CPC Staff Application

This is the application to apply for Summer Camp 2022!

This application is 2 pages. Please hit save and then hit next to get to the next page!

Hit save at the bottom and you will be e-mailed a link that will allow you to come back and return to this application.

You do not need to complete this in one sitting. Put in your name and e-mail and hit Save at the bottom!

Position Accepted {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Preferred Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Resume {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Please select the position(s) for which you are applying {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Certifications - Check all that apply (Must be valid through Aug 2021) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Circle Pines Center cares deeply about the health and safety of our community. Our policies and health guidlines will ensure that we are doing everything we can to reduce the risk of contracting and spreading Covid19. We ask that staff limit their contact with others 10 days before arriving to camp and have a negative Covid19 test 72 hours prior to arriving to staff orientation. Staff will be required to test upon arriving to camp. Tents will be available for staff who wish to maintain more social distance. Meals will be outdoors. There will be a staff lounge with increased ventilation, masks, and social distancing required. Staff will be required to monitor themselves for symptoms. If a staff person does become sick, we will assist them with testing and isolation. Staff will be required to wear masks when in close contact with staff or campers who are not in their own cabin. Staff will be encouraged to be vaccinated if vaccinations are available. We will continue to monitor community transmission and vaccination rates. Our policies and health procedures will reflect the state Covid19 guidlines. If you have any questions about our Covid19 policies feel free to send us an email at summercamp@circlepinescenter.net or you can write them in the space above.

Please write your questions about our Covid19 policy below {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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In order to reduce Covid19 risk, we will request that staff do not leave the property during this period of employment. This request may change if there is a low risk of community transmission. Can you commit to being at Circle Pines from 7/1/21-8/18/21? If no, please explain.

Staff orientation will be from July 1st-10th and summer camp will be from July 11th-August 18th, 2021. Can you stay on campus for this time? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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According to Michigan State Licensing and Regulatory Affairs camp staff are now eligible for vaccinations. Are you willing to get vaccinated? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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For the protection of our campers, Circle Pines Center is a drug (including marijuana) and alcohol free environment. Can you commit to sobriety while you are employed and on CPC property?

Education

School {binding ItemNumber}

Name of School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Type of School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Location of School {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Degree Received {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Major {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Number of Years Completed {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Work History

Previous Employer {binding ItemNumber}

Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Company Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Supervisor's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Position {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Reason For Leaving {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Dates of Employement:

Start Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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End Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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References and Background Check

3 References (upload via the PDF linked below) {binding ItemNumber}

State law requires employees have 3 references and their signatures (e-signatures are ok). {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

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Backround Checks: please fill out the information below. As per state law we must background check all employees. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please take this space to explain any termination of contract, discharges, expulsions, or criminal charges that may appear in a background check or upon consulting your employment history.

Background details {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Please upload the completed background check form. (SEE LINK IN DESCRIPTION BELOW) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Have you ever been convicted of child abuse or a crime involving actual or attempted sexual molestation of a minor or are you now the subject of a child abuse investigation? If yes, please take this space to explain.

Have you been convicted of child abuse or have an active investigation? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If you answered yes to the question, please download, fill, and upload the completed the Clearance for Central Registry form and ID. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Upload a picture of the front of your ID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Skills & Qualifications

Below is a list of typical programs we run throughout the summer. Please check off those that you would feel comfortable with. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Do you have a working knowledge or interest in: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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Peace, social justice, environemtnal stewardship and cooperation are the pillars of the CPC mission. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Please tell us about a social justice issue you would like to learn more about? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Describe what you like about working with young people. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Thank you for your interest in Circle Pines Cener Summer Camp! {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

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If you need to upload any additional documents, use this. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

If you need to upload any additional documents, use this. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Hit save and you will be e-mailed a link that will allow you to come back and return to this application.

Employment Paperwork

Upload state W-4 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Upload I-9 {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

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Upload passport, birth certificate, or social security card. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

CPC Staff Application

Education

School {binding ItemNumber}

Work History

Previous Employer {binding ItemNumber}

References and Background Check

3 References (upload via the PDF linked below) {binding ItemNumber}

Skills & Qualifications

Employment Paperwork

CPC Staff Application

Education

School {binding ItemNumber}

Work History

Previous Employer {binding ItemNumber}

References and Background Check

3 References (upload via the PDF linked below) {binding ItemNumber}

Skills & Qualifications

Employment Paperwork

Your progress has been saved.

CPC Staff Application

Education

School {binding ItemNumber}

Work History

Previous Employer {binding ItemNumber}

References and Background Check

3 References (upload via the PDF linked below) {binding ItemNumber}

Skills & Qualifications

Employment Paperwork