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Apprentice Staff Application
Apprentice Staff
>
Apprentice Staff Application Form
Apprentice Staff Application
"
*
" indicates required fields
Step
1
of
14
7%
Date of Application
*
MM slash DD slash YYYY
Name
*
First
Middle
Last
Phone
*
Email
*
Have you previously served on Summer Staff or Apprentice Staff?
*
Yes
No
Date of Birth
*
Month
Day
Year
Gender
*
Female
Male
Will you be 18 during your time at camp?
*
Yes
No
Permanent Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Temporary Address (College/Other)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Name of Parents/Guardian
*
First
Last
Parents/Guardian Phone Number
*
Education
1. Name of School (include city/state)
*
Major / Minor
*
Date of (expected) Graduation
*
2. Name of School (include city/state)
Major / Minor
Date of (expected) Graduation
3. Name of School (include city/state)
Major / Minor
Date of (expected) Graduation
List special accomplishments, publications, extracurricular activities, etc.:
Please mark any certifications that you possess:
WI Boating
Hunters Safety
First Aid
Lifeguarding
CPR
CDL
Serve Safe
Date of WI Boating Expiration
Month
Day
Year
Date of Hunters Safety Expiration
Month
Day
Year
Date of First Aid Expiration
Month
Day
Year
Date of Lifeguarding Expiration
Month
Day
Year
Date of CPR Expiration
Month
Day
Year
Date of CDL Expiration
Month
Day
Year
Date of Serve Safe Expiration
Month
Day
Year
Employment History
Employer 1
Employer/Company
*
Position / Job Duties
*
Dates
*
Supervisor
*
Phone
*
Employer 2
Employer/Company
Position / Job Duties
Dates
Supervisor
Phone
Employer 3
Employer/Company
Position / Job Duties
Dates
Supervisor
Phone
Have you ever been discharged from any of the above positions? If yes, please explain:
Volunteer Experience
Volunteer / Other Experience: Please list your experience in each area, including location, dates and positions held
Church / Youth Group Participation
Experience with Children / Youth
Camp Service
Other
Position Desired
1. Service Area Desired
*
Related Experience / Skills
*
2. Service Area Desired
Related Experience / Skills
3. Service Area Desired
Related Experience / Skills
What would Fort Wilderness gain by having you on staff?
*
Photo
Max. file size: 128 MB.
Please include a picture of yourself (This is OPTIONAL but very helpful to help us recognize you.).
Personal Information
How did you hear about Fort Wilderness?
*
Have you been to Fort before?
*
Yes
No
When was the last time?
Have you served at Fort before?
*
Yes
No
When did you serve?
*
In what area and position?
*
Please list three things you would hope to gain while serving this year at Fort.
*
If your position allows, would you be interested in helping with the music ministry? If so, in what capacity?
*
Is your family in favor of you coming to Fort Wilderness as a staff member?
*
Yes
No
Are you currently attending a church? If yes, what church?
*
Camp Program Skills
Fort seeks to utilize people’s gifts, skills and desires as much as possible. Staff applying for one position will often serve in many other areas as well. In the following list, please mark ALL THE AREAS that you have experience in. Also check the ‘teaching’ box In those areas that you would feel competent in teaching.
Arts/Crafts
Drawing/Painting
Experience
Teaching
Leather Craft
Experience
Teaching
Metal Work
Experience
Teaching
Woodworking
Experience
Teaching
Drama
Acting
Experience
Teaching
Theater Tech
Experience
Teaching
Music
Singing
Experience
Teaching
Piano
Experience
Teaching
Guitar
Experience
Teaching
Drums
Experience
Teaching
Leading Worship
Experience
Teaching
Sound Engineering
Experience
Teaching
Media
Photography
Experience
Teaching
Videography
Experience
Teaching
Graphic Design
Experience
Teaching
Nature
Animals
Experience
Teaching
Astronomy
Experience
Teaching
Creation Science
Experience
Teaching
Forestry
Experience
Teaching
Hikes
Experience
Teaching
Adventure/Challenge
Challenge/Ropes
Experience
Teaching
Climbing/Rappelling
Experience
Teaching
Outfitting
Backpacking
Experience
Teaching
Hiking
Experience
Teaching
Outdoor Cooking
Experience
Teaching
Overnight Trips
Experience
Teaching
Wilderness Trips
Experience
Teaching
Sports/Fitness
Archery
Experience
Teaching
Fishing
Experience
Teaching
Horseback Riding
Experience
Teaching
Informal Games
Experience
Teaching
Riflery
Experience
Teaching
Soccer
Experience
Teaching
Volleyball
Experience
Teaching
Waterfront Activities
Canoeing
Experience
Teaching
Kayaking
Experience
Teaching
Sailing
Experience
Teaching
SCUBA
Experience
Teaching
Swimming
Experience
Teaching
Water Skiing
Experience
Teaching
QUESTIONS
Must be completed for all positions. Answer the following questions using Scripture when possible (answers you give may be the most important part of this application):
A. Please write your story of how you came to faith in Christ. (include Scripture)
*
B. What do you trust in to get to heaven? Works; Faith in Christ + Works; or Faith in Christ alone. Explain.
*
C. How would you explain to someone else: Spiritual Growth; Christian Living? Are you striving to submit to God in your life?
*
D. How is your current (last 6 months) walk with God? What do you do to maintain spiritual growth?
*
E. Explain the importance of authority and describe how you respond to those in authority over you. Where does the bible fit into your view of authority?
*
F. How have you demonstrated leadership in your life?
*
G. Understanding that we all struggle in different areas of our lives, are you struggling with anything that could hinder you in a one on one Ministry role?
*
H. Please include any additional information you think would be helpful.
References
IMPORTANT: Please list your pastor/youth pastor/spiritual mentor, an employer or teacher, and one other supervisor or adult friend who knows you well and can describe your personal and spiritual qualities. Supply each the link to the Confidential Reference Form and have them submit it as soon as possible. Pick people who can verify your character. No relatives please. Your application will not be processed until all three references are received.
Name of Pastor/Youth Pastor/Spiritual Mentor:
*
Name of Employer/Teacher:
*
Name of Supervisor/Adult Friend:
*
Application for the position:
*
1. How are your gifts and skills applicable to the position you are applying for?
*
2. What are you currently learning in your walk with the Lord?
*
3. How do you see the values of Fort Wilderness impacting campers through this position?
*
4. What areas of growth do you see for yourself while filling this position?
*
Reference
*
Please list the name of your reference. Supply the Confidential Reference Form link to the person providing your reference and have them submit it as soon as possible. Pick someone who can verify your character. No relatives please.
Background
U.S. Citizenship or Permanent Residence
*
1. If offered a position on staff, will you be able to verify that you are legally permitted to be employed in the United States under Title VIII, U.S. Code Section 1324A, either by proving U.S. citizenship or permanent residence status with an unexpired INS employment authorization.
Yes
No
2. Have you ever pled “guilty” or “no contest” to, or been convicted, of a felony?
*
Yes
No
Please provide dates and details:
Applicant Statement
Applicant Statement
*
I certify that all information I have provided in order to apply for and secure a position with Fort Wilderness is true, complete and correct.
I understand that Fort Wilderness does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.
I understand that being a staff member at Fort Wilderness is at will and means serving with and cooperating with the camp administration and other staff members as unto the Lord, obeying all camp rules and sacrificing personal desires in the interest of campers and co-workers. My chief aim, if hired, will be to glorify Christ through my personal life and my service.
I have read and understand the Statement of Faith & Core Values and voluntarily agree to exemplify and follow the principles contained therein.
I hereby authorize Fort Wilderness to contact all prior employees and any references listed herein (or provided by them) to verify all information provided and to obtain any and all information related to my character, past work performance and ability to perform for Fort. I further hereby release all references and prior employers from any liability for information that is given in good faith. I voluntarily submit to any criminal / driving background check Fort Wilderness deems necessary. I affirm that I have never been charged with or convicted of any offense relating to child or sexual abuse anywhere.
I understand that this is an application for employment and that no employment contract is being offered.
I certify that all of the information is true to the best of my knowledge, realizing that any false information is grounds for not being hired. I realize that if statements are found to be untrue while working on staff that this is basis for dismissal from staff and that if being paid, I would only be paid through the day I am asked to leave.
I certify that I have read, fully understand and accept all terms of the Applicant Statement.
Are you currently under the age of 18?
*
Yes
No
Parent/Guardian – Applicant Statement
Because you are currently under 18, please have your parent/guardian review and agree to the Applicant Statement
Parent/Guardian Applicant Statement
*
I certify that all information I have provided in order to apply for and secure a position with Fort Wilderness is true, complete and correct.
I understand that Fort Wilderness does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.
I understand that being a staff member at Fort Wilderness is at will and means serving with and cooperating with the camp administration and other staff members as unto the Lord, obeying all camp rules and sacrificing personal desires in the interest of campers and co-workers. My chief aim, if hired, will be to glorify Christ through my personal life and my service.
I have read and understand the Statement of Faith & Core Values and voluntarily agree to exemplify and follow the principles contained therein.
I hereby authorize Fort Wilderness to contact all prior employees and any references listed herein (or provided by them) to verify all information provided and to obtain any and all information related to my character, past work performance and ability to perform for Fort. I further hereby release all references and prior employers from any liability for information that is given in good faith. I voluntarily submit to any criminal / driving background check Fort Wilderness deems necessary. I affirm that I have never been charged with or convicted of any offense relating to child or sexual abuse anywhere.
I understand that this is an application for employment and that no employment contract is being offered.
I certify that all of the information is true to the best of my knowledge, realizing that any false information is grounds for not being hired. I realize that if statements are found to be untrue while working on staff that this is basis for dismissal from staff and that if being paid, I would only be paid through the day I am asked to leave.
I certify that I have read, fully understand and accept all terms of the Applicant Statement.
Name of Parent/Guardian Signing Applicant Statement:
*
First
Last
Applicant Information – Background + Driver Screening
Legal Name
*
First
Middle
Last
Gender
*
Female
Male
Former Last Names or Maiden Names:
Last
Used when?
SSN:
*
Date of Birth:
*
Month
Day
Year
Driver’s License #:
*
State Issued:
*
Current Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Any Previous Addresses (within seven years)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Any Previous Addresses (within seven years)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Any Previous Addresses (within seven years)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Commercial License:
*
Yes
No
In the last three years:
1. Have you been at fault for any accidents?
*
Yes
No
2. Have you had any moving traffic violations?
*
Yes
No
3. Have you had any insurance company cancel/refuse you auto insurance?
*
Yes
No
4. Have you had your driver’s license revoked, suspended, or restricted?
*
Yes
No
5. Have you had any physical impairments other than corrective glasses?
*
Yes
No
6. Have you ever been charged with or convicted of “driving while intoxicated” or “driving under the influence”?
*
Yes
No
If any questions 1-6 have been answered with “yes,” please provide full details (dates, descriptions, amounts or other explanation):
Employee/Volunteer Background Investigation – Disclosure Statement and Release Authorization
*
DISCLOSURE REGARDING CONSUMER REPORT AND/OR INVESTIGATIVE REPORT
Fort Wilderness Ministries may obtain information about you for employment purposes from a third party consumer reporting agency. As such, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, supervisors, or associates. These reports may contain information regarding your criminal history, social security verification, motor vehicle records (“driving records”), verification of your education or employment history, or other background checks. Further, you understand that information may be requested from various Federal, State, County and other agencies that maintain records concerning your past activities relating to your driving, criminal, civil, education, and other experiences.
You have the right, upon written request made within a reasonable period of time after receipt of this notice, to request whether a consumer report has been conducted about you, disclosure of the nature and scope of any investigative consumer report, and to request a copy of your report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to applicants for employment is an investigation into your employment and/or education history. The scope of this notice and authorization is all-encompassing, however, allowing Fort Wilderness Ministries to obtain consumer reports and investigative consumer reports now and throughout the course of your employment to the extent permitted by law, unless you otherwise revoke your consent by providing written notification to Fort Wilderness Ministries. As a result, you should carefully consider whether to exercise your right to request disclosure of the nature and scope of any investigative consumer report.
