Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Gender
              
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              Date of Birth
              
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                    MM 
                   
                
                
                  
                    DD 
                   
                
                
                  
                    YYYY 
                   
                
               
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              What is your High School graduation year (or GED completion)?
              
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                Camp Staff must have been out of High School for 1 or more years.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              Address
              
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                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Home Phone
              
             
          
                
                
                
                  
                    (###) 
                   
                
                
                  
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              Cell Phone 
              
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                    (###) 
                   
                
                
                  
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              Reference 1: Professional Reference
              
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              Reference 2: Personal Reference
              
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              Name of current School (if applicable)
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Degree-Major
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Applying For
              
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              Camp Shiloh's mission is faith-based. Why does living or growing in faith as a follower of Jesus matter to you? How has your life been impacted as a believer?
              
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              The Shiloh community and population is very diverse culturally and ethnically. Tell us about a service or work experience you have had in a diverse setting.
              
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                What did you do? How has that experience impacted your desire to work in a diverse environment?
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Have you worked with kids or youth before? Write Yes or No. 
              
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                If yes, tell us the ages you worked with and your role.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              What do family or friends say are your skills or gifts?
              
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              Have you ever worked at a summer camp? Why do you want to work at Camp Shiloh?
              
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                If yes, which one?
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              The campers at Shiloh are taught in many different ways. They learn from the lessons taught by the staff. They also learn from the example and actions of the staff. What do you hope the campers will learn from you this summer?
              
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              Have you been fired from a position working with children?
              
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                If yes, please explain.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              After reviewing the above camp policies, do you agree to them and have no issues adhering to these policies as outlined? 
              
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              Are you legally employable under the U.S. Immigration Laws?
              
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              Can you perform the essential functions of the job for which you have applied, with or without reasonable accommodations?
              
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              Do you agree to the above statement?
              
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              Arts and Crafts
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Music / Drama
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Nature / Camping 
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Spiritual 
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Athletics / Activities 
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              First Aid/CPR 
              
             
          
                Are you certified with a current certification card?
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              How did hear about Camp Shiloh?
              
                * 
              
             
          
                Check all that apply