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2024 Staff Application
2024 Staff Application
Step
1
of
3
33%
Your Adventure Begins!
Are you a returning staff or a new staff?
(Required)
Returning Staff
New Staff
Your Name
(Required)
First
Last
Date of Birth
(Required)
MM slash DD slash YYYY
Gender
(Required)
Male
Female
Phone
(Required)
Address
(Required)
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
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District of Columbia
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Armed Forces Americas
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Your Email Address
(Required)
Enter Email
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Official Information – Returning Staff
VIDEO: Why do you believe Black Rock Retreat is a good fit for you? (required)
Please record a 1-2 minute video answering this question and upload your file here. This question is required but if you’re having trouble, reach out to scdirector@brr.org and we will provide an alternate submission method.
Max. file size: 128 MB.
Official Information – New Staff
VIDEO: Why do you believe Black Rock Retreat is a good fit for you? (required)
Please record a 1-2 minute video answering this question and upload your file here. This question is required but if you’re having trouble, reach out to scdirector@brr.org and we will provide an alternate submission method.
Max. file size: 128 MB.
In compliance with federal law, all persons hired will be required to verify identity (I.D.) and eligibility to work in the United States. Will you be able to produce the needed documents to work in the United States?
(Required)
Yes
No
Have you been disqualified from service under the grounds for denying employment or have you been convicted of an offense similar in nature to the crimes listed under the grounds for denying employment under the laws or former laws of the United States or one of its territories or possessions, another state, the District of Columbia, the Commonwealth of Puerto Rico or a foreign nation, or under a former law of this commonwealth?
(Required)
Yes
No
Do you have any charges pending against you and/or have you ever been convicted of or pleaded “no contest” to a felony or misdemeanor resulting in imprisonment or a fine over $500 during the last ten (10) years?
(Required)
Yes
No
Have you ever been accused or convicted of physically abusing or molesting anyone?
(Required)
Yes
No
Do you consent to complete all of the background checks required by PA state law for applicants hired in a position working with children?
(Required)
Yes
No
Black Rock Retreat is a drug and alcohol-free organization. All employees are subject to random drug testing. Refusal to consent to being tested will result in withdrawal of any provisional employment offer. If a provisional offer of employment is extended to you, will you consent to being tested?
(Required)
Yes
No
Personal History – New Staff
Have you ever worked at Black Rock Retreat? (If yes, please list the years and positions. If no, please list n/a.)
(Required)
How did you hear about Black Rock Retreat? (If a summer staff member recruited you, please list his or her name.)
(Required)
What church, if any, do you attend?
(Required)
In what years and what roles have you served at Black Rock Retreat?
(Required)
Will you be willing to participate in a seven day technology fast during staff training?
(Required)
Yes
No
If you have Facebook, Instagram, etc., would you allow us to view your page(s)? (If yes, please list the pages you have.)
(Required)
Please list your educational background, including names of High School and College, years completed as of the 2023 summer, and field(s) of study.
(Required)
Please list your educational background as of the summer of 2024 in the following areas including names of institutions attended. If a field is not applicable, type n/a. High School:
(Required)
College and Major:
(Required)
Other Educational Experience:
(Required)
Please list any honors, awards, extracurricular activities, teams, training programs, volunteer work, hobbies, etc.
(Required)
Please list any trainings or certifications you have.
(Required)
Job History: Please list the following for each job. Company Name, Supervisor's Name, Your Title, Your Responsibilities. Add up to three jobs.
(Required)
Add
Remove
Permissions
(Required)
By checking this box, I give permission to Black Rock Retreat to contact any of my previous employers listed above.
Application Prompts/Questions
Some of the following questions have multiple parts. Be sure to answer in full. Answers are required for all the questions; without answers for all questions, your application will be considered incomplete and will not be accepted until completion. What position(s) are you applying for? (Please select all that apply.)
(Required)
Archery Instructor
Summer Camp Counselor
Day Camp Counselor
Day Camp Activity Staff
Crafts Instructor
Discipleship & Service Crew Counselor
Leadership Staff
Activity Instructor
Healthcare Assistant
Photo Specialist
Drama Instructor
Video Specialist
Office Assistant
High Ropes Staff
Lifeguard
Mountain Bike Instructor
Wilderness Instructor
Worship Leader
Jr. Servant-Leadership Counselor
Activity Instructors may include leading the following activities, and necessary training would be conducted during our Pre-Camp Training session. Mountain Biking, Crafts, Drama, Wilderness, Archery, High Ropes, Lifeguarding, Worship Leading, etc. Of these positions, please rank your top three positions in order of preference. (1 is Most Interest.)
(Required)
What is your 1st Most Interest?
What is your 2nd Most Interest?
(Required)
What is your 3rd Most Interest?
(Required)
What is your super power?
(Required)
We prefer all staff to commit to being present for the entire Summer Camp Program including Pre-Camp Training and Post-Camp Clean-Up. The dates for Summer Camp 2025 are June 2 – August 10. Please list the dates and times of any requests you may have for time off during this period.
(Required)
Describe your spiritual journey currently: How have you seen God pursuing you, and how have you been seeking God?
(Required)
Please summarize any ministry opportunities you have had since you were last at Black Rock and how God has used them to impact you (e.g. working with youth, missions trips, volunteer work, conferences, or seminars attended, etc.).
(Required)
Please list something that you were challenged by last summer. How have you grown since then? How would you prepare coming into this summer?
(Required)
How did you become a Christian? How do you know you are saved?
(Required)
What has been your most challenging experience (ministry, work, relationally, physically, etc.)?
(Required)
What gets you excited about working for Black Rock, and why do you feel that you are qualified for the position(s) you are applying for?
(Required)
Please rank your skill level in the following areas. Swimming:
(Required)
Excellent
Above Average
Average
Below Average
Have No Experience
Archery:
(Required)
Excellent
Above Average
Average
Below Average
Have No Experience
Wilderness:
(Required)
Excellent
Above Average
Average
Below Average
Have No Experience
Mountain Biking:
(Required)
Excellent
Above Average
Average
Below Average
Have No Experience
Crafts:
(Required)
Excellent
Above Average
Average
Below Average
Have No Experience
Drama:
(Required)
Excellent
Above Average
Average
Below Average
Have No Experience
Photography:
(Required)
Excellent
Above Average
Average
Below Average
Have No Experience
Videography:
(Required)
Excellent
Above Average
Average
Below Average
Have No Experience
Teaching Others:
(Required)
Excellent
Above Average
Average
Below Average
Have No Experience
This field is hidden when viewing the form
Black Rock Retreat Philosophy of Ministry Agreement
Black Rock Retreat Philosophy of Ministry Mission Statement of Black Rock Retreat:Black Rock Retreat is dedicated to spreading the Gospel of Jesus Christ and strengthening His church. We provide quality facilities, programs, and a serving staff within a refuge of God’s creation, which encourages spiritual growth and restoration. Core ValuesBlack Rock Retreat follows a set of core values which are fundamental to our business operations and our interaction with others, both employees and those we serve. These core values are:MINISTRY – We recognize that the primary focus of this organization is evangelism and ministry. We are committed to remaining true to our Statement of Faith as we provide an atmosphere where both children and adults can experience spiritual and personal growth, restoration, and encouragement. We are committed to recognizing the diverse and changing needs of those we serve and being willing to adapt our ministry to meet those needs as the Lord leads.TEAMWORK – We are a team combining our talents and resources to serve our guests and each other in a Christ-like manner. To do this we commit to: trust each other’s unique contributions, transparently engage in open dialogue, embrace differences rather than avoid conflict and ultimately support each decision with personal action and mutual accountability.PEOPLE – Because we are all created in God’s image, we are committed to treating everyone with dignity, respect and love. We strive to create an atmosphere where all people feel valued in their relationship with Black Rock Retreat.STEWARDSHIP – Stewardship means managing all of the resources God has entrusted to us wisely and responsibly. These resources include but are not limited to our guests, grounds, facilities, natural environment, finances, staff, volunteers and Board of Directors. We are committed to exercising good stewardship in every facet of our ministry.QUALITY – Quality is recognizing and establishing appropriate standards and then managing ourselves and our organization to meet those standards. We will strive to maintain excellence in our grounds, facilities, programs and services as well as employing and training quality staff members.SAFETY – Safety is the value we place on the well-being of ourselves and those we serve. Recognizing that God is our protector, we are also committed to providing both training and a safe work environment for our staff and our volunteers, as well as a place of physical and emotional safety for those we serve. Statement of Faith The complete inspiration of the Old and New Testaments as the Word of God. (2 Timothy 3:16-17; Hebrews 4:12-13) The triune God-Father, Son, and Holy Spirit. (Genesis 1:1-2, 26; John 10:30; Matthew 28:19) That humans are the stewards of God’s good creation. (Deuteronomy 10:14; Psalm 24:1) The deity of the Lord Jesus Christ, His substitutionary atonement for sin, and His bodily resurrection. The person of the Holy Spirit and His work of conviction, regeneration, and sanctification, who indwells every believer. The necessity of the new