Lifeguard Application
Camp Manitoqua & Retreat Center is a Christian organization that adheres to doctrinal standards that are stated in our by-laws and expects an understanding of those for all employees. Please take time to answer all of the questions below! If you have any questions, please reach out to the Guest Services Coordinator at stefan@manitoqua.org
Timeline for the Summer
There will be a one-day camp training the last week of May. First lifeguard shift will be in early June. Summer camps (Monday-Friday only) will then run until Friday, August 15.
Name
*
First Name
Last Name
Will you be 15 by the start of summer?
Yes
No
Date of Birth:
*
/
Month
/
Day
Year
Date Picker Icon
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone
*
-
555
555-5555
Email Address
*
Emergency Contact
In case of an emergency, who would be your primary contact?
Name
*
First Name
Last Name
Relationship to You
*
Emergency Contact Phone Number
*
-
555
555-5555
Emergency Contact Work Phone Number
-
555
555-5555
Have you filed an application here before?
*
Yes
No
I filled out an application back in:
2022
2021
2020
2019
Have you ever been employed here before?
*
Yes
No
I worked here during the summers of:
2022
2021
2020
2019
Are you prevented from lawfully becoming employed in this country because of a visa or immigration status?
*
Yes
No
What date are you available to begin work? (One training day end of May or beginning of June TBD, Spring Into Summer shift on Sunday, June 8, 2025 then first regular shift will be June 9, 2025)
/
Month
/
Day
Year
Date Picker Icon
How many hours a week are you available to work during the summer? (Select all that apply)
less than 15
15-25 hours (average amount of hours per week for lifeguards)
26-30 hours (picking up extra shifts here and there for others)
30-32 hours (average amount of hours for Head Guard or if you pick up a lot of extra shifts)
Unsure/other
Are you interested in working in other positions around camp around your lifeguard schedule? (Select all that apply)
Kitchen (helping with meals for campers/staff)
Helping with Day Camp (activities, being with a group for the day, etc.)
Grounds/Maintenence (mowing, helping with requests, etc.)
Please list any potential family vacations, summer trips, band/sports camps, or work you may have this summer. Also, if you will be unable to work until the last day of camp (August 15) due to going back to college or other high school commitments, please list that here as well.
References
Please list three references who are not related to you and are not previous employers. We will email these people with a reference form they will need to fill out that speaks of your life and character!
Reference #1
*
First Name
Last Name
E-mail
*
Phone Number
*
-
555
555-5555
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Relationship to you:
Reference #2
*
First Name
Last Name
E-mail
*
Phone Number
*
-
555
555.5555
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Relationship to you:
Reference #3
*
First Name
Last Name
E-mail
*
Phone Number
*
-
555
555.5555
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Relationship to you:
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Education
Tell us a little bit about your schooling:
High School Name
*
Highest year completed
*
9
10
11
12
Please list any extra-curricular activities you were involved in if any
College/University Name
What are you studying?
Highest year completed
1
2
3
4
5+
Describe what you are involved in at college, internships you have had, and other experiences you have had relating to your major or to being a lifeguard
Honors Received
Certifications
Please check any current certifications you possess. For any certifications you have, please put the expiration dates in the text box below. If you are needing to renew your lifeguard certification and would be paying on your own, camp is able to cover 50% of the cost (receipt required) if you fulfill your employment covenant and work as a lifeguard for the entire summer.
CPR
Standard First Aid
Advanced Life Saving
Lifeguard/Pool
Water Safety Instructor
When does your certification expire?
Example: CPR | June 2018
If you have a certificate, please upload it here or email it to stefan@manitoqua.org
Browse Files
Cancel
of
Employment Experience
Please provide information regarding recent employment
Most Recent Employer
Company name
Supervisor
First Name
Last Name
Email
Work Email
Phone Number
-
555
555-5555
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
May we contact them?
Yes
No
Second Previous Employer
Company name
Supervisor
First Name
Last Name
Email
Work Email
Work Phone Number
-
555
555-5555
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
May we contact them?
Yes
No
Summarize special skills and qualifications acquired from employment or other experiences:
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Going a Little Deeper
Please answer the following questions about yourself
Please indicate the number that best "describes" you in the following categories:
*
Low (1)
2
3
4
High (5)
Teachability
Promptness
Capacity to work with youth
Energy level
Communication Skills
Leadership Ability
Tell us about your personal religious beliefs, and/or share your personal testimony about how you came to understand the saving work of Jesus Christ. Also, tell us about some experiences and influences that have contributed to your spiritual growth.
*
Why do you want to serve at a Christian Camp for the summer?
*
What do you feel you can bring to the Camp Manitoqua & Retreat Center team?
*
Please describe your past experiences working with children
*
Is there anything else you would like me to know?
If you have worked here previously, what are some suggestions you have about the lifeguard position or pool in general?
If you were able to put any kid-friendly song on our lifeguard summer music playlist to play over the loud speakers, what would it be?
How did you hear about this position?
I am a previous employee
Friend (write who it is in the "other" box)
Relative
Social Media
Advertisement
Website
Other
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Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby acknowledge that any employment relationship with this company is of an “at will” nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. It is further understood this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of the company. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the employer as well as understand the doctrinal standards of the organization.
E-Signature of Applicant
*
First Name
Last Name
Date of Submission
*
/
Month
/
Day
Year
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Submit
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