Online Summer Staff Application 2010
Please complete each section carefully and prayerfully.

If it has a white background and *REQUIRED - it is required. You must put something in that box or the submit will fail.
If you are a returning staff and you are sure the information on file is correct, you can type "on-file".

Section One - EVERYONE MUST COMPLETE THIS SECTION

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.