The consumer and/or investigative consumer report(s) will be obtained from:
PreSearch Background Services, Inc. 126 W. Bayfield St. “PO Box 332” Washburn, WI 54891 (800) 574-0394
Additional Notices for particular states:
California applicants or employees only: By signing below, you also acknowledge receipt of A SUMMARY OF YOUR RIGHTS UNDER THE PROVISIONS OF CALIFORNIA CIVIL CODE §1786.22. Please check the appropriate box here if you would like to receive a copy of your investigative consumer report or consumer report at no charge. Yes No
Minnesota and Oklahoma applicants or employees only: Please check the appropriate box below if you would like to receive a copy of your consumer report free of charge. Yes No
New York and Maine applicants or employees only: You have the right to inspect and receive a copy of any investigative consumer report requested by Fort Wilderness Ministries by contacting the consumer reporting agency identified above directly. You may also contact Fort Wilderness Ministries to request the name, address and telephone number of the nearest unit of the consumer reporting agency designated to handle inquiries, which Fort Wilderness Ministries shall provide within 5 days.
New York applicants or employees only: Upon request, you will be informed whether or not a consumer report was requested by Fort Wilderness Ministries, and if such report was requested, informed of the name and address of the consumer reporting agency that furnished the report. By signing the authorization, you also acknowledge receipt of Article 23-A of the New York Correction Law.
Oregon applicants or employees only: Information describing your rights under federal and Oregon law regarding consumer identity theft protection, the storage and disposal of your credit information, and remedies available should you suspect or find that Fort Wilderness Ministries has not maintained secured records is available to you upon request.
Washington State applicants or employees only: You also have the right to request from the consumer reporting agency a written summary of your rights and remedies under the Washington Fair Credit Reporting Act.
Release Authorization
I acknowledge receipt of the DISCLOSURE REGARDING CONSUMER AND/OR INVESTIGATIVE REPORT above and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT (http://presearchus.com/images/Summary_of_Your_Rights_Under_the_FCRA_1-1-2013_.pdf)* and certify that I have read and understand both of those documents. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by the Company at any time after receipt of this authorization and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, local, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by PreSearch Background Services, Inc, (800) 574-0394, www.presearchus.com, another outside organization acting on behalf of Fort Wilderness Ministries, and/or Fort Wilderness Ministries itself. I understand that by signing my name below, that I am signing the Authorization form directing the background check as described above, and I certify that:
• I have received the Disclosure Regarding Consumer and/or Investigative Report, have read and received the Summary of Your Rights, and if a California resident/applicant, the A Summary of Your Rights Under the Provisions of California Civil Code §1786.22.
• I understand that my signature now and throughout this process will be binding. Additionally, notices, documents, and communications may be provided electronically and will meet the requirements set forth under Federal and/or State law, as permitted by law. I agree that a facsimile (“fax”), electronic or printout of this authorization may be accepted with the same authority as the original.
The purpose of this release form is to notify you that a consumer report and/or investigative report will be compiled in the course of consideration for your employment service.
I acknowledge that I have received and have read this “Disclosure Statement and Release Authorization”
I have also received a copy of “A Summary of Your Rights Under the Fair Credit Reporting Act” at http://presearchus.com/images/Summary_of_Your_Rights_Under_the_FCRA_1-1-2013_.pdf *.
*If you wish to have a printed copy of these terms please contact Fort Wilderness Ministries.
I agree and authorize.
Mission Statement & Statement of Faith
Mission Statement
*
Fort Wilderness Ministries (FWM) is an independent faith mission organized for the purpose of promoting the Gospel of our Lord and Savior Jesus Christ and serving the local church through various means.
Fort Wilderness exists to influence lives for eternity through God’s Word, Adventure Programs, the Wilderness and warm Christian Fellowship (2 Timothy 3:16-17, 1 Corinthians 9:22-23,
Psalm 19:1-4, Romans 1:20, 1 John 1:3)
This mission is pursued by:
1. Teaching God’s word, its life changing value, and its impact on life (2 Timothy 3:16-17)
2. Providing a refuge where campers are not distracted by the noise, images, and stress that comes from living in today’s culture (Mark 6:31-32).
