| Date |
MM/DD/YYYY |
*REQUIRED |
|
|
First Name
|
[Legal Name]
|
*REQUIRED |
|
| Nick Name |
[Preferred Name] |
|
|
| Middle Name |
[or Maiden Name] |
|
|
| Last Name |
|
*REQUIRED |
|
| Date of Birth |
MM/DD/YYYY |
*REQUIRED |
|
| Educational Level |
|
*REQUIRED |
|
| Gender |
|
*REQUIRED |
|
| Staff Shirt Size |
|
*REQUIRED |
|
| Position 1 |
|
*REQUIRED |
|
| Position 2 |
|
|
|
|
Hold the "Ctrl" Key while you click
to select multiple
weeks
|
Mark all that apply!
|
*REQUIRED
To select multiple adjacent choices you can also use the shift key
to highlight a range.
|
|
| Address |
|
*REQUIRED (PERMANENT ADDRESS) |
|
| City |
|
*REQUIRED (PUT YOUR TEMPORARY ADDRESS
IN THE NOTES) |
|
| State |
|
*REQUIRED |
|
| Zip |
|
*REQUIRED |
|
| County |
|
*REQUIRED (WE NEED THIS FOR LOCAL BACKGROUND
SCREENING) |
|
| Home Phone |
###-###-#### |
|
|
| Cell Phone |
###-###-#### |
|
|
| Email |
|
*REQUIRED (We will respond to this address) |
|
| Social Security # |
###-##-#### |
*REQUIRED (REQUIRED FOR BACKGROUND SCREENING) |
|
| Driver's License # |
|
HELPFUL FOR BACKGROUND SCREENING / REQUIRED TO DRIVE CAMP
VEHICLES |
|
| DL State |
|
|
|
| Ethnic Heritage |
|
*REQUIRED (REQUIRED FOR BACKGROUND SCREENING)
(PREFER NOT TO ANSWER IS AN ACCEPTABLE RESPONSE)
|
|
| Ethnic- Other |
|
|
|
| Marital Status |
|
*REQUIRED |
|
Home Assembly
or Church |
|
*REQUIRED |
|
College Assembly
or Church |
|
YOUR REFERENCES SHOULD COME FROM WHERE YOU ATTEND MOST |
|
| Sunday Attendance |
|
*REQUIRED Base these answers on all fellowships
that you attend. |
|
| Mid-Week Meetings |
|
|
|
| Youth Meetings |
|
|
|
Roles / Service
Mark All That Apply
|
Use the "Ctrl" Key to select multiple roles |
To select multiple adjacent choices you can also use the
shift key to highlight a range. |
|
Instruments that
you play |
|
|
|
| Special Talents |
|
|
|
| Certifications / Licenses |
|
Professional License or Certifications [Lifeguard / Red
Cross / NRA - see Section Two] |
|
| Job Status |
|
|
|
|
Your Testimony
|
|
*REQUIRED
How do you know for sure that you have eternal life? Record your story
here briefly.
|
|
| Spiritual Goals |
|
*REQUIRED
What are your spiritual goals for the next year.
What motivates you to serve at Camp Horizon this year?
|
|
| Do you agree with the Doctrinal Statement
of Camp Horizon |
Exception to the Statement of Faith
|
" I BELIEVE ....
" That the Bible is the divinely inspired Word of God;
" In the Triune God - Father, Son and Holy Spirit;
" In the full deity and the full humanity of the Lord Jesus Christ;
" That because of the fall of man, the substitutionary death and
bodily resurrection of the Lord Jesus Christ was both necessary and sufficient
for the redemption of man;
" That when a person puts their faith in Jesus Christ, that Christian
can never lose their salvation;
" That the Holy Spirit's work is that of convicting, regenerating,
sanctifying, and indwelling of every believer;
" In the necessity of the new birth - that salvation is by faith
in Jesus Christ alone;
" The importance of a life fully committed to the will of God;
" In the expectation of the personal return of the Lord Jesus Christ;
" That the "sign gifts" (Tongues/Healings) were for the
foundation of the church and were temporary.
These gifts were not and are not an indication of the filling or baptism
of the Holy Spirit. |
|
|
Staff Agreement
If you are a minor (under age 18) you will be emailed an agreement
for a parent to sign as well.
|
TYPE YOUR FULL NAME TO SIGN THIS
*REQUIRED
|
" I understand
that all staff members will be leaving the campground at least once per
week on outings. Camp Horizon has permission of the staff member's parent/guardian
to take the staff member on supervised trips off the Camp property (canoe
trips, sailing trips, staff night out or other supervised outings). Permission
to ride with in a non-Camp Horizon vehicle (a personal vehicle) with a
driver that is not assigned that role by the director must be in writing.
