SUMMER INTERN APPLICATION INFORMATION QUALIFICATIONS: We are looking for mature, Spirit-filled Christians who have a genuine love for kids. The ability to work in harmony with those whose views may be different from yours is a must for a Summer Intern. Interns cannot be afraid of hard work. The Kids Camp Summer Intern Program is not a place for a person who needs help to be a better Christian, but instead should be a reward for those who live a consistent Christian life and are a good example for others.
REMUNERATION: Kids Camp Summer Interns will receive an honorarium of $100.00 per week. They will also receive free room and board.
APPLICATION PROCEDURE: 1.
All Kids Camp Summer Interns must be at least 17 years of age.
2.
Give the Kids Camp Summer Intern Pastor’s Reference form to your pastor to complete and send in to the OCM Office. (Please allow your pastor plenty of time to submit this form before April 21, 2016. We cannot process your application without it.)
3.
Complete the Kids Camp Summer Intern Questionnaire.
4.
Complete the Kids Camp Summer Intern Application Form.
5.
Write a one page letter on why you would like to be a Kids Camp Summer Intern and what you feel you can offer to the camping ministry.
6.
Attach a current picture of yourself.
7.
Submit items 2-6 to the OCM Office before April 21st, 2016. This is a firm deadline.
8.
For those selected, Kids Camp Intern Interviews will be held during the month of April. Interviews will be held at the Assemblies of God District Office in Oklahoma City.
o cm
O K L A H O M A CH I LD R E N ’ S M I N I S T R I E S
WWW.OKAG.ORG/KIDS-CAMP
Kids Camp Summer Intern Application Form Dates of Service: May 27 - 29 (Intern Training) June 25 - July 30 (Entire Kids Camp Season)
For Office Use Only Received__________________ Bkgd. Check______________ Approved_________________
Kids Camp Summer Intern Applications should be submitted directly to: Oklahoma Children’s Ministries P.O. Box 13179 Oklahoma City, OK 73113 Applications Deadline: April 21, 2016
Name (First, Middle Initial, Last):______________________________________________________________ DOB:______/______/______ Age:_________ Gender:
Male
Female
Marital Status:
Married
Single
Physical Address:_____________________________________________________________ City:________________________ State:______ Zip:________ Mailing Address:______________________________________________________________ City:_______________________ State:______ Zip:________ Phone Number Where We May Contact You: (_________________) ________________-_________________________________________________ Email Address:________________________________________________________________________________________________________________________ Name of Church:_________________________________ Church City:______________________ Pastor’s Name:______________________________ Are you a Christian?
Yes, Year? __________
No Baptized in the Holy Spirit?
Yes, Year? __________
No
Do you have any physical handicaps or conditions (including pregnancy) preventing you from performing certain types of activities?
Yes
No
If yes, please explain:____________________________________________________________________________
________________________________________________________________________________________________________________________________________ Have you ever been convicted of a criminal offense (excluding minor traffic violations)?
Yes
No
If yes, include year and explanation:________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________ Are you willing to abide by the camp policies and procedures, refrain from using alcohol, tobacco, and illegal drugs, be given any position or assignment, be placed in any dorm, and if need be, go beyond the duties of your assigned position? YES
NO
The information I have provided in this application is correct to the best of my knowledge. I authorize my pastor to give you any information he/she may have regarding my character and fitness for summer camps, and I release him/her from liability for any damage that may result from furnishing such evaluations to you. Should my application be accepted, I agree to be bound by the Camp Policies and Procedures. I assume the risk of my actions during the entire time of my service with Oklahoma Assemblies of God Camps. I will refrain from unscriptural conduct, or conduct the camp leadership may feel inappropriate, in the performance of my service. I will fully cooperate in spirit. I _____________________________________________________, hereby authorize the Oklahoma District Council of the Assemblies of God, Inc. to do a standard background check.
