Camp Staff Application
Royal Family KIDS Roswell, New Mexico - July 9-14 2017
Full Name
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First Name
Last Name
Choose one:
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This is my first time to work at a Royal Family KIDS Camp
I have served at RFK Camps in other Cities or States
Current Drivers License Number (A photocopy of license must accompany application)
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Upload picture of your DL here:
Please also upload a current photo of yourself (headshot).
Gender
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Male
Female
Current Age
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Marital Status
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Street Address
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City, State, Zip
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E-mail
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Phone Number: Best one to contact you
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-
Area Code
Phone Number
Occupation
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Name of Employer
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Number of Years At current employer
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Emergency Contact
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Relationship
Phone (Emergency Contact)
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T-Shirt Size
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Have you received certification in any of the following?
CPR
First Aid
Life Guard
Nurse
EMT
Counseling or Therapy
Do you have previous background or training in working with children who have been abused or neglected?
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Yes
No
If yes, in what way?
Were you a victim of abuse, neglect, or abandonment as a minor?
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Yes
No
Yes, but I would prefer to discuss this in person
If yes, please clarify
Please describe why you wish to be a part of Royal Family Kids Camp and work with children of abuse, neglect, and abandonment
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Medical History
Do you have any medical, emotional, or mental health conditions?
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No
Yes
If yes, please describe:
Do you take any medications?
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Yes
No
If yes, please list medication, reason and any side effects:
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Have you had any serious illness, injuries, or medical operations in the last three years?
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Yes
No
If yes, please list:
Have you had any physical handicaps or conditions preventing you from performing any type of activity?
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No
Yes
If yes, please list:
Education
High School Name
*
Date of Graduation
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College
College Major
Date of Graduation
Other Education
Personal References* (required for first time staff only) No former employers or relatives.
Reference #1 Name, Address, Phone, & Email
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Reference #2 Name, Address, Phone, & Email
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Reference #3 Name, Address, Phone, & Email
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Personal Profile
Have you committed your life to Jesus Christ?
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No
Yes
Where & When:
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What church do you presently attend?
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For how long?
Pastor's Name
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Please describe any previous experience working with children:
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Please describe any previous experience working with children who have been abused or neglected:
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Do you feel you could lead a 15-minute devotion with your campers with materials we provide?
No
Yes
List five (5) strengths you have in working with children: Please be specific
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List five (5) weaknesses you have in working with children: Please be specific
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How do you feel you would be best utilized at camp?
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I would prefer my campers to be:
7 years old
8 years old
9 years old
10 years old
11 years old
Have you ever been arrested for a criminal offense?
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No
Yes
Have you ever been convicted or plead guilty to a crime?
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No
Yes
Have you ever been arrested for sexual misconduct?
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No
Yes
Have you ever been convicted of or plead guilty to sexual misconduct?
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No
Yes
Have you ever taken drugs other than prescription drugs?
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Yes
No
If you answered "yes" to any of the above, please explain:
The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for working with children. In consideration of the receipt and evaluation of this application by the sponsoring Church or Royal Family Kids Camp Leadership, I hereby release any individual, church, youth organization, charity, employer reference, or any other person or organization, including record custodians, both collectively and individually from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.
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No
Yes
I have carefully read the foregoing release and know the contents thereof and I sign this release of my own free act. This is a legally binding agreement which I have read and understand.
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Yes
No
Thank you for your interest in being a part of the RFK Roswell Team!
By submitting this form you give us permission to contact your references and begin the screening process.
Submit
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