Application for Senior Staff 2027

Application for Senior Staff 2027

Camp Allen Summer Camp
Please gather your health history, medical insurance, and contact information before starting this application.

You can save an application to come back to it at any point.

Click the Save button at the bottom of the page. List your email and you can return to your application at any time.

If you have any questions, please contact Matt Ruka at this email address: mattr@campallen.org
General Information
Applicant's Name

FirstLast
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please upload a picture of yourself

jpg, jpeg, png, gif
Cancelof
Classification
Permanent Address

Street Address

Street Address Line 2

CityState

Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
University/College
Major
What church are you attending?
What church did you attend growing up?

Work & Volunteer Experience
Please list any company, club, or organization you have previously worked with; these can be school-related or personal.
Organization One
Position
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Brief description of responsibilities
Organization Two
Position
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Brief description of responsibilities
Organization Three
Position
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Brief description of responsibilities

References
If you have served with Camp Allen in the past, we only require one new reference to be listed. If this is your first year to serve, please list three references. Individuals will be contacted by email and asked to complete a form on your behalf.

Please note that family members and Current Camp Allen employees may not serve as a reference.
Reference One

First NameLast Name
Relationship
Teacher, Family Friend, Coach, Etc.
Email Address for Reference One
example@example.com
Reference Two

First NameLast Name
Relationship
Teacher, Family Friend, Coach, Etc.
Email Address for Reference Two
example@example.com
Reference Three

First NameLast Name
Relationship
Teacher, Family Friend, Coach, Etc.
Email Address for Reference Three
example@example.com

Tell us your life story in 100 word or less.

0/100
What is something that brings you joy?

0/75
What would constitute a perfect day for you?

0/75
What is your biggest personal achievement?

0/75
How would your best friend describe you?

0/75
Have you ever worked at Camp Allen? If so, in what capacity?

0/75
Why do you want to serve on Sr. Staff?

0/75
Do you have interest in joining our Worship team? If so, what do you play?

0/75
Describe an area of growth in your life (something you have identified as an opportunity for self-improvement).

0/75
Please share your faith story (when, why, how, etc.)

0/100
What faith communities are your currently plugged in to?

0/75
How do you grow your relationship with Jesus every day?

0/75
What will your relationship with Jesus look like in 10 years?

0/75

Health
Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Sex
Social Security Number
Parent / Guardian One

First NameLast Name
Parent / Guardian Cell Phone
Format: (000) 000-0000.
Parent / Guardian Two

First NameLast Name
Emergency Contact (different than parent / guardian)

First NameLast Name
Relationship
Parent / Guardian Cell Phone
Format: (000) 000-0000.
Emergency Contact Cell Phone
Format: (000) 000-0000.
Primary Care Physician

First NameLast Name
Primary Care Phone Number
Format: (000) 000-0000.
Health Insurance Company
Policy Number
Claims Address

Street Address

Street Address Line 2

CityState

Zip Code
Insurance Phone Number
Format: (000) 000-0000.
Have you ever been treated for any kind of emotional, mental, psychological, chemical, or behavioral conditions? If so, please explain
Please list any operations, serious injuries, or chronic/recurring illnesses
Please list any allergies and the allergic reaction that occurs
If you have any other conditions or health related information that our medical staff should know about, please explain
Date of your last Tetanus booster

MonthDayYear
2 digit month, 2 digit day, 4 digit year
I certify that all the information submitted by me on this application is true and accurate, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In relation to my serving in The Episcopal Diocese of Texas, I understand and authorize the access of public information from various federal, state and other agencies maintaining information regarding any public information. I also understand that this information may be accessed during my service and up to thirty (30) days after separation from this diocese. I hereby consent to you obtaining various public record information and other information from Diocesan / Church employers or agencies, by Texas Dept. of Public Safety and /or any other party or agency in accordance with the Fair Credit Reporting Act and any and all state and federal laws.

Schedule Your Senior Staff Interview

Schedule your interview below! Please schedule as early as possible! We have many applicants to get through. You must submit your application BEFORE your interview. If you have any questions, reach out to Matt Ruka - mattr@campallen.org

Senior Staff Social Covenant
The physical and emotional health of our team is vitally important. This Sr. Staff social covenant is a part of our daily culture and should be taken seriously. Failure to comply with these guidelines puts the efforts of our team at risk and your employment in jeopardy.

Please read through this list thoroughly, as your signature at the bottom constitutes your agreement to comply.
- From the day that Senior Staff moves into their houses until the day they move out, there will be no use of alcohol, tobacco products, or drugs permitted at any time. This includes offsite activities, off time and break week and individuals who are of legal age. This is mandatory with no excuses or exceptions.
- There will be a mandatory lights-out that begins at 1:00 AM, including Saturday nights. This means that every member of our team will be in their room with lights turned off before 1:00 AM.
- Senior Staff members are to keep their phones in the staff lodges while on the job throughout the summer. Only the leadership team members will be permitted to have their phones on their person while on duty for work-related use.
- Any type of pranking that pits one group against another (ie. male vs. female) is not permitted. Any activity that could potentially cause harm to people or the property of Camp Allen is expressly forbidden. Any interactions that are divisive in nature or cause undue stress on the team must be avoided.
- Senior Staff is only permitted to leave the property during their mid-week off time or their Saturday off time. Specific permission must be given from a summer camp manager if an additional trip off-site is required for any reason.
- Lodge guests will not be permitted during the workweek. Overnight lodge guests are strictly forbidden throughout the entire summer. Family or friends may visit the houses between 12 PM and 5 PM on Saturdays, but their stay should not exceed 30 minutes.
- Our speech should align itself closely with our core values. This means crude humor, foul language, sarcastic or snappy comments, etc. must be kept in check. We as believers in Christ are called to "not conform to the patterns of this world," so our life, community, and relationships should look different than what the world says is normal.
Signature
Should be Empty:

Application for Senior Staff 2027

General Information

Work & Volunteer Experience

References

Health

Schedule Your Senior Staff Interview

Senior Staff Social Covenant