SSN: _________ - _________ - ___________
APPLICANT’S SIGNATURE:___________________________________________________DATE:____________________________
APPLICANT’S Parent/Guardian SIGNATURE (if under 18):___________________________________________DATE:_______________________
Name:
Church:
Summer Intern Questionnaire Please submit this form, the Kids Camp Summer Intern Application Form, the one page letter, and a current photo, to the OCM Office before April 21, 2016. 1. If selected, do you agree to attend a weekend training session prior to camp ( May 27 – 29, 2016) and commit to serve the entire camp season (June 25 - July 30, 2016)? YES NO 2. Do you work well with others whose views may be different than yours? 3. Do you have the ability to carry out tasks without supervision?
YES
YES
NO
NO
4. Do you currently work with children in your church? YES NO Explain: ________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ 5. Please list all areas of ministry in which you have worked: _________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________ 6. Please check any special talents or skills that you posses: Play an instrument (Please list.) ____________________________________________________ ____________________________________________________ Sing Lead Worship Run Sound Computer Skills Video Editing Work with tools Creativity Entertaining children
Puppets Drama Set Design Cleaning Organization Cooking Carpentry Mechanic Other:_______________________________________ Other:_______________________________________ Other:_________________________________________
Office work Filing paperwork 7. Are you: (Please check all that apply.) outgoing? shy? patient? quick tempered? slow to anger? easily offended?
a leader? a follower? an optimist? a pessimist? focused? a problem solver?
Name:
Church:
Are you: (continued) a peacemaker? truthful? always in the middle of drama? friendly? helpful? a worrier?
comfortable in the middle of chaos? able to think on your feet? happy when others succeed? one who struggles with jealousy? able to take criticism? trustworthy?
8. What are your three favorite movies? ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ 9. What is the name of your favorite book - besides the Bible? ___________________________________________________________________________________________________________ 10. What are your three favorite T.V. shows? ___________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ 11. Who are your favorite singers? ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ 12. What is your favorite style of music? ___________________________________________________________________________________________________________ 13. What do you like best about yourself? ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ 14. What is the one thing you would like to improve about yourself? ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ 15. What is your favorite: Drink___________________________________Candy________________________________ Snack______________________________________________Dessert______________________________________________ 16. Do you like: Mexican________Italian________American_________Pizza_________Sandwiches____________? 17. What other information would you like us to know about you? ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________
SUMMER INTERN
SENIOR/LEAD PASTOR’S REFERENCE FORM PASTORS MAY CONSULT THEIR YOUTH OR CHILDREN’S PASTOR, BUT THE FORM IS TO BE COMPLETED ONLY BY THE SENIOR/LEAD PASTOR.
Applicant’s Name:_________________________________________________________ Church City:_______________________________________________
Church Name:____________________________________________
Dear Pastor, The applicant named above has made application to be a Kids Camp Summer Intern. The length of commitment is five weeks. This position requires a lot of hard work, long hours, and the ability to take instruction and follow through with the task. The Summer Intern Program is not a place for a person who needs help to be a better Christian, but instead should be a reward for those who live a consistent Christian life and are a good example for others. All information concerning this reference form will be kept confidential. Please do not take this recommendation lightly. We rely on your knowledge and recommendation of the applicant to make our decision of acceptance. If you have any questions or concerns, please fee free to call our office at (405) 475-1172. Thank you so much for taking the time to help us! Your opinion is valuable, and we appreciate you!
How long have you known the applicant? ___________________________________________________________________________________ Does the applicant work well with others?
Always
Usually
Rarely Yes
Does the applicant currently work with children at your church? Does the applicant often find themselves in the middle of “drama”?
Concerning working at Kids Camp, do you think this applicant would be:
No Explain: __________________________________ Yes
No Excellent?
Good?
Fair?
Do you feel confident that this applicant will represent you and your church in a responsible and Godly way? Do you recommend this applicant without reservation?
Yes
Poor? Yes
No
No
Comments: ___________________________________________________________________________________________________________________ For Office Use Only
Pastor’s Name (Print):___________________________________________________________ ____________________________________________________________________________________________________________
Signature:________________________________________________________________________
District Superintendent’s Signature
Please return this form to the OCM Office no later than April 21, 2016. Mail to:
Oklahoma Children’s Ministries P.O. Box 13179 Oklahoma City, OK 73113
Medical Form
CAMP # ___________
***This form is 2 sided***
Office Use Only
This form is required for all campers and staff.