birth, in salvation by faith in Jesus Christ alone. The importance of a life fully committed to the will of God in Christ. Human life is a gift of God culminating in eternal life for the believer or eternal separation from God for the unbeliever. We believe that all human life is sacred and created by God in His image. Human life is of inestimable worth in all its dimensions, including pre-born babies, the aged, the physically or mentally challenged, and every other stage or condition from conception through natural death. We are therefore called to defend, protect, and value all human life. (Psalm 139) Marriage, as a covenant between a man and a woman, is the only faithful context for sexual intimacy. (Genesis 2:22-24; Matthew 19:4-6; Mark 10:6-9; 1 Corinthians 7:10-16; Ephesians 5:22-33) That God wonderfully and immutably creates each person as male or female. These two distinct, complementary genders together reflect the image and nature of God. (Gen. 1:26-27) Rejection of one’s biological sex is a rejection of the image of God within that person. This statement of faith does not exhaust the extent of our beliefs. The Bible itself, as the inspired and infallible Word of God that speaks with final authority concerning truth, morality, and the proper conduct of mankind, is the sole and final source of all that we believe. For purposes of Black Rock’s faith, doctrine, practice, policy, and discipline, our Board of Directors is Black Rock’s final interpretive authority on the Bible’s meaning and application.
Black Rock Retreat Philosophy of Ministry Agreement
Mission Statement of Black Rock Retreat: Black Rock Retreat is dedicated to spreading the Gospel of Jesus Christ and strengthening His church. We provide quality facilities, programs, and a serving staff within a refuge of God’s creation, which encourages spiritual growth and restoration.
Core Values
Black Rock Retreat follows a set of core values which are fundamental to our business operations and our interaction with others, both employees and those we serve. These core values are:
MINISTRY
We recognize that the primary focus of this organization is evangelism and ministry. We are committed to remaining true to our Statement of Faith as we provide an atmosphere where both children and adults can experience spiritual and personal growth, restoration, and encouragement. We are committed to recognizing the diverse and changing needs of those we serve and being willing to adapt our ministry to meet those needs as the Lord leads.
TEAMWORK
We are a team combining our talents and resources to serve our guests and each other in a Christ-like manner. To do this we commit to: trust each other’s unique contributions, transparently engage in open dialogue, embrace differences rather than avoid conflict and ultimately support each decision with personal action and mutual accountability.
PEOPLE
Because we are all created in God’s image, we are committed to treating everyone with dignity, respect and love. We strive to create an atmosphere where all people feel valued in their relationship with Black Rock Retreat.
STEWARDSHIP
Stewardship means managing all of the resources God has entrusted to us wisely and responsibly. These resources include but are not limited to our guests, grounds, facilities, natural environment, finances, staff, volunteers and Board of Directors. We are committed to exercising good stewardship in every facet of our ministry.
QUALITY
Quality is recognizing and establishing appropriate standards and then managing ourselves and our organization to meet those standards. We will strive to maintain excellence in our grounds, facilities, programs and services as well as employing and training quality staff members.
SAFETY
Safety is the value we place on the well-being of ourselves and those we serve. Recognizing that God is our protector, we are also committed to providing both training and a safe work environment for our staff and our volunteers, as well as a place of physical and emotional safety for those we serve.
Statement of Faith
The complete inspiration of the Old and New Testaments as the Word of God. (2 Timothy 3:16-17; Hebrews 4:12-13) The triune God-Father, Son, and Holy Spirit. (Genesis 1:1-2, 26; John 10:30; Matthew 28:19) That humans are the stewards of God’s good creation. (Deuteronomy 10:14; Psalm 24:1) The deity of the Lord Jesus Christ, His substitutionary atonement for sin, and His bodily resurrection. The person of the Holy Spirit and His work of conviction, regeneration, and sanctification, who indwells every believer. The necessity of the new birth, in salvation by faith in Jesus Christ alone. The importance of a life fully committed to the will of God in Christ. Human life is a gift of God culminating in eternal life for the believer or eternal separation from God for the unbeliever. We believe that all human life is sacred and created by God in His image. Human life is of inestimable worth in all its dimensions, including pre-born babies, the aged, the physically or mentally challenged, and every other stage or condition from conception through natural death. We are therefore called to defend, protect, and value all human life. (Psalm 139) Marriage, as a covenant between a man and a woman, is the only faithful context for sexual intimacy. (Genesