In addition to completing a Camper Application - the following form is to be completed by ALL applicants desiring to serve as Cabin Leader (Zven) or Assistant Cabin Leader (Pom Zven) for the 2024 ORPR Camp session. BOTH FORMS MUST BE SUBMITTED BY MAY 15, 2024, for processing. ONLY APPLICATIONS COMPLETED IN FULL WILL BE CONSIDERED. Thank you for your willingness to serve!

We will announce Cabin Leaders and Pom Zvens by May 31st, 2024

Requirements:

Cabin Leader (Zven)

As a Cabin Leader, you are responsible for the safety, care, and overall supervision of the campers in your cabin.

Attend all 4 weeks of camp (July 6th - August 3rd)
Attend Leadership Training (July 3rd - July 6th)
Be at least 13 years of age
Must have been a camper for at least 2 years
Participate in all activities
Promote and enforce camp rules and guidelines
Build relationships with campers, summer staff, full-time staff, and volunteers
Lead activities when called upon: games, songs, and skits as needed to create an excellent camper experience

Assistant Cabin Leader (Pom Zven)

Attend all 4 weeks of camp (July 6th -August 3rd)
Be at least 12 years of age.
Must have been a camper for at least 1 year
Assist cabin leader in enforcing the safety, happiness, and supervision of your campers

Personal Information

Applicants Name: *

First Name

Last Name

Present Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address: *

Phone Number: *

(###)

###

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Driver's License Number:

State: *

Position for which you are applying (Please Check) *

Cabin Leader (Zven)

Assistant Cabin Leader (Pom Zven)

SKILLS INVENTORY: Please check if you have any of the following skills and/or certifications (Please provide copy of certifications with expiration dates where applicable). *

Singing / Choir

Reading in Church

Altar Server

Certified Lifeguard

Certified First Aid

CPR Certified

Food Service Sanitation License

Please list any additional skills, training, traits you have which would be of value to a leadership position at camp. (i.e.: sports, language, etc.) *

Please list any Camp related or Orthodox church related activities which you participated in during this past year. (Camp luncheons, Camp work weekends, St Herman’s conference, etc.) *

EXPERIENCE IN A LEADERSHIP ROLE (outside of camp): Please list the main experiences you have serving in leadership. Please indicate if any of these were affiliated with youth or children. *

EXPERIENCE IN A LEADERSHIP ROLE (in camp): Please list any leadership position you have held at ORPR camp. *

1. Position: _______________ Dates: _______________ 2. Position: _______________ Dates: _______________ 3. Position: _______________ Dates: _______________ 4. Position: _______________ Dates: _______________ 5. Position: _______________ Dates: _______________ Current Rank: _______________ Current Razryad: _______________

Please list all earned patches (znachki): *

EDUCATION: Please indicate the most recent level of education you have completed: *

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Current School Information:

Year *

Approximate GPA *

WORK EXPERIENCE: Please list any work experience you have (paid/volunteer) in the past 5 years.

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Company/Organization:

Position:

Years:

PERSONAL REFERENCES: (outside of family members and ORPR Camp Staff). Examples include teachers, couches, volunteer coordinators, etc.... *

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Reference #1 *

First Name

Last Name

Relationship: *

Contact Phone: *

(###)

###

####

Contact Email: *

PERSONAL HISTORY: (if you prefer, you can discuss your detailed answers in confidence with one of the ORPR Camp Directors. Please indicate below if this is your preference)

1. Have you ever been arrested, convicted, or pled guilty to a crime? *

Yes

if yes, please explain:

2. Have you ever been suspended or expelled from school? *

Yes

if yes, please explain:

3. Have you ever been accused or charged with any act of physical, emotional, or sexual abuse or neglect with regard to any child or teen (any individual 18 years of age and under)? *

Yes

if yes, please explain:

4. Have you ever - whether or not you were accused of doing so - engaged in acts of emotional, physical, or sexual abuse or neglect with regard to a child or teen? *

Yes

if yes, please explain:

5. Were you a victim of physical, emotional, or sexual abuse or neglect while a child or a teen? *

Yes

if yes, please explain:

I would like to be contacted directly to discuss these questions. *

Yes

ACKNOWLEDGMENT and SIGNATURE: Please check each statement and sign below. *

The information I have provided on this form is truthful and correct to the best of my knowledge.

I authorize ORPR Camp to verify any information provided by me in this application.

I authorize ORPR Camp to contact my personal references.

If accepted for the position, I understand that I will be required to attend a leadership workshop, to be held prior to the 2024 camp session, at a date and time to be determined.

I understand that I have no expectation of privacy concerning any information disclosed in this form. If I wish to keep any information confidential, I understand that I may only do so by direct request to the Camp President.

DISCLAIMER: By typing your name below, you have read and understood the Code of Conduct and that you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application. *

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Applicants Signature: *

First Name

Last Name

Date: *

YYYY

Parent / Guardian Signature (if applicant is under 18 years of age)

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Parent / Guardian:

First Name

Last Name

Date

YYYY

Thank you for filling out the 2024 Cabin Leader and Assistant Cabin leader application.

We will announce Cabin Leaders and Pom Zvens by May 31st, 2024.

4963 Saint Seraphim St.
Rock City, IL, 61070
info@orprcamp.org

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ORPR 2024 Cabin Leader and Assistant Cabin Leader Application

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