MEDS
To provide enough time for processing, all Medical Forms are due at the time each church sends in their registration to the OCM Office. Please fill out in INK.
Church City
HOLDS
Church Name
Camper/Staff Name (First, Middle Initial, Last)
Gender (Circle One)
Male
Female
2015-2016 Grade
Date of Birth (mm/dd/yyyy) Age
Address
City, State, Zip
Emergency Contact Information Name:
Relationship:
Cell Phone (
)
Work Phone —
(
)
Home Phone —
(
)
—
If the camper/staff member does not have Health Insurance, please write “N/A” for “Insurance Provider.”
Insurance Provider
Policy #
Physician Name
Phone # (
Allergies (Please check all that apply and list treatment required.)
Type Animal:
Food:_________________ Insect Bites:
Group #
Treatment
)
—
May the staff member/child listed above be given over-the-counter, non-prescription medications or applications, not to exceed recommended dosage for stomach discomfort, burns, cuts, insect bites, rash, scrapes or other minor ailments?
YES
NO
List Exceptions:
Medicine/Drugs: _______________________ _______________________
Plants: Pollen: Other: Other:
Date of Last Tetanus Date of Last Immunization
Both sides of the form must be completed & signed in INK!
CAMPER NAME_____________________________________ CHURCH & CITY________________________________________ ALL MEDICATION MUST BE IN THEIR ORIGINAL CONTAINERS WITH A CURRENT/CORRECT LABEL. Please only send the amount needed for the length of camp. Pills sent in plastic baggies or weekly dose containers will not be given. Expired medication will not be given. All inhalers, nasal sprays, and epi-pens must be in the original box with the prescription label. (If the box is not available, ask the pharmacy to print a label.) All camper/staff medications and vitamins must be administered by the First Aid Staff in the First Aid Station. NO MEDICATION (INCLUDING VITAMINS) WILL BE ADMINISTERED UNLESS LISTED ON THIS SIGNED FORM.
Name of Medication
Dosage
Time to be Given
How Taken
Comments for First Aid Staff: (Please attach another piece of paper, if more room is needed to list meds or comments.)
MEDICAL RELEASE STATEMENT and Camp Policies and Procedures Agreement For CAMPERS or STAFF MEMBERS UNDER THE AGE OF 18: I, the parent/legal guardian of ____________________________(camper’s/staff member’s name), authorize the camp first aid personnel to administer the medications listed above. I hereby authorize camp personnel to obtain medical care, if necessary. My signature authorizes emergency treatment in the event of illness/injury when I am not immediately available. I understand, if necessary, the camper will be taken to a nearby hospital and will be attended by a physician on call. I further understand that I will be responsible for any medical expenses incurred. I also hereby authorize this document to be released to first responders and emergency personnel. I understand that any person with a fever, rash, pink eye, head lice, or other signs of illness will be sent home. I further understand that parents are responsible for their child’s transportation in the event of an illness or injury. I also agree with and support the enforcement of the Camp Policies and Procedures. Signature of Parent/Legal Guardian____________________________________________
Date ___________________________________
For STAFF MEMBERS 18 yrs. or Older: I, ____________________________, authorize the camp first aid personnel to administer the medications listed above. I hereby authorize camp personnel to obtain medical care, if necessary. My signature authorizes emergency treatment in the event of illness/injury if I am unconscious or unable to consent to treatment. I understand, if necessary, I will be taken to a nearby hospital and will be attended by a physician on call. I further understand that I will be responsible for any medical expenses incurred. I also hereby authorize this document to be released to first responders and emergency personnel. I understand that any person with a fever, rash, pink eye, head lice, or other signs of illness will be sent home. I further understand that I am responsible for my own transportation in the event of an illness or injury. I also agree with and support the enforcement of the Camp Policies and Procedures. Signature of Staff Member_______________________________________________________
Date __________________________________
KIDS CAMP
POLICIES & PROCEDURES The following are guidelines for the entire camp for the protective benefits of each person:
DORM ROOMS/FACILITIES • • • • • • •
No swapping or changing of rooms. Pranks, pillow fights, or wrestling in dorms is prohibited. Girls and boys are NOT allowed in the dorm area of the opposite sex. All rooms are to be left clean before activities each day and when leaving on your final day of camp. Inspection of rooms will be daily. Food or drinks will not be allowed in the Worship Center or in the cabins. (Water is allowed.) No outside food, drinks, or ice chests are to be brought to camp. (This does not apply to special dietary needs.)
