Summer Staff Application - Personal Data & Job Preference
Submit this on-line application by clicking on the Submit button at the bottom. You may also print out this form, type or print with ink, and mail to: 48478 Mill Canyon Road, Oakhurst, California 93644. Optional: You may send a recent photo.

Name 
  Last                         First                         Middle    
Present 
Address 
Phone 
  Address                   City                    State           Zip    
Permanent 
Address 
Phone 
  Address                   City                    State           Zip    
Parent or 
Guardian 
Phone 
  Name                   Address    
Email  Are you over 
18 yrs of age? 
Over 21 yrs 
of age? 
School 
Attending 
Year  Explain if 
"Other" 
Major  GPA     
Are you a citizen of 
the United States? 
If not, what certification do 
you have to work in the U.S.? 
Do You Have A 
Driver's License?  
State Class: 
Do you have any traffic violations
on your current driving record? 
Any criminal record? 
If yes, please explain.
Have you ever been denied the
opportunity to work with children
in any capacity? 
If yes, please explain.


EMPLOYMENT / ACTIVITY SKILLS: Please mark an "A" by those categories you have had considerable experience and a "B" by those you have moderate experience.
Arts/Music Certificates Sports/Outdoor Activities Employment Skills
A B   A B   A B   A B  
Creative Crafts (Check only if VALID through summer) Archery House Cleaning
Graphic Arts First Aid Soccer Pool Maintenance
Computer Graphics CPR Basketball Computer Programming
Piano EMT Volleyball Operating Machinery
Guitar RN Ropes Course Host Services
Vocal Lifeguard Training Hiking/Backpacking Kitchen
Worship Leader Other:
Other:
Mechanical Repair
Other:
            Other:


JOB PREFERENCE: Indicate your first, second, and third position preferences below. Please select from EITHER the Main Camp OR the Timber Mountain positions for each choice.
1. First Choice Position: Main Camp Positions
Timber Mountain Positions
2. Second Choice Position:
3. Third Choice Position:
 
I am willing to serve: (Check any that apply)
in any position at Main Camp at Timber Mountain only in the positions I listed

 
CAMP OR CONFERENCE CENTER STAFF EXPERIENCE: List any camp experience. Use second line to explain responsibilities.
  Camp Name & Phone Number Age Group
Served
# of
Weeks
Yr(s) Position
1.
 
2.
 
3.
 

 
LEADERSHIP / MINISTRY EXPERIENCE: List paid & volunteer experiences you have had. Use the second line to explain responsibilities & accomplishments. Be sure to include any experience you have had i.e. Church Youth Leader, VBS Leader, Coach, Student Teacher, Dorm Resident Assistant, Campus Life, Young Life, Sunday School teacher, Bible Study leader etc.
  Organization/Position Dates Age Group
Served
Supervisor Phone
1.
 
2.
 
3.
 

 
EMPLOYMENT RECORD: List recent employment first. Exclude camp staff positions. Use second line to explain responsibilities.
  Employer/Company Position Dates City/State Phone
1.
  Reason
for leaving
2.
  Reason
for leaving
3.
  Reason
for leaving

 
AGE GROUP EXPERIENCE: Rate your experience and / or ability to teach and lead in EACH of the age groups listed below.

0 - no experience      1- little experience      2 - some experience      3 - much experience

Primary    Elementary   Jr. High   Sr. High   College   Adults


 
Please answer the following questions thoroughly.

Is Jesus Christ your Lord and Savior?
What church do you attend? How long at this church?
Pastor Phone
 

1. Describe your current relationship and personal commitment to Jesus Christ.

 
2. In what ways are you an active, growing Christian?
 
3. Why do you want to be employed with a Christian organization like Sugar Pine Christian Camps?

 
List the four individuals you intend to use as your personal references. Please do not use relatives or peers. Be sure that the person giving reference complies with title. Send the reference forms out A.S.A.P. We need one reference form from a Pastor/Youth Paster, and one form from an employer/teacher.
All references should reach Sugar Pine by May 1st.

Pastor/Youth Pastor Phone:
          Name                         Relationship    
Employer/Teacher Phone:
          Name                         Relationship    
Personal Reference Phone:
          Name                         Relationship    
Personal Reference Phone:
          Name                         Relationship    
How did you hear of Sugar Pine Christian Camps?

 
EMPLOYMENT POLICY

Employment is with the mutual consent of you and Sugar Pine Christian Camps. Consequently, both you and the company have the right to terminate the employment relationship at any time, with or without cause or advance notices. This employment at will agreement constitutes the entire agreement between you and the company on the subject of termination and it supersedes all prior agreements. Although other company policies and procedures may change from time to time, this employment at will agreement will remain in effect throughout your employment with the company unless it is specifically modified by an expressly written agreement signed by you and the Executive Director of the company. This employment at will agreement may not be modified by any oral or implied agreement.

The company is committed to equal employment for all qualified persons, without regard to race, age, color, sex (including pregnancy, childbirth, and related medical conditions), national origin, ancestry, age, physical disability, mental disability, medical condition, family care status, veteran status, or marital status, to the extent required by law. Sugar Pine is an Equal Opportunity Employer. Our application form is designed to obtain an applicant's skills, knowledge, and abilities based on specific job requirements. Questions are designed to gain enough data for us to determine an applicant's abilities to successfully perform the job for which he/she is applying.

YES NO  
I would consider it a privilege to undertake any responsibility assigned to me by leadership. I agree to follow all present and subsequently issued policies and expectations of Sugar Pine Christian Camps.
I certify that I am in good health and have no chronic conditions that would limit my ability to do the job for which I am applying. I can lift over 50 pounds and withstand a dusty work environment.
I authorize my former employees and references to give information concerning me, whether or not it is on their records. I release them and their companies from any liability whatsoever.
I certify that all statements given on this application are accurate and realize that falsification or misrepresentation of this or any other personal record may result in my discharge.
I will produce my driver's license and original social security card upon arrival to fulfill the governmental I-9 form requirement or employment eligibility.
If hired, I authorize Sugar Pine to do any necessary background checks. I understand that this is done in accordance with the laws and regulations of the state of California for any persons working with children.

I am out of school on: My school starts on:
I am able to begin work on: I must leave work on:
 
The exact dates you are available are extremely important!
Priority will be given to applicants available for the full term of employment.
Reference forms are needed to have a completed application packet. Please print one for a Pastor/Youth Paster, and one for an Employer/Teacher.

Please Click on the Submit button below to send your completed application to us.

You may also print out this form, fill it out completely, and mail or fax it to:

Sugar Pine Christian Camps - 48478 Mill Canyon Road - Oakhurst, California - 93644
Office: (559) 683-4938    Fax: (559) 683-4910    Website: www.sugarpine.org
Email: camping@sugarpine.org