APPLICATIONFORMINISTRYPOSITION

UPWARDBOUNDCAMP FORPEOPLEWITHSPECIALNEEDSINC.
ANONPROFITCAMP501(C)3 ACCREDITEDBYTHEAMERICANCAMPINGASSOSIATION

POBOXCSTAYTON,OREGON97383 PHONE:(503)8972447 EMAIL:UPWARD.BOUND.CAMP@GMAIL.COM WWW.UPWARDBOUNDCAMP.ORG

Date PositionApplyingFor FullName Address State/Province Zip City Besttimetocontactyou HomeTelephone/AreaCode Email AlternatePhone DoyouuseasocialnetworkingsitesuchasFacebookorMyspace? Usernameorpageaddress Maywevisityourpage? Howdidyouhearaboutthisopportunity? ReasonyoudesireapositionatUpwardBound? Listprimaryshorttermgoals(next6months): Longterm(life)goals: HowcanservingatUpwardBoundhelpyoureachthesegoals? HaveyoueverhadtheopportunitytoleadanyonetoaknowledgeofJesusChrist?

Statement of Faith: Upward Bound Camp believes that every life has purpose and is worthy of love and quality care. Camp philosophy and practices reflect these values and support a fundamental belief in one God, ever present, all powerful, and all knowing, demonstrated in the Trinity- God, the father, Jesus Christ, the son, and the Holy Spirit, indwelling believers. UBC believes God desires for every person to be with Him eternally. Because of Jesus perfect and sinless life, Jesus death as sacrifice for sins, and His resurrection into eternal life, we can celebrate life with purpose. Jesus Christ is the Lord of this ministry and the sustaining force of all camp activities. His Word, and life are truth and the basis for Christian living. His love is witnessed in service to others.

Purpose: To provide on-going Christian based recreational and educational camp experiences for persons with disabilities, twelve years of age and over, in an environment which presents opportunities for growth outside the individuals usual surroundings or routine. After reading Upward Bounds Statement of Faith & Purpose, why do you feel you would be comfortable serving within this Christian camp community?

UpwardBoundoffersopportunitiesforministrywithprovisionsforroom,board,monthlystipend,ongoingtrainingand otherbenefits(includinghealthanddentalforyearroundstaff). Pleasenotethatafterapositionoffer,UpwardBoundCampreservestherighttorequireaphysicalexam,orsubstance useanalysis.Youwillbeaskedtoperformcertainessentialfunctionsandcompletestafftrainingattheexpenseof UpwardBound.Reasonableaccommodationwillbeprovided.Federallawrequiresthatapplicantsareacitizenofthe UnitedStatesoralegalalienwithproofthattheyareauthorizedtoworkintheUnitedStates. InitialifyoucompletedtheSelfAssessment&readtheJobDescription/EssentialJobFunctions. ________ Initial Ifnot,dosobeforecompletingthisapplication.

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Campisadrugfreeenvironment,includingalcoholandtobaccoproducts.Areyouabletoworkandlivecomfortablyin thislifestyle?Yes/No Areyoucomfortablelivingawayfromthecitylifewithouttelevisionormovies?Yes/No Haveyoueverlivedawayfromhomebefore?Yes/No Haveyoueversleptoutdoors?Yes/No Everlivedinateamcommunity?Yes/No Everkeptajournal?Yes/No Ifprovidingowntransportationtocamp,proofofautoinsuranceisrequired.Areyouabletoprovideproof?Yes/No Listanyfamilymembersyoumayneedtoconsidercamphousingfor(spouse/childrenetc.):

Describeanytransportationassistanceneededtogetto/fromcamp:

Areyouwillingtoreceiveanytrainingrequiredforthepositionoffered?

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Tospeedtheprocessingofyourapplicationyoumanyenclosethreelettersofreference.Norelativesplease. Anyaccommodationsthatshouldbeplannedforyourinterview:

ApplicantsAffirmationofDesiretoServeatUpwardBoundCamp
IrecognizethatUpwardBoundCampdoesnotdiscriminatewithregardstosex,color,creed,religion,nationality, ageordisability. I,theapplicant,tothebestofmyknowledge,haverespondedtruthfullyinallstatementscontainedinthisapplication. IunderstandthatfalsificationoromissionofinformationmayresultintheterminationofmypositionwithUpward BoundCamp.IagreethatshouldIbeacceptedandconsenttoapositionatUpwardBoundCamp;Iwillbeaccountable forthecomplianceandperformancestandardsandpolicesofthisorganization.IverifythatIamwillingandableto performtheessentialjobfunctionsofthepositionaccepted.Iaffirmmycommitmenttorefrainfromillegaldrugs, alcoholicbeverages,andtobaccoproductsandtoconductmyselfinandawayfromcampinsuchamannerastobea credittomyself,thecampandtheLordJesusChrist,thecamprepresents.IhavereadUpwardBoundCamps StatementofFaith,PhilosophyandPurposeandsupportit.

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ReleaseforReferenceandCriminalCheck Thefollowinginformationistobeusedsolelyforobtainingcriminalbackgroundinformationasrequiredbylaw.Print fullnameandadditionalinformationrequestedinspacebelow. FullName OtherNamesUsed

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IrepresentmyselfasthepersonaboveandhaverequestedapositionwithUpwardBoundCampfortheHandicapped, Incorporated. ForthepurposeofconsideringmyapplicationIdoherebyauthorizethedirectorsofthisorganizationtoengagein backgroundchecksregardinganyandallstatementsmadeduringtheapplicationprocessincludingtheinterview.I releaseUpwardBoundcamptoobtaininformationregardingmypreviousemployment,education,skills,abilities, criminalhistory,drivingrecord,andpersonalandprofessionalcharacterasisdeemednecessary. Iherebyreleaseanyindividual,firm,partnership,corporation,publicofficer,publicorprivateentityfromanyliability onanytheorywhatsoeverinprovidingsuchinformationasdescribedpreviouslyaboveto: UPWARDBOUNDCAMPFORTHEHANDICAPPED,INCORPORATED POBOXCSTAYTON,ORUSA97383 Date ________ SignatureofApplicant WitnesstoApplicantSignature/Release _______________