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Summer Address:
      5300 W. Loveland Rd
      Madison, OH 44057

New Staff Online Application Form

You must be able to attend staff training from Wednesday, July 4 through Saturday, July 7, 2018

Personal Information
First Name: Middle Name:
Last Name: Bird Name (if you have one):
Home phone Number: Cell phone Number:
Email address: Are you at least 18 years old? Yes No
Home Address: City:
State: Zip:
School Address (if applicable): City:
State: Zip:
Home Church (if applicable): Church Address:
City, State: Zip:
Gender: Male Female
 
Education & Employment
Highest Grade: Graduate Degree? Yes No
College Attended: Major Fields/Degrees:
Current Employer: Name of Supervisor:
Supervisor's Phone Number: Supervisor's Email Address:
 
References

List three references (not relatives) who have observed you in leadership positions and working with children. One reference should be someone from your church.

1) Name Position
Email
 
2) Name Position
Email
 
3) Name Position
Email
 
Cedarbrook Staff Preferences

Check which week(s) you are applying for:

Skills and needs will be assessed when determining
 length of contract.  You must turn in your activity interest sheet before being considered for more than two weeks.

Girls' Camp Week 1 (July 8-14)
Girls' Camp Week 2 (July 15-21)
Girls' Camp Week 3 (July 22-28)
Support Staff Week 4 (July 29 - August 4)
Boys' Camp Week 4 (July 29 - August 4)
First Age Group Preference (Select One):
Second Age Group Preference (Select One):
Check position(s) you would like to serve: Cabin Counselor
Division Director
Voyager Staff Counselor
Horsemanship Specialist
Cook
Activity Coordinator
Support Staff Coordinator
Business Manager
Life Guard
WSI
Tuck Shop Manager
Admin. Assistant
Grandma/Grandpa Birds
Nurse
Support Staff
Service Crew (Kitchen)
Service Crew Building/Grounds
Activity Specialist - Area:

Check if you are UNwilling to serve
in a co-counselor position

Co-counselor preference:
T-shirt size (men's sizes only):
 
Camping and Leadership Experience
Camper At: (Name of camp) Age: (when attended)
Number of Years:
Camp Staff Member At: Number of Years:
Postition(s) held:
Other experience
working with children:
Other leadership experience
(church/community):
 
Spiritual Information

Describe your conversion and Christian experience:

How would you explain the steps to becoming a Christian?
(Include Scripture references)

 
Additional Information

Why do you want to work at Cedarbrook Camp of Ohio this summer?

 
Voluntary Disclosure Statements
Do you have any physical or mental limitations that would limit your participation in camp activities? No Yes
If yes, please explain
 
Do you have any contagious or communicable diseases that may endanger others? No Yes
If yes, please explain
 
Have you ever been convicted of a crime? No Yes
If yes, please explain
 
Are there any felony charges pending against you? No Yes
If yes, please explain

Just one more thing!.... How did you hear about Cedarbrook Camp of Ohio?

Radio
Internet
Friend
Former Camper
CCO Staff Member
Camp Fair
Brochure
Church
Other

All Staff (new and returning) must undergo a mandatory annual fingerprinting and criminal background check (required by The American Camp Association and the State of Ohio). Check our website www.cedarbrookcampoh.com/staff for further instructions.

 
Signature I attest that everything in this application is true. No Yes
Signature: