Camp Staff Application 2025 - Catskill Christian Assembly

Phone number *

Address *

Gender *

Birthdate *

Emergency and Medical Information

This part of the form is in case of emergencies.

Emergency Contact Name *

Emergency Contact Phone Number *

Medical note (Any Allergies or Medical conditions)

Health Insurance Name

Policy Number

Group Number

Family Physician Name

Family Physician Phone Number

Date of last Tetanus Shot (if known)

Background Information

This part of the application lets us get to know you better.

Current Occupation

Are you baptized?

Do you regularly attend a church? *

When would you like to serve? *

Please look at our calendar, https://www.ccacamp.com/calendar, to know the dates of each camp.

Teen Work Retreat

Elementary Camp

Intermediate Camp

Senior High Camp

VOE Camp

Mid-Hudson Retreat

Ladies Retreat

BWAC

Young Adult Retreat

Where would you like to serve? *

Please visit https://www.ccacamp.com/camp-staff to learn more about each role.

Dean

Counselor

Cabin Mom

Cabin Dad

Worship Leader

Head Cook

Cook

Facility Manager

S.W.A.T. Manager

Recreation Leader

Camp Nurse

Teachers

Other

Have you previously served at CCA? *

Why do you want to serve at CCA? *

Have you been convicted or pleaded guilty to any crime? *

Have you ever been convicted of child abuse or a crime involving actual or attempted sexual molestation of a minor? *

References

Sharing references helps us get to know you better before serving with our campers.

Reference #1 Name *

Reference #1 Years Known *

Reference #1 Relationship *

Reference #1 Phone Number *

Reference #2 Name *

Reference #2 Years Known *

Reference #2 Relationship *

Reference #2 Phone Number *

Camp Rules

No one is permitted to leave camp grounds without the permission of the dean.

Campers are never to leave the camp grounds without staff or faculty supervision.

Campers, staff, and faculty must sign in/out when leaving and returning to camp.

Tobacco, vape products, alcoholic beverages, weapons and drugs are prohibited on camp grounds.

Campers are not allowed to bring electronic devises including but not limited to: cd players, TVs, electronic games, mp3/ipods, cell phones, computers, ipads and tablets.

Campers must turn in cell phones at registration. Phones are kept in a locked safe during the week.

All campers and faculty are expected to follow the camp schedule.

All campers, faculty and staff must turn in all medications, over the counter and prescription in original bottles, to the camp nurse.

When participating in water activities: Girls: no two piece bathing suits. A t-shirt must be worn if a two piece is all that is available. Guys: no racer style trunks.

Dress code: no halter tops, tube tops, spaghetti straps, strapless attire, bare midriffs, miniskirts. Guys must wear shirts unless participating in water activities. No one is to go barefoot on the campgrounds at any time.

Campers are not allowed on the deck except when permitted by camp staff or faculty.

No food or drinks (except water) of any kind are allowed in the cabins.

Campers may not enter the kitchen or use the kitchen as a shortcut.

Campers are not allowed to use the staff refrigerator.

Cups, plates, silverware are not allowed outside the dining hall.

Campers are not allowed inside the canteen building.

Only designated staff may enter canteen building.

Campers may not leave the cabins at night except to use the restroom or in an emergency.

Campers are not allowed in the cabins of the opposite gender.

Cars belonging to campers must remain locked and unoccupied until the camp session ends. Keys must be turned in to camp office.

The camp manager or dean will review and elaborate on the rules on the 1st day of the camp week.

I agree and commit to following the Catskill Christian Assembly Camp Rules. *

I agree that I read and understand the Faculty Manual. *

https://static1.squarespace.com/static/63f7e08b84441b03385d4147/t/67e84e6a43f0be29d32ac181/1743277674200/25_CCA_Faculty+Manual.pdf

I give consent to Catskill Christian Assembly to use photos of me for marketing purposes. *

I authorize Catskill Christian Assembly and/or it's agents to make a background check. *

I hereby authorize Catskill Christian Assembly and/or its agents to make an independent investigation of my background, references, character, past employment, education, criminal, or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my Application and/or obtaining other information, which may be material to my qualifications as a volunteer or for employment now, and if applicable, during the tenure of my volunteering with Catskill Christian Assembly. I release Catskill Christian Assembly and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims, or lawsuits in regard to the information obtained from any and all of the above referenced sources used. The following is my true and complete legal name, and all information is true and correct to the best of my knowledge.

I agree that if I serve at Catskill Christian Assembly, I will refrain from activities that are illegal or unethical. *

I agree that the information given in this application is correct and complete to the best of my knowledge. *