JEMS Special Camp 2022

RETURNING AIDE APPLICATION FORM

Please review all the information that is requested in this application form, prior to completing it. Once you have
collected and readied all information requested, then enter that information into this online application form, and
submit the completed form for consideration. At this time, it is not possible to save a partially-completed online
application to be completed at a later date/time; all information needs to be entered and submitted in one session.
We apologize for any inconvenience that this may cause to you.

Please note that information on this form will be kept confidential and will be used only by the Special Camp leadership
team for the purpose of updating our Special Camp Aide database and making a determination of acceptance for this
year's camp.

Items with a red asterisk next to them are required to be completed before submitting this online information form.
Other items are optional; however, we request that you supply as much information as you can. If a required field
does not apply to you, please enter "N/A".

Please note that this online application form is for applicants who have served as a Special Camp Aide WITHIN THE
PAST TWO YEARS. For applicants who have NOT served within the past two years, please access the Special Camp
website at www.jemsspecialcamp.org and follow the NEW AIDE application instructions posted there.

News for the 2020 camp

This year, JEMS Special Camp will be held at CityTeam Camp MayMac in Felton, CA from June 28 - July 4, 2020. Sleeping accommodations at this site are cabin style with bunk beds, with possibly one aide per cabin needing to sleep on the floor rather than on a bunk bed; therefore, Special Camp aides are asked to bring their own air mattresses and/or cots to sleep on, in the event that they are not assigned a bunk bed.

JEMS now only permits full-time attendees to serve at JEMS youth camps (including Special Camp), so part-time applicants will not be accepted except under very unusual circumstances. Full-time attendance also provides continuity for our campers throughout camp week, contributing toward a quality experience for our Special Campers. Part-time applicants are still welcome to apply; however, please know that part-time applicants will not be considered for acceptance until after the aide application deadline of April 1, 2020 has passed. Therefore, part-time applicants will receive notification regarding acceptance to serve at Special Camp only after the application deadline has passed, and then only will be considered on an as-needed basis. Thank you for your understanding.

In order to minimize the potential of the influenza virus to spread throughout camp this year, please consider receiving a flu shot while it is still available. Vaccination against Pertussis (Tdap booster) and measles (MMR) are also recommended for renewed protection against these highly contagious diseases. Thank you so much for considering these requests.

PERSONAL INFORMATION

First Name *

Last Name *

Maiden or Given Name, if different than above

Legal or Other Name that you may go by

Gender *

T-shirt size *

Birthday (month and day) *

E-mail address *

Current Address

Street Address *

City *

State *

Zip Code *

Primary Phone - home or mobile (incl. area code) *

ext.

Secondary Phone - cell or work phone (incl. area code)

ext.

Permanent Residence

(if different from Current Address above)

Street Address

City

State

Zip Code

Phone at Permanent Residence (incl. area code)

ext.

Address for Camp Roster

Address to publish in camp roster *

Other Addresses

Previous Residence(s) for last five years, if not included above. (Write "none" if this does not apply.)

Emergency contact

Name of Emergency Contact *

Emergency Contact Phone (incl. area code) *

ext.

Name of Emergency Contact (secondary)

Secondary Emergency Contact Phone (incl. area code)

ext.

Church Information

What church do you attend? *

If your church does not appear in the
drop-down list, select "z-other" and please
provide your church name, church
address, pastor's name, pastor's e-mail
address, and church phone number here.
If you currently do not have a home church,
please so indicate here as well.

Miscellaneous Information

College Info. - School/Major/Degree
(if applicable)

Occupation/Employer (if working)

I. EXPERIENCE AND TRAINING

JEMS Mount Hermon experience: List the years and camps you have attended.
(Example: 2014 Sr. High Camp conferee, 2016 Jr. High Camp cabin leader.)

Please write a brief summary of the Christian Gospel. (Use scripture as needed.)
*

Special Training and Abilities

All Special Camp volunteers are encouraged to consider scheduling and attending CPR and first aid training (on one's own time and expense) if at all possible prior to the start of camp, if certification in either of these areas is not current through camp week.

Please indicate areas for which you have
special training or abilities:

CPR-trained (current certification)

CPR instructor

First-aid trained (current certification)

First-aid instructor

Certified lifeguard (current certification)

Medical/nursing experience

Japanese language skills

Chinese language skills

American Sign Language skills

II. ABOUT YOURSELF

Share with us what you are presently doing with your life (work, school, clubs,
special interests). *

In what specific ways can you identify growth in your Christian faith within the
past year? *

How are you currently involved in serving Christ in your church and community? *

In what ways would you like to grow and be challenged as a Special Camp Aide or
Staff this year? *

How could you improve your service as a Special Camp Aide or Staff from
previous years? *

Please assess your strengths and weaknesses with respect to serving as a
Special Camp aide. *

Do you have any medical condition(s) or other physical/mental/emotional/health related
limitations that we should know about, which could preclude or prevent you from fully
performing your duties as a Special Camp aide/staff? If yes, please elaborate. *

Are there any other needs or concerns that you think would be appropriate for us to
know about? (Examples: financial needs, schedule conflicts, family/personal concerns) *

Previous JEMS Special Camp service

How many years have you served at JEMS Special Camp?

