Application staff 2010 by ashrafp

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									                                  Sponsored by Faith Christian Community
                         4240 Wisconsin St. Anchorage, AK 99517 FCC #: 907-243-1777
                               royalfamily@faithak.com; www.anchorage.rfkc.org

                                              June 18-25, 2010
Welcome to the amazing world of Royal Family Kids’ Camp. RFKC, Inc is an international organization started 24
years ago which provides a loving, week-long camping experience for children who are part of the foster care
system. RFKC in Alaska is operated with a totally volunteer staff with over 10,000 volunteer hours.

 This is where you may come in. Below are listed opportunities to serve these children. RFKC has a tremendous
amount of staff to accommodate the needs of these children. Counselors, we call them Cousins keeping with the
family theme, are responsible for two children because they have two hands. A Cousin is paired with another
Cousin and his two kids. This creates their family pod. There is also a Grandma & Grandpa, Aunt & Uncle, Native
Elders, Deans of Men and Women, plus many, many other staff.

Below are other opportunities and the requirements for the position. Please check your interest and complete the
necessary application. All staff must complete the application. (*requires participation in training and complete
application). If you are directly involved with the children, a background check and reference checks will be
completed.

   Cousin*                                Activities Center Helper*                    Photographer*
   Photographer Helper*                   Lifeguard*                                   Music leader*
   2nd Cousin* (minimum age 16)           Special activity with the boys (Tuesday afternoon) *
   Night Angel* (Tuesday & Wednesday from 8 p.m. –midnight. Cousin relief.)

Requires completion of the abbreviated application (pages 1 and 5).
  Kitchen Staff                                Birthday Party Helper          Tea Party Helper – Tuesday afternoon
  Friday camp clean up staff                   Sound System                   Prayer team – all week, pre/post camp
  Registration helper- Monday morning          Sunday evening worship         Beauty shop – Monday morning
  Check out helper- Friday afternoon           Grant writing                  Fundraising
  Camp secretary assistant (pre-camp & administrative)                        Registration coordinator
  Placement coordinator assistant (pre-camp & administrative)                 Welcome Home Dinner staff
  Other___________________________________

Clarification of any position is available.

Training schedule: Mandatory training of 16 hours for all new staff. Training will be held in June. Dates: TBD.

Thank you again for your interest in Royal Family Kids’ Camp. It is a life changing experience for both the
children and those who participate.

Chris Scott, Director
Royal Family Kids’ Camp Anchorage
Cell: 907.441.5221 Fax: 907.243.8678 FCC: 907.243.1777
Email: royalfamily@faithak.com     www.anchorage.rfkc.org

Please copy this page for your information.
 For Office Use Only
 _____Received
 _____Interviewed                                                                            Attach Photo
 _____Contacted
 _____Background check
 _____ Ref #1 ___Ref #2
 _____Training

                                 Sponsored by Faith Christian community
                            4240 Wisconsin St. Anchorage, AK 99517 907.243.1777
                               royalfamily@faithak.com; www.anchorage.rfkc.org

                                              June 18-25, 2010

                       Counselor and Staff Application
  Instructions: Please print. All information is held strictly confidential. This form must be completely filled
  out for any staff member who is working with the children on the camp ground. The information is vital to
 your acceptance and possible placement as a counselor/staff. Your application will be returned to you if it is
 not completed. References and background check will be completed to be part of the on campus camp staff.


Date________


Current Driver’s License #_____________ (a photocopy of license must accompany application)


Last Name_________________ First Name____________________ Sex ___M___F Birth date__/__/__

Street_________________________________________________________ Age___ Marital Status____

City_______________________________ State_____ Zip Code________

Home Phone (___)______________ Business Phone (___)____________ Cell Phone (___)___________

Email Address__________________________________________________________________________

Emergency contact_____________________________ Relationship___________ Phone ____________


Occupation_____________________ Name of Employer____________________ Number of years____

How long have you lived in AK? _____ Years and _____ months

If you have not lived in AK or have lived here for less than 1 year, list your places of residence for the last 5
years.




                                                                                                                   Page 1
                                            Counselor/Staff Application

I would prefer my campers to be: __7 yrs old __8 yrs old __9 yrs old __10 yrs old __11 yrs old


Do you have certification in the following?: ___CPR ___ First Aid ___Life Guard ___Nurse ___EMT


Do you have any previous training or background in dealing with abused, neglected or abandoned children?
___No ___Yes In what way:____________________________________________________________

Were you a victim of abuse, neglect or abandonment as a minor? ___No ___Yes
      ___Yes, but I would prefer to discuss this in person.

