Lions Camp Horizon Staff Application
Applicant
Details:
Full Name
*
First Name
Last Name
Please select the position(s) you are appling for (Select any position you would be interested in):
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Camp Counselor
Specialized Counselor *Experience Required
Night Watch *Overnight position
Fire Watch *Overnight position
Activities Coordinator
Activities Assistant
Cook
Kitchen Assistant
Nurse/Med Tech *Experience and licensing required
Other
Night Watch, Fire Watch,Nurse/Med Tech, and Head Cook must be over 18. Do you meet this requirement?
Yes
No
Camp Counselor - This is an onsite position that requires you to stay overnight in our dorms Sunday evening – Friday afternoon. It requires long hours on your feet and may require assistance in the personal care of campers. Please provide us with information on your ability to meet these requirements, and if you are comfortable with assisting with personal care (not required).
Specialized Counselor - This position requires experience working with individuals with disabilities and personal care. We are looking for experience working with behaviors, communication challenges, and higher care needs. Overnight Sunday evening – Friday afternoon is ideal, but not required. Please provide us with information on your ability to meet these requirements and details on your experience.
Night Watch - This position is 8 pm – 8 am. You must be awake and available to campers for any needs that come up during the night, including personal care. Staying onsite during off hours is optional. Please provide us with information on your ability to meet these requirements and details on your experience with personal care (if any).
Fire Watch - This position is 9 pm – 7 am. Must complete hourly fire safety patrols during overnight hours. Duties require the ability to climb stairs and walk halls each hour. Employees must also be able to assist those with limited mobility in the event of an emergency. (Staying onsite during off hours is optional). Please provide information about your ability to meet these requirements.
Activities Coordinator - This position requires experience organizing and leading activities in a group setting. Experience in leadership and working with individuals with special needs is a plus. It is highly requested that this position is onsite Sunday evening – Friday afternoon staying in our dorms. Please provide us with information on your ability to meet these requirements and details on your experience.
Activities Assistant - This position involves being animated and energetic while leading games and activities with campers. Please list any special skills or talents you have, or any other details that would make you a good fit for this position.
Cook - Please give details on your experience working in a kitchen/restaurant. Include any experience with special diets, cooking for large groups, kitchen leaderships and meal planning/shopping
Kitchen Assistant - Please give details on your experience working in a kitchen/restaurant.”
Do you have a valid food handlers permit? If no, you will be required to obtain one before your first day of work.
Yes
No
Nurse/Med Tech - Please provide details on your experience and licensing.
What position is your first choice?
*
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Legal Name
*
First Name
Middle Name
Last Name
Preferred First Name (if applicable)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
You must be 16 years or older to work at Lions Camp Horizon. Please confirm you understand and meet this requirement.
*
Yes
No
Are you eligible for legal employment in the United States?
*
Yes
No
Please provide more details
Have you ever been convicted of a crime?
Yes
No
Please provide more details
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High School Name, Location, Graduation Year
College/Trade School/Name, Location, Degree/Area of Study, Graduation Year
Please list any additional schooling, training, certificates, licenses or specialized training.
Please describe any experience you have working with individuals with disabilities or special needs.
Are you comfortable providing personal care?
*
Yes
No
Please describe any experience you have working with personal care.
Please list any skills or talents you could share at camp (Musical instruments, Singing, Acting, Sports, Arts/Crafts, etc).
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Employment History
(Please list the 3 most relevant to your position with Lions Camp Horizon)
Employer #1
Currently employed here?
Yes
No
Position
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Start Date
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Month
-
Day
Year
Date
End Date
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Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #2
Currently employed here?
Yes
No
Position
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer #3
Currently employed here?
Yes
No
Position
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you been previously employed or volunteered with Lions Camp Horizon?
Yes
No
Please provide the years you have worked/volunteered at Lions Camp Horizon, the position, and your camp name
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Personal Reference (Non-Family Member)
Name
*
First Name
Last Name
Relationship
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Camp Dates 2026
It is important that you are available for all shifts during the week(s) you select.Most positions will start the Sunday evening before camp and end Friday afternoon following camp. Making a commitment to Lions Camp Horizon is making a commitment to our campers. They depend on you to be there to provide them with a safe, enjoyable and memorable experience.
Please select all dates you are available
*
Week 1 (Adventure Camp 1: July 6-10)
Week 2 (Base Camp1: July 13-17)
Week 3 (Base Camp 2: July 20-24)
Week 4 (Adventure Camp 2: August 3-7)
If you will miss any days/weeks of camp due to vacation, appointments, or other reasons please provide details here.
Many positions require overnight stay at camp Sunday evening – Friday afternoon during camp sessions. Please specify if you are able to stay onsite during camp session and provide any details we need to be aware of regarding this.
Certification and Authorization
*
I certify that this application and other documents I submit relative to applying for employment with Lions Camp Horizon contain no willful misrepresentations or falsifications. The information provided is true to the best of my knowledge. I authorize LCH to complete a criminal background check, verify education and employment history, and contact my personal reference.
Signature
*
*
I agree that typing my full name above constitutes my legal signature and that the information submitted in this form is accurate to the best of my knowledge.
Today's Date
*
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Month
-
Day
Year
Date
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Criminal Background Check
The Revised Code of Washington (RCW) is the compilation of all permanent laws now in force. Under the provisions of RCW 43.43.830 – 43.43.845 we are required to perform background checks on individuals who will be in contact with our campers during camp sessions.
Have you ever been convicted or found by a court for the following:
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Convicted of any crime against children or other persons?
Convicted of crimes relating to financial exploitation where the victim was a vulnerable adult?
Found by a court in a protection proceeding under Chapter 74.73 RCW to have abused or financially exploited a vulnerable adult?
Found in any dependency action under RCW 13.34.040 to have sexually assaulted or exploited any minor or to have physically abused any minor?
Found by a court in a domestic relations proceeding under Title 26 RCW to have sexually abused or exploited any minor or to have physically abused any minor?
Found by any disciplinary board final decision to have sexually or physically abused or exploited any minor or developmentally disabled person or to have abused or financially exploited any vulnerable adult?
Convicted of crimes related to drugs as defined in RCW 43.43.830?
None of the above
If you selected any of the above, please give more details
Background Check Authorization
*
I authorize a background check to be conducted through the Washington State Patrol or another agency as requested by Lions Camp Horizon.
Legal Name
*
First Name
Middle Name
Last Name
You may optionally include a photo of your driver's license
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Cover Letter (optional)
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Signature
*
*
I agree that typing my full name above constitutes my legal signature and that the information submitted in this form is accurate to the best of my knowledge.
Today's Date
*
-
Month
-
Day
Year
Date
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