During which year did you last serve?

III. LEGAL/LIFESTYLE CONCERNS

In caring for our potentially-vulnerable campers, we believe it is our responsibility to seek an adult staff that is able to provide healthy, safe, and nurturing relationships. Please answer the following questions accordingly. Any special concerns can be discussed individually with Special Camp directors, aide care director, or camper care director.

Are you using illegal drugs? *

Have you ever gone through treatment for alcohol or drug use? *

If yes, please describe:

Have you ever been arrested and/or convicted of a crime? *

If yes, please describe:

Have you ever had any sexual relations with any minor
after you became an adult? *

Have you ever been accused of, or convicted of any form
of crime relating in any manner to children and/or
your conduct with them? *

If yes, please describe:

Have you ever been the victim of any form of child abuse? *

If yes, would you like to discuss this matter with a pastor
or counselor?

IV. PREPARING TO SERVE

If you are accepted as a Special Camp aide, will you attend the following? (Refer to www.jemsspecialcamp.org and click on "Info for Volunteers" for specific dates/times for pre-camp events in your region.)

* Regional aide training will be held in NorCal and SoCal on April 25, and on April 26 in PNW -- in-person only, no remote attendance can be accommodated

* Pre-camp planning retreat in Cambria, CA, May 15-17, 2020 (retreat cost is anticipated to be approx. $55 per person, not including transportation)

* Regional aide team-building on June 6 in NorCal, SoCal, and PNW

* Team building and camp prep on the Saturday afternoon/evening prior to camp, June 27, 2020

I will not be able to attend specific pre-camp events listed above because:

V. ASSESSMENTS FOR SERVING

You are required to have one assessment form completed by your church pastor. We shall contact your identified
reference and communicate the assessment form to him/her directly; you will not need to be involved
after getting your reference's approval and collecting/entering his/her contact information below. Please ask
your pastor to submit his/her recommendation within 5 days of receiving a reference request. If your
pastor is not available or suitable to complete the reference, please check with the Special Camp directors
for an alternate reference.

Church Pastor Referral

Name of a church pastor who would be willing to write
a form of recommendation on your behalf *

Church pastor's title or role *

Church pastor's mailing address *

Church pastor's phone number (incl. area code) *

ext.

Church pastor's e-mail address *

VI. AREAS OF SERVICE

During camp week, the primary and most important responsibility of each aide is to the group of campers whom they
serve. However, aides are also asked to serve in other ways to ensure a smooth-running camp and to provide a
quality experience for both campers and aides. Therefore, in the following "Areas of Service" sections,
please indicate in which additional areas you would be willing to serve during camp week. Please note that by
marking "area of service" items below, you are not guaranteed a spot on that ministry team, but your interest will
be taken into account during Special Camp planning when ministry teams are formed and ministry assignments are
made. Thank you in advance for your understanding.

For an explanation of each "area of service" item, hover over or click on the question mark next to the item of interest.

Area of service - Activities

Would you be willing to serve on the Activities ministry team? (Please check all that apply)

Activities (general)

Carnival

Pool

Bowling (organize)

Field games

Storytelling

Recreation

Morning exercises

Lead a nature walk

Area of service - Teaching

Would you be willing to serve on the Teaching ministry team? (Please check all that apply)

Teaching (general)

Lessons

Arts & Crafts

Area of service - Worship/Prayer

Would you be willing to serve on the Worship/Prayer ministry team? (Please check all that apply)

Worship & Prayer (general)

Camper worship

Aide worship

Lead a staff devotion

Prayer team

Area of service - Media

Would you be willing to serve on the Media ministry team? (Please check all that apply)

Media (general)

Photography

Camp memory booklet

Camp publicity

Area of service - Administration

Would you be willing to serve on the Administration ministry team? (Please check all that apply)

Administration (general)

Camp registration

Help lead team building

Camp check-in

Supplies and equipment

Transportation

Finances

Other areas of service

Would you be willing to accompany campers
on the L.A. bus? *

Would you be willing to serve as a Cabin Lead? *

Would you be willing to serve as a Cabin Co-lead? *

Please indicate the last year that you served
as a Cabin Lead or Co-lead at Special Camp

As an experienced Special Camp aide, would you be willing
to assist with training or preparing new aide(s) to serve? *

Please indicate any other abilities, gifts, talents,
or interests (e.g., musical instrument) that you
might like to share with the Special Camp family

If you are especially touched by your Special Camp experience, would you be willing to share your Special Camp testimony in front of another camp?

Main Camp sharing

College Camp sharing

VII. FOR PLANNING PURPOSES

Note that JEMS now only permits full-time attendees to serve at JEMS youth camps, so part-time applicants will not be accepted except under very unusual circumstances. Full-time attendance also provides continuity for our campers throughout camp week, contributing toward a quality experience for our Special Campers. Full-time applicants will receive priority over part-time applicants during the aide application period, and part-time applications will be held until the application deadline before being considered for acceptance.