3. Using creation to help campers connect with the God who created it (Psalm 19:1-4, Romans 1:20).
4. Providing adventure programming to give campers new and different experiences
to strengthen their relationship with Jesus Christ and with fellow campers
(1 Corinthians 9:22-23).
5. Sharing the Gospel of redemption through the death, burial and resurrection of
Jesus Christ (Romans 1:16, 1 Corinthians 15:1-4).
6. Teaching Biblical worldview principles to children and adults alike in a way that helps them understand and defend their faith at home, school, and work (Colossians 2:6-8).
7. Using every opportunity to build a relationship with churches, campers, community,
and staff that allow for spiritual life changing conversations and decisions
(Ephesians 4:12-13).
I have read the Fort Wilderness Mission Statement.
Fort Wilderness Ministries Statement of Faith and Values
Please review Fort Wilderness Ministries Statement of Faith and Values and confirm your support or variance with the statements by checking the box which correlates to your belief. Please provide explanatory language in the space provided with any item where you have a variance from the Fort Wilderness Ministries position. The ability to support Fort’s mission with respect to spiritual formation is a factor which influences hiring, promotion and leadership responsibilities.
1. The Scriptures of the Old and New Testaments are inspired of God and inerrant in the original writings. The Bible is the supreme and final authority in matters pertaining to faith and life (Deut. 4:2; Matt. 5:18; 2 Tim. 3:16-17; 2 Peter 1:20-21).
*
Fully Support
Some Variance
Major Variance
2. There is one God, eternally existent in three persons: Father, Son, and Holy Spirit (Deut. 6:4; Matt. 28:19-20; John 1:1-14; 2 Cor. 13:14; Heb. 1:3).
*
Fully Support
Some Variance
Major Variance
3. In Jesus Christ, who is God the Son, became man, begotten of the Holy Spirit and born of the Virgin Mary, and through eternity continues to be true God and true man (Is. 7:14; Matt. 1:18-23; Phil. 2:5-8; Heb. 2:17).
*
Fully Support
Some Variance
Major Variance
4. Mankind was created, male or female, by God in His image; we were knit together in the womb: all have sinned and thereby incurred both physical and spiritual death. All men are born with a sinful nature and consequently are sinners in thought, word, and deed (Gen. 1:27; 5:2; Ps. 51:5; 139:13-14; Rom. 3:23; 6:23; Heb. 9:27).
*
Fully Support
Some Variance
Major Variance
5. The Lord Jesus Christ died for our sins according to the Scripture as a substitutionary sacrifice. All who believe in Him are saved on the grounds of His death and resurrection (Rom. 5:1; 5:8; 1 Cor. 15:3-8; Eph. 2:8-9; 1 Peter 3:18).
*
Fully Support
Some Variance
Major Variance
6. The crucified body of our Lord was resurrected, and He ascended into Heaven, and lives there as the High Priest and advocate before the Father (Mark 16:1-6; 1 Tim. 2:5; Heb. 4:14-15; 7:23-28; 8:1-2; 9:24; 1 John 2:1).
*
Fully Support
Some Variance
Major Variance
7. Our Lord and Savior Jesus Christ will return to the earth personally, bodily, visibly, and gloriously and all believers should look for His return, which is the "Blessed Hope" of the church (Matt. 24:27; Acts 1:9-11; Titus 2:11-14; Rev. 1:7).
*
Fully Support
Some Variance
Major Variance
8. The bodies of the dead, both the just and the unjust will be resurrected. The just shall be resurrected at His coming to enjoy everlasting blessedness in His pres¬ence and the unjust at the final judgment unto everlasting judgment and punishment (1 Cor. 15; 1 Thess. 4:16-17; 2 Thess. 1:7-10; Rev. 6:15-17; 20:11-15).
*
Fully Support
Some Variance
Major Variance
9. PROTECTION OF MINORS:
*
We are responsible for the spiritual and physical well-being of the minors in our care and we have a duty to properly instruct and diligently protect them. (Psalm 127:3-5; Matthew 10:42; Matthew 19:14).
