Outdoor Education & Adventure Zone Facilitator Application
Camp Manitoqua & Retreat Center is a Christian organization that adheres to doctrinal standards that are stated in our by-laws and expects 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 Outdoor Education Coordinator at joe@manitoqua.org.
Name
*
First Name
Last Name
Are you at least 18 years old (this position requires you to be 18)?
Yes
No
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell phone
*
-
555
555.5555
Email address
*
Are you a member of a local Christian church?
Yes
No
Other
Church Location
Please note that answering this question does not affect your qualifications for this position.
Emergency Contact
In case of emergency, who would be your primary contact?
Name
*
First Name
Last Name
Relationship to You
*
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Emergency Contact Work Phone Number
-
Area Code
Phone Number
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 years of:
2022
2021
2020
2019
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
*
Yes
No
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What date are you available to begin work?
*
/
Month
/
Day
Year
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How many hours a week are you hoping to work in Outdoor Education (the OE schedule varies significantly seasonally and due to last minute changes):
*
4-8 hours
8+ hours
as needed
temporary
Other
Please list anything in your schedule that affects your availability (school schedule, conflicts, family commitments, vacations, etc). In addition, provide us with additional information to explain how many hours you hope to work!
*
List professional, trade, business, or civic activities and offices held.
(You may exclude those which indicate race, color, religion, sex, or national origin)
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References
Please list three references who are not related to you and are not previous employers.
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
Highest year completed
1
2
3
4
Describe what you are involved in at college, internships you have had, and other experiences you have had relating to your major or being an Outdoor Education staff.
Honors received
State any additional information you feel may be helpful to us in considering your application.
Employment Experience
Please provide information regarding recent employment
Most recent employer
Company name
Supervisor
First Name
Last Name
Work Email
example@example.com
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
Next previous employer
Company name
Supervisor
First Name
Last Name
Work Email
example@example.com
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:
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.
*
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?
*
How did you hear about this position?
I am a previous employee
Friend
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. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. 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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