Please indicate whether you will be serving all week (full-time) or a partial
week. *

If serving for only a partial week, please indicate which nights you will be staying overnight at camp:

Sun

Mon

Tues

Wed

Thurs

Fri

Scholarships are available for up to half the aide registration fee. (This year's full-time aide registration fee is $404 for the entire week.) For our budgeting purposes, please indicate whether you will need and will be applying for a scholarship from JEMS in order to serve as an aide this year. If you so indicate, a scholarship application form will be provided for you to complete and submit for review/approval.

I anticipate that I shall need a scholarship to serve as an aide this year.
Please send me a scholarship application form. *

We are planning on having a bowling outing on Monday afternoon of camp week. For planning purposes, we would like to know whether you are interested in participating in bowling with the campers. First-time aides are highly encouraged to participate in this way. It's a great opportunity to get to know the campers better as you team with them and encourage them as they bowl. Cost would be $10, payable at camp. No prior bowling experience is required.

I am interested in being a part of a bowling team at the bowling outing. *

BowlingProficiency

I am interested in helping campers who have difficulty bowling,
but am not interested in bowling myself

Please enter your shoe size:

Due to the desire to accommodate as many campers and aides/staff as possible (up to the limits imposed by Camp MayMac), we expect that some aides will need to sleep on the floor as opposed to in a bunk bed. Therefore, for planning purposes, we need to find out who would be willing to bring their own cot or air mattress or sleeping pad to sleep on during the week of camp. If you are willing, please indicate so below:

I would be willing to bring my own cot or air mattress or sleeping pad to sleep on during camp week *

If you bring your own cot or air mattress (single size only, please), which would you be bringing?

Would you be willing to allow a fellow Special Camp aide to use your
cot/air mattress during camp week, if you are one of the lucky ones
to be assigned a cabin bunk bed? (Note that this is totally at your
discretion--we shall understand if you do not feel comfortable doing so.)

Due to the unknown cellular coverage at Camp MayMac, Special Camp staff may need to make use of walkie talkies to communicate across the camp premises between the various venues that Special Camp utilizes throughout camp week. We rely on our volunteers to provide walkie talkies for this purpose, as they are able.

I can bring a set of walkie talkies for use during camp week. *

Number of walkie talkies that I can bring

Special Camp depends on several volunteers to bring canopies with them to camp, to be used to provide shade for Special Camp outdoor events--Carnival and Special Camp Games. We may also need to utilize canopies to extend usable space for our meeting rooms. (Please note that canopy needs to be clearly labeled with owner's name to ensure that the right canopy is returned back to you at the end of camp.)

I have access to and can bring a canopy with me to camp *

Number of canopies that I can bring

VIII. MANDATORY ACKNOWLEDGMENT

Your participation in pre-camp training and team building events is vital in order
to be adequately equipped to serve our Special Campers. Therefore, it is very
important that you make every attempt to attend as many pre-camp training
sessions as possible, and your acceptance to camp is contingent upon
participation in pre-camp preparatory events.

Also, the primary means for communicating pre-camp preparatory material,
event announcements, and other important camp-related information is via e-mail;
we therefore request that you check your e-mail at least every other day
until camp starts.

By selecting "Yes" in the "Mandatory Acknowledgment" field, typing my name in the Electronic Signature field, and clicking the Save button (near the upper right-hand side of the screen), I hereby submit my completed application form to serve as an aide at the 2020 JEMS Special Camp. I realize that it is very important to take advantage of as many of the pre-camp training, team building, and informational opportunities as I am able, to be better equipped to serve as an aide at Special Camp, and understand that acceptance to serve at Special Camp is contingent upon participation in pre-camp preparatory events. I therefore agree to make every attempt to attend pre-camp preparatory events that are held in my area. I shall monitor my e-mail and shall respond promptly to Special Camp related e-mails that I receive, when response is requested or required.

I submit this application with the understanding that applying does not mean that I will be automatically invited to participate as a Special Camp aide this year. The information provided on this application is subject to verification, which may include a criminal history check and/or request from any central registry of child abusers to ensure a safe and secure environment for our Special Campers. I realize that JEMS fully appreciates me and my willingness to serve. I shall trust in the Lord to make it clear to those who will prayerfully consider my application. I shall accept the decision of those who are in charge and will respond accordingly.

I understand and acknowledge that I shall abide by JEMS camp health screening policies. I further understand and acknowledge that JEMS is authorized to provide care and select physicians in case of emergency.

MandatoryAcknowledgment *

Electronic Signature *

NOTE:

*** REGISTRATION DEADLINE: APRIL 1, 2020 ***

After completing the above application form, please click the Save & close button (near the upper right-hand side of the screen) and *not* the Save & new button, to submit your application. Thank you.

After clicking the "Save & close" button, you will be taken to another screen indicating that Your Entry has been submitted and will be now processed. If you do not see this Your Entry has been submitted... screen, your application has not been submitted successfully. In this event, please e-mail aide.registrar@jemsspecialcamp.org for further assistance.

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