BEHAVIOR • • • • • •
You are expected to observe habits of personal courtesy and Christian conduct in order to protect and insure a wholesome atmosphere of an Assemblies of God Camp. Campers are to stay with coaches at all times. Alcohol, tobacco, and illegal drugs are strictly prohibited. The daily schedule must be followed and attendance at all activities is required for both campers and staff. Stay in lighted areas of the camp at ALL TIMES. Fire Arms, knives, or any other weapons, are not allowed in the camp.
DRESS CODE • • • • • •
Fingertip-length shorts may be worn during camp. ALL clothing must cover chest, shoulders, backs, sides, and midriff at ALL times. No tight clothing will be allowed (such as spandex, bike shorts, any type of shirt or dress). Apparel may NOT display or promote tobacco, alcohol, controlled substances, or inappropriate language. Bring shoes/clothes that may be worn in the water or mud. Everyone is to wear shoes at ALL TIMES.
OFF LIMITS! • • • • • •
The recreation property to the south is OFF LIMITS, except for announced activities. NO camper is allowed on staff vehicles, except in the case of an emergency. Please observe the OFF LIMITS signs. Cabins are off limits without an adult present. No one is to leave the camp without permission from the Camp Director or Assistant Director. No guests are allowed at camp, except credentialed ministers with the Assemblies of God.
PERSONAL BELONGINGS • • • • • •
Respect the property rights of others. Do not borrow anything without permission. The camp is not responsible for lost, damaged, or stolen items. Shaving cream is for shaving only. Water balloons and water guns are NOT allowed in the cabins or worship center. Campers are not allowed to bring electronic devices of any kind to camp. This includes cell phones, computers, tablets, CD players, iPods, etc. Staff who bring electronic devices to camp, do so at their own risk. If warranted, the camp leadership reserves the right to search for and hold or dispose of personal belongings.
ADMINISTRATION OF MEDICATION & LICE CHECK • • • •
All Staff Members and Campers must provide a completed Medical Form no less than 2 weeks before the first day of camp, to allow time for processing. If a Medical Information Form is not provided, the Staff Member/Camper will be sent home; transportation is the responsibility of the church. All medications must be administered by the First Aid Staff. No exceptions. Medication that is not listed on the Medical Form, expired, or sent in baggies or weekly dose containers will not be given. All Staff Members and Campers are required to undergo a lice check two weeks prior to camp and, again, on the morning of camp. The check will be administered by your church’s Camp Coordinator or their representative. All persons must be nit-free in order to attend camp. Any person found to have lice at camp will be sent home; transportation is the responsibility of the church.
LOST AND FOUND •
Please label all items with first and last name. We will do our best to return items to their owner. We will hold all luggage and lost & found items for one week. All items not claimed within one week will be donated to charity.
MEDIA DISCLOSURE •
All campers agree that any media captured (photos, video, audio) is the property of the Oklahoma District Council of the Assemblies of God and can be used for future promotion.
Rules of acceptance and participation in the program are the same for everyone with regard to race, gender, or national origin.
SPARKS CAMP
FROM I-44 Exit 166 and go South on Hwy 18. Turn Left (East) on Hwy 18-B. When the road starts to curve to the left, turn right (South) on 3470 Rd. At the stop sign, turn left (East) on 990 Rd. The Camp will be on the right.
FROM I-40 Exit 186 and go North on Hwy 18. Turn right (East) on Hwy 18-B. When the road starts to curve to the left, turn right (South) on 3470 Rd. At the stop sign, turn left (East) on 990 Rd. The Camp will be on the right.
C A M P P H Y S I C A L A D D R E S S: Sparks AG Campground 347489 E 990 Rd Sparks, OK 74869
Please call (405) 475-1172, if you have any questions!