A faxed form or letter that is signed by the same person signing this
form is acceptable. Email is not. Minors may drive their personal vehicles
between Camp Horizon and home only. Special permission will be considered
by written request of parent only.
" I understand that Camp Horizon endeavors to practice the highest
in Christian principles on and off the campground.
" I realize that I represent not only Camp Horizon but also the Lord
Jesus Christ.
" I understand that the use of all tobacco, alcoholic beverages,
and drugs is strictly prohibited by Camp Horizon staff.
" I promise that if I am accepted to work at Camp Horizon, I will
willingly follow the rules of Camp and the supervision of the Camp Director.
" I promise to work as a team member with my peers and do my part
to help every team member succeed this summer.
" I understand that I will be expected to provide the name of a person
from my home assembly that will serve as my Accountability Contact. This
is the person, (in addition to my parents if I am under age 18), that
the Camp Director will contact should disciplinary counsel or action be
required.
" I understand that the failure to follow camp rules will result
in progressive discipline that may lead to being sent home. I agree to
make restitution where indicated by my actions (i.e. repair or pay for
repairs to property).
" Most of all, I promise to do all things heartily as unto my Lord
and Savior, Jesus Christ.
" I agree to a background check by the FDLE (all applicants) and
for my local authorities (applicants over age 17) to release criminal
records to: Steve Slusser - Director, Camp Horizon - Leesburg Florida.
" I certify before God that I am of good moral character and have
not been convicted or are under investigation or prosecution for a crime
or event involving - domestic violence, child abuse, sexual abuse, or
controlled substances.
" I have read the waterskiing / tubing consent on the health form
and give my permission (and/or accept the agreement) for this staff member
to ski.
|
|
| SECTION TWO |
This section is for candidates for Program Staff |
All-Summer Staff, Collegians, and Program Staff should complete
this section. |
|
| |
Archery |
Nature Craft / Hiking |
|
| Indicate if you |
Basketball |
Riflery |
|
| Have Taught |
Canoeing |
Sailing |
|
| Could Teach |
Drama |
Water-Skiing |
|
| Would Learn to Teach |
Fishing |
Soccer |
|
| No Interest |
Games |
Volleyball |
|
| |
Handicrafts |
Other:
|
|
| |
Music |
Other:
|
|
| PREFERENCES |
First Choice |
Second Choice |
|
| |
Third Choice |
Fourth Choice |
|
| CERTIFICATIONS |
|
NRA - Red Cross - AHA or other national certifications you
did not list in the first section. |
|
| SECTION THREE |
This section is for candidates for Counselling Staff |
All-Summer Staff, Collegians, Weekly Counselling staff should
complete this section. |
|
| Essay Question One |
Respond to a camper that says that they "got saved"
at Vacation Bible School - but they have not been very good since and
wonder if they are are still saved. |
|
|
| Essay Question Two |
Explain how you would lead a child to faith in Jesus Christ.
Keep it simple - basic - and use Scripture |
|
|
| Age Group |
Junior Camp (Ages 8-11) |
|
|
| Assessment |
Youth Camp (Ages 11-13) |
|
|
| |
Varsity Camp (Ages 14-17) |
|
|
| SECTION FOUR |
Additional Information |
|
|
| BUNNY CAMPERS |
List children (name, gender, age of each) that must come
to camp with you (not camper age for the week you wish to serve). |
|
|
| |
DREAM SUMMER |
What role would you like to serve for each week your are
available (counsel - teach ____ - kitchen - etc) |
|
| |
Varsity One |
Varsity Two |
|
| |
Youth One |
Youth Two |
|
| |
Junior One |
Junior Two |
|
| Other Notes: |
|
This extra space is for anything that you want to use it for.
Example: School Address & for how long (ie - through May 1)
|
|
| |
|
|
|
Verification Code:
 |
ALL "*REQUIRED" FIELDS MUST HAVE DATA
(Even a 0 or n/a will make it happy).
*REQUIRED
If you get an error - refresh the page (F5).
|
The entire form is emailed to Camp Horizon when you click the submit
application button.
If you have left any required section blank - you will be redirected
back to this form.
|
|
|
If your form is complete you will be redirected to a confirmation page.
You may want to print the confirmation page for your records. |