pre-Confirmation Camp WC August 20–23
Other
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How many camps have you worked at?
None
1-2 camps
3-4 camps
5 or more camps
In what camp event roles do you have experience?
Counselor
Teacher
Event Director or Assistant Director
Core Staff
References
Reference 1: Immediate Family Member
Reference 1 is an immediate family member
*
OK
Reference 1: Name
*
Reference 1: Connection to you
*
Reference 1: Phone Number
*
Reference 1: Email
*
Reference 2 is someone you know in a professional setting (teacher, coworker, etc.)
*
OK
Reference 2: Name
*
Reference 2: Connection to you
*
Reference 2: Phone
Reference 1: Email
*
Reference 3 is someone you know in a professional setting (teacher, coworker, etc.)
*
OK
Reference 3: Name
*
Reference 3: Connection to you
*
Reference 3: Phone
Reference 3: Email
*
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LLC Policies
Information on this page will be retained confidentially in personnel records at the LLC office.
Social Security Number
*
LLC Sexual Misconduct Policy
*
I have read and agree with the LLC Sexual Misconduct Policy
Have you ever been convicted of a crime including sexual abuse?
No
Yes
Fair Credit Reporting Act
*
I have read my background check rights according to the Fair Credit Reporting Act
*
I verify the answers I have provided in this form are true and accurate. I understand that providing false answers and failing to sign this form will result in my being denied the position for which I am being considered. I consent to a background check and fingerprinting and agree to provide any information requested to complete a background check. I authorize verification and sharing of any information provided. I authorize references and employers to supply whatever information they have regarding my character and fitness for the position for which I have applied. I certify I have read, understand, and agree to comply with the Laestadian Lutheran Church Conduct and Conduct and Sexual Misconduct Policy.
Type your signature
*
Type signature of parent or guardian if applicant is under 18.
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