The Salvation Army
Camp Allegheny Staff Application
Contact Information
First Name: (Required)
Last Name: (Required)
Birthday:
 (Required) i.e.(01/01/2007)
Age on June 1st: (Required)
Gender: (Required)
Present Address:
Address: (Required)
City: (Required)
State: (Required)
Zip: (Required)
Address Current Until:
E-mail: (Required)
Home Phone:
(Required)
Cell Phone:
Home Address: (If Different From Above)
Address:
City:
State:
Zip:
E-mail:
Home Phone:
Cell Phone:
Emergency Contact:
Contact Name: (Required)
Address: (Required)
City: (Required)
State: (Required)
Zip: (Required)
E-mail:
Phone:

Personal Information:
List any dates & reason between 6/7/16 - 8/4/16 which would require your absence:
(Required)
T-Shirt Size: (Required)
Marital Status: (Required)
Dependents & Ages:
Corps/Church Affiliation: (Required)
Do you Blog? (We will be asking to view your page)
Facebook: URL:
MySpace: URL:
Other: URL:
 
Do you smoke? (Required)
Do you use drugs? (Required)
Do you drink alcohol? (Required)
Have you been convicted of a felony in the last 7 years?: (Required)
If yes, please explain:
Can you perform the requirements of the job you are applying for either with or without reasonable accommodations?: (Required)

USE OF INTOXICATING BEVERAGES, TOBACCO, AND ILLEGAL USE OF CONTROLLED SUBSTANCES IS PROHIBITED AT SALVATION ARMY CAMPS

REFERENCES
(3 adults, not relatives, who know your character, experience, ability and Christian commitment. We do require a pastor's reference as one of your references.)
Full Name (Corps Officer/Pastor reference only). (Required) Years Known (Required) Relationship (Required)
Full Address (Required) Email Telephone
Full Name (Reference 1) (Required) Years Known (Required) Relationship (Required)
Full Address (Required) Email Telephone
Full Name (Reference 2) (Required) Years Known (Required) Relationship (Required)
Full Address (Required) Email Telephone
All offers of employment are conditioned upon verification by the applicant of authority to work in the United States. Such verification will be required only after an offer of employment is made.

All applicants will be required to comply with The Salvation Army's National Policy on Sexual Abuse of children, including the screening procedures set forth therein. A copy of the policy can be provided to all applicants. If accepted, and you are 18 and over, a background check will be completed by The Salvation Army.

EDUCATIONAL EXPERIENCE
  Institution Major Studies Degree Dates Attended
High School:
College:
Graduate:
Other:

WORK EXPERIENCE
Position Dates Employer Address Telephone

CAMP EXPERIENCE
Position Dates Camp Address Telephone
How did you hear about our camp and why are you interested in working here?
Describe any previous experience working with children.
How would you describe yourself to someone who didn't know you?

SKILLS & CERTIFICATIONS:
Give expiration dates of all licenses or certificates & state where issued.
  State Exp   State Exp
ACA Camp Craft ACA Camp Craft (Advanced)
ACA Canoeing ACA Instructor
ACA Trip BSA Aquatics
BSA Chaplain BSA Ecology/Conservation
BSA Field Sports BSA Lifeguard
BSA Program Director BSA Ranger
ARC CPR ARC CPR Instructor
ARC Emergency Water Safety ARCWater SafetyInstructor
ARC Lifeguard Training ARC Lifeguard Training Instructor
ARC Standard First Aid ARC First Aid Instructor
ARC Small Craft Instructor Chauffeur License
Commercial License Driver License
Licensed Practical Nurse Registered Nurse
YMCA Lifeguard YMCA Lifeguard Instructor
EMT

SKILL CHECKLIST
Choose Instructor for those activities you can organize & teach.
Choose Assistant for those activities you can assist.
Choose Participant for those activities you have useful experience in participating.
ATHLETICS
Baseball Basketball Group Games
Soccer Softball Street Hockey
Tennis Volleyball
ARTS & CRAFTS
Drawing Handicraft Leather Lacing
Painting Paper Mache
OUTDOOR LIVING
Campcraft Fire Building Hiking
Orienteering Outdoor Cooking Overnight Camping
Ropes Course
MUSIC
Dance (Modern) Dance (Sacred) Guitar
Piano Song Leading Timbrels
Vocal
NATURE & ECOLOGY
Animal Care Birds Conservation
Flowers Forestry Insects
Reptiles Rocks & Minerals
DRAMATICS
Acting Costuming Directing
Puppets Stage Craft Story Telling
WATERSPORTS
Canoeing Rowing Sailing
Swimming
MISCELLANEOUS
Campfire Program Evening Program Rainy Day Program
CHRISTIAN EDUCATION
Bible Study Cabin Devotions Morning Devotions
Sunday Service
KITCHEN
Cook Assistant Cook Dishwasher
Pots & Pans Stock Waitstaff
SECRETARIAL
Copying Faxing Typing
Answering Phones

Preference
» State, in order of preference, the position(s) you seek as well as the expected salary for each position.
» Please describe your experience indicating any particular qualifications or insights gained in connection with your choices. If you are applying for specialized position (nurse, waterfront, ropes course, etc.) indicate jobs held, certificates, training and experience. Complete this section without regard to the skills checklist.
Job Preference 1 (Required)
Salary $
Job Preference 2 (Required)
Salary $
Job Preference 3
Salary $
Are you applying to be a counselor?
If Yes, with which age group are you most comfortable working?
1st Choice:
2nd Choice:
Describe your personal goals for the summer.
Are you able to come to Pittsburgh for an interview, if so, when? (Required)
When is the best time of day to contact you for a phone interview? (Required)
What is the best number to reach you at? (Required)

Christianity
The Salvation Army desires that camps have a distinctly Christian atmosphere and influence. Though campers come from many religious backgrounds, all are included in chapel services, grace before meals, bedtime prayers, etc. Staff members participate in leading campers in these activities and, in addition, staff are expected to live exemplary lives before campers and other staff alike. Your application for a staff position is interpreted as an indication that you subscribe to a high moral, ethical, and Christian approach to camping. Please answer the following in your own words and use all of the space provided. You may use additional sheets if necessary.
Give a brief biographical sketch (church activities, family responsibility, career goals, etc.) (Required)
Describe your conversion experience (when and where you were saved). (Required)
Describe your walk with Jesus. (Required)
What contribution can you make to help camp fulfill its purpose and goals? (Required)
What are some of the things you think you do best? (Required)

Rules & Requirements
The Salvation Army
Purpose of Salvation Army Camping
Goals of Salvation Army Camping
Statement of Doctrines
I have read all the information contained in this application which describes The Salvation Army and its camping ministry. If employed, I agree to support and interpret these aims.
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application and release The Salvation Army and my former employers from any liability that may result from disclosing information relating to me in the course of any such investigation.
I understand if I am under 18 years of age I will need Parent/Guardian consent.
I understand this application does not necessarily mean I will be accepted for employment and that in the event of employment, false or misleading information given in my application or interview(s) may result in discharge.
I understand that my employment will terminate at the end of the camping season.