Camper Registration
Staff Application

Staff Application

Name
Email
Phone Number
(###)###-####
Current Address
Street AddressCityStateZip Code
Permanent Address
Street AddressCityStateZip Code
Age
Birthday Date
MM
DD
YYYY
Gender Identity
Sexual Orientation
Program Applying For?
Areas in which you have Camp experience?
- Camp Staff
- Camper
- Adventure/Ropes Courses
- Music and/or Guitar
- Worship leadership
- Professional Counseling and/or Chaplaincy
- Prefer not to answer
- Other
Please share:
Religious Affilation (optional)
Place of Worship
City
Denomination
Educational Information
1)
Name of Institution, City, State, Dates Attended, Degree
2)
Name of Institution, City, State, Dates Attended, Degree
3)
Name of Institution, City, State, Dates Attended, Degree
4)
Name of Institution, City, State, Dates Attended, Degree
Are you presently in college?
If yes, current year in school?
Freshman, Sophomore, Junior, Senior, or Advanced Degree
Extracurricular activities, organization memberships, interests, hobbies:
Previous Camping Experience (as camper or staff)
1)
Years, Camp, Camper or Staff Position, Director’s Name
2)
Years, Camp, Camper or Staff Position, Director’s Name
3)
Years, Camp, Camper or Staff Position, Director’s Name
4)
Years, Camp, Camper or Staff Position, Director’s Name
Certifications
(check all current certifications)
- Life Guarding
- Wilderness First Aid
- Adult CPR
- WSI
- Emergency Response
- Wilderness EMT
- First Responder
- EMT
- Child / Infant CPR
Life Guarding
Expiration Date
Wilderness First Aid
Expiration Date
Adult CPR
Expiration Date
WSI
State of Certification / Expiration Date
Emergency Response
State of Certification / Expiration Date
Wilderness EMT
Expiration Date
First Responder
Expiration Date
EMT
Expiration Date
Child / Infant CPR
Expiration Date
References
(three non-familial references who can share with us information regarding your work and leadership styles. Examples include colleague, friend, teacher, pastor, mentor):
Reference 1
Name, Mailing Address, Phone Number
Reference 2
Name, Mailing Address, Phone Number
Reference 3
Name, Mailing Address, Phone Number
Please respond to the following questions.
Briefly state why you would like to work with gay, lesbian, bisexual, transgender & allied youth.
What gifts, skills, and experience do you bring to the ministry of Spiritual Pride Project?
What experiences have you had working with: Youth, LGBTQI issues and religious institutions?
How did you hear about Spiritual Pride Project?
Please add any additional information you think would be helpful as we consider your application.
Read carefully and acknowledge with your signature. I give permission to Spiritual Pride Project to ask for my employment references. I also give Spiritual Pride Project, its directors and Advisory Board permission to give future references regarding any of my volunteer work with The Spiritual Pride Project.
Name
FirstLast
Date
MM
DD
YYYY

Staff Application

Religious Affilation (optional)

Educational Information

Previous Camping Experience (as camper or staff)

Certifications

References

Please respond to the following questions.