Fully Support
Some Variance
Major Variance
10. DIGNITY AND RESPECT:
*
Every person is afforded compassion, kindness, respect, and dignity. (Mark 12:28-31; Luke 6:31). Hateful and harassing behavior or attitudes directed toward any individual are repudiated and not in accord with Scripture nor the doctrines of FWM.
Fully Support
Some Variance
Major Variance
11. LOVE:
*
The greatest commandments are (1) to love God and (2) to love our neighbors as ourselves. (Matthew 22:36-40). We should demonstrate love toward fellow believers, those who are not believers, those who actively oppose us or our faith or doctrine, and those who engage in actions contrary to Biblical teaching. We believe that we should deal with those who oppose us graciously, gently, patiently and humbly. We believe that the Scriptures forbid the taking of revenge and the threat or use of violence as a means of resolving personal conflict or obtaining personal justice. (Matthew 5:44-48; Luke 6:31; John 13:34-35; Romans 12:9-10; Philippians 2:2-4). We also believe that love and truth complement rather than conflict with one another. (Ephesians 4:15).
Fully Support
Some Variance
Major Variance
12. MARRIAGE, GENDER AND HUMAN SEXUALITY:
*
Marriage is the exclusive, covenant relationship between one man and one woman. Marriage is an illustration of the relationship between Christ and the Church. Though sexual intimacy within the marriage relationship between one man and one woman is approved and even celebrated in scripture, any sexual intimacy outside of this covenant relationship falls short of God’s standard. God created human beings in two distinct genders: male and female. Any attempts to alter or change one’s birth gender fall short of God’s standards. (Gen. 2:24; Gen. 19:5, 13; Gen. 26:8-9; Lev. 18:1-30; Rom. 1:26-29; 1 Cor. 5:1; 6:9; 1 Thess. 4:1-8; Heb. 13:4).
Fully Support
Some Variance
Major Variance
13. STATEMENT OF FINAL AUTHORITY:
*
The statement of faith does not exhaust the extent of our beliefs. The Bible itself, as the inspired and infallible Word of God that speaks with final authority concerning truth, morality, and the proper conduct of mankind, is the sole and final source of all we believe. For purposes of the Corporation’s faith, doctrine, practice, policy, and discipline, our Board of Directors is the Corporation’s final interpretive authority on the Bible’s meaning and application.
Fully Support
Some Variance
Major Variance
Additional comments regarding a variance to the questions above:
Fort Wilderness Ministries Lifestyle Commitment
*
As an employee at FWM, I recognize and understand Fort Wilderness is a religious, non-profit Christian ministry representing Jesus Christ in all aspects of our professional and personal life. Fort Wilderness requires its employees to live their lives as Christian role models according to biblical precepts (Rom. 10:9-10; 1 Tim. 4:12; Luke 6:40). I agree to conduct myself in a way that will not raise questions regarding my Christian testimony. I realize a Christian lifestyle should reflect the biblical perspective of integrity and appropriate personal and family relationships, business conduct and moral behavior. I understand I am expected to demonstrate a teachable spirit, an ability to share love for others, a willingness to live contentedly under authority and a commitment to follow the Matthew 18 principle when an issue arises with fellow employees, volunteers and/or ministry leadership.
I understand and accept FWM expects its employees to maintain a lifestyle based on biblical standards of moral conduct. I further understand moral misconduct, which violates the bona fide occupational qualification to be Christian role model, includes, the values in FWM Statement of Faith and Values. Further, I have read, agree with and agree to abide by the religious standards set out in FWM Statement of Faith and Values. The Statement of Faith and Values is incorporated herein as if fully set forth herein.
As an employee of Fort Wilderness, I will maintain a lifestyle based on biblical standards of conduct. I recognize failure to do so may result in a reprimand, or, in some cases, dismissal from employment. I fully support the goal of Fort Wilderness in which each employee will have a lifestyle where ‘He might have the preeminence.’ (Col. 1:18) and commit to strive to achieve that goal in my lifestyle. By affixing my signature, I declare that I meet the Biblical standards of FWM and I will support the mission statement and statement of faith and values of FWM.
I agree to the Fort Wilderness Ministries Lifestyle Commitment
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