Please clarify_________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Please describe why you wish to be a counselor/staff member for abused kids (use the back for space if necessary):
____________________________________________________________________________________

____________________________________________________________________________________

Medical History
Do you have any medical conditions? ___No ___Yes, please describe:
____________________________________________________________________________________

Do you take any medications? ___No ___Yes, please list medicine, reason and any side effects:
____________________________________________________________________________________

Have you any physical handicaps or conditions preventing you from performing any type of activity?
___No___Yes, please list

____________________________________________________________________________________

Record of Education
High School Name:___________________________________________Date of Graduation:_________

College:___________________________________Major:___________Date of Graduation:_________

Other: ____________________________________Major:___________Date of Graduation:_________
                                                                                                              Page 2
                                      Counselor/Staff Application

Personal References (No family members. Complete fully. A minimum of 2 references are checked.)
Name______________________________________________________________________________

Address__________________________________________________________ Phone #____________

       Email address__________________________________________________________________

Name______________________________________________________________________________

Address__________________________________________________________ Phone #____________

       Email address__________________________________________________________________

Name______________________________________________________________________________

Address__________________________________________________________Phone #____________

       Email address__________________________________________________________________

Personal Profile
Have you committed your life to Jesus Christ? ____No ____Yes

       Where & When:________________________________________________________________

What church do you presently attend?____________________________ How long? ___Years___Mos.

Pastor’s name:________________________________          Church phone #: ______________________

Do you have any previous experience working with children? ___No ___ Yes, please describe:
____________________________________________________________________________________

____________________________________________________________________________________

Do you have any previous experience working with abused children? ___No ___Yes, please describe:
____________________________________________________________________________________

____________________________________________________________________________________

Do you feel you could lead a 15-minute devotion with your campers with material we provide? __No __Yes




                                                                                                         Page 3
                                        Counselor/Staff Application

Please circle all the words below which you believe accurately describe you:

Timid         Gentle         Impatient              Modest                Nervous                Loving
Tactful       Mature         Sarcastic              Patient               Deliberate             Angry
Congenial     Stubborn       Compassionate          Kind                  Studious               Selfish
Secure        Abrasive       Considerate            Trustworthy           Motivated              Verbal
Organized     Impulsive      Intelligent            Insecure              Relaxed

List below, five strengths and five weaknesses you have in working with children (please be specific)

Strengths:

1.__________________________________________________________________________________

2.__________________________________________________________________________________

3.__________________________________________________________________________________

4.__________________________________________________________________________________

5.__________________________________________________________________________________

Weakness:

1.__________________________________________________________________________________

2._____________________________________________________________

3.__________________________________________________________________________________

4.__________________________________________________________________________________

5.__________________________________________________________________________________




                                                                                                           Page 4
                                         Counselor/Staff Application
Have you ever been arrested for a criminal offense?                                ______No _____Yes

Have you ever been convicted of or plead guilty to a crime?                        ______No _____Yes

Have you ever been arrested for sexual misconduct?                                 ______No _____Yes

Have you ever been convicted of or plead guilty to sexual misconduct?              ______No _____Yes

Have you ever taken drugs other than prescription drugs?                           ______No _____Yes

Do you currently: Use tobacco ___No ___Yes Use alcohol ___No ___Yes Use drugs ___No ___Yes

If you answered “Yes” to any of the above please explain. Use the reverse side if necessary.

T-Shirt Size:
__Adult Small __Adult Medium __Adult Large __Adult XL __Adult XXL __Adult XXXL

Applicant’s Statement
The information contained in this application is correct to the best of my knowledge. I authorize any references or
churches listed in this application to give you any information (including opinions) that they may have regarding
my character and fitness for children or youth work. In consideration of the receipt and evaluation of this
application by Faith Christian Community, I hereby release any individual, church, youth organization, charity,
employer reference, or any other person or organization, including record custodians, both collectively and
individual from any and all liability for damages of whatever kind or nature which may at any time result to me, my
heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that
I may have to inspect any information provided about me by any person or organization identified by me in this
application.

I further state that I have carefully read the foregoing release and know the contents thereof and I sign this release
as my own free act. This is a legally binding agreement, which I have read and understand.

Please be advised that a criminal history check will be requested from the state of Alaska as authorized by state law.

____________________________          _____________________________ ____________________
Print Name                            Signature                     Date

____________________________          _____________________________ ____________________
Witness Name                          Witness Signature             Date

Chris Scott, RFKC Camp Director
907.441.5221 cell  907.243.1777 Faith Christian Community
907.243.8678 fax   royalfamily@faithak.com
                                                                                                              Page 5

								
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