First Name * Middle Name Last Name * Street Address (for mail) * Street Address Line 2 (for mail) City * State * Zip / Postal * Country * Date of Birth * Email * Phone * Gender * Male Female T-Shirt Size * XS S M L XL XXL
Emergency Contact (EC) - *Full* Name * EC Street Address * EC Street Address Line 2 EC City * EC State * EC Zip / Postal * EC Country * EC Phone * EC Relationship to You * Which position are you applying for? * Counselor Nurse Wrangler Ropes Course Manager Kitchen Manager Cook Support Staff Volunteer Intern Level of Health * Low Average Above Average Staff Training
Staff training begins on May 24th - June 2nd, 2024 and is required for all staff. Summer camp begins June 3rd and ends July 13th, 2024. We prefer to have staff for the entire season, but understand there are family commitments, weddings, and other important dates that you may have already committed. Please let us know what your availability is.
Are you able to commit to the above dates of employment? * If not, please explain: Are you able to perform all of the duties in the job description? * If not, please explain: Medical Examination & Felony Background
All staff and volunteers are required to have a medical examination performed within the last two years prior to employment.
Have you completed a medical exam in the past two years? * Have you ever been covicted of a felony? * If yes, please explain: Christian Experience
Tell us About Your Christian Experience
How long have you been a Christian? * What Church do you attend? * List any youth groups or youth organizations you have been a part of: * What kind of experience have you had in working with minorities and the underprivileged? * Describe your relationship with non-Christians and any counseling experience you may have had with them: * Specific Christian Beliefs
Please list beliefs in the following areas and provide Scriptural support for your stance.
The Bible * Salvation * Jesus * The Holy Spirit * God * Our responsibility as Christians * Sin * The Role of the Church * The Gifts of the Spirit * Submission to Authority * Same-sex/Bi/Trans (etc.) sexual attraction and relationships * Tell us more about yourself How did you become a Christian? * How is God working in your life right now? * Describe your personal devotional life * Why are you applying for a summer staff position at Cross Bar X? * What personal qualities might be a hindrance to your effectiveness as a staff member? * Do you have any physical or mental limitations? * What would you like to see accomplished in your life this summer as a result of being on staff? * Describe any additional youth work or camp experience that you have had * Counseling Scenarios
Please describe how you would respond to a camper who is asking the following questions. Please provide Biblical support for your answer.
How do I become a Christian? * A friend of mine is gay/lesbian/bi/trans/etc. Is that ok? What does God say about homosexuality/gender identity? * Why does God let bad things happen? * My step dad is not nice to me—he scares me. What should I do? Does God love him too? * Is it ok for me to have sex with my boyfriend/girlfriend? * How would you discipline a camper who has no respect for your authority and is using obscene language toward you? * Experience Self Assessment
Please rate yourself on a scale of 1 being no experience and 10 being a professional. (Select a number 1 - 10 for each skill).
1 = no experience.
10 = expert level
Other skills relevant to camp? List any certification or training's that you hold (e.g. lifeguarding, WFR, WFA, CPR, EMT, belaying, etc.) Include expiration dates. Agreement to Cross Bar X Policies
1) As a manner of operation policy, we believe the ministry of the Holy Spirit in the life of a believer is to glorify Jesus Christ in and through that life. Since our organization is interdenominational and the employees come from various denominational backgrounds, we ask our staff not to teach, promote or practice any controversial interpretation of the ministry or gifts of the Holy Spirit or any controversial doctrinal issues. These have historically acted to bring disunity and division. We are not asking staff to change their personal beliefs but simply to adhere to this policy which has been established for the order, harmony and good of all. For any questions about this, see the "Statement of faith" page on our website (
Statement of Faith), or contact Tim Miller (970) 259-2716 firstname.lastname@example.org.
2) Cross Bar X does not allow their seasonal staff to begin new dating relationships while at camp. It is our belief that we are best able to serve God when we are totally focused on Him and the ministry He has placed us in. Serving at CBX is an amazing opportunity to leave behind life’s distractions and spend the summer growing spiritually while focusing on God and His will for our lives. It is probable that at least some of the staff will experience attraction towards another staff members of the opposite gender, but we ask that no steps are taken toward a romantic relationship until after your employment at CBX is completed.
3) Staff are expected to make Godly life choices while they are employed at CBX. The following are a few examples of what we believe to be lifestyle choices that go against what God calls Christians to: engaging in intimacy outside of biblical parameters, ingesting media and material that is not wholesome (certain movies, TV shows, video games, music, literature, etc.), substance abuse and using recreational drugs (even “legal” substances), unwholesome language, and reckless behavior.
4) Cross Bar X requires its seasonal staff to abstain from drinking alcohol, substance abuse of any kind, and using recreational drugs (even “legal” substances), and smoking. This includes drinking or smoking anywhere at any time while employed at CBX, on or off camp property.
Are you in agreement with CBX's stances above? *
Any applicant who knowingly or willfully makes a false statement of any material or thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly.
I am willing to be subject to the jurisdiction of Cross Bar X Youth Ranch for the current camping session. I understand that this applies to each camp and for the days between camps. I agree to abide by all camp policies and procedures. I also understand that the position for which I am applying will be very demanding physically, emotionally, and spiritually and I am willing to explore to the maximum every opportunity available for ministry and personal growth. I choose to cooperate with the staff and will openly share any disagreements or problems in a spirit of love if those circumstances should arise. I have considered this matter prayerfully.
Notice regarding background investigation
Cross Bar X Youth Ranch may obtain information about you from a consumer reporting agency for employment/volunteer purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include, but is not limited to: employment and education verifications; social security number verification; criminal and civil court records; personal interviews; driving records; and/or any other public records or any other information bearing on your character, general reputation, personal characteristics and trustworthiness. These reports may be obtained at any time after receipt of your authorization and, if you are selected, throughout your affiliation with Cross Bar X Youth Ranch. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. The report will be generated by Datasourcecorp.com (1200 South Outer Road, Blue Springs, MO 64015/816-228-5255) or another outside organization. The scope of this notice and authorization is all-encompassing, however, allowing Cross Bar X Youth Ranch to obtain from any outside organization all manner of consumer reports and investigative consumer reports now and, if you are selected, throughout your affiliation with Cross Bar X Youth Ranch to the extent permitted by law. 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. Acknowledgement and Authorization
I acknowledge receipt of the
NOTICE REGARDING BACKGROUND INVESTIGATION (above) and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT (available at the link below this paragraph) 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” at any time after receipt of this authorization and, if I am selected, throughout my affiliation with Cross Bar X Youth Ranch. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, 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 Datasourcecorp.com, another outside organization acting on behalf of Cross Bar X Youth Ranch, and/or Cross Bar X Youth Ranch itself. I agree that a facsimile (“fax”) or photographic copy of this Authorization shall be as valid as the original. A Summary of Your Rights Under the Fair Credit Reporting Act Minnesota and Oklahoma applicants only: Please check this box if you would like to receive a copy of a consumer report if one is obtained by Cross Bar X Youth Ranch. Applicants of New York Employers only: I acknowledge that by checking the box, I have also received a copy of Article 23-A of the New York Correction Law, in compliance with Article 25 Section 380-g of the New York General Business Law. (hover over this section to see article) California applicants only: By signing below, you also acknowledge receipt of the NOTICE REGARDING BACKGROUND INVESTIGATION PURSUANT TO CALIFORNIA LAW. Please check this box if you would like to receive a copy of an investigative consumer report or consumer credit report if one is obtained by Cross Bar X Youth Ranch at no charge whenever you have a right to receive such a copy under California law. (hover over this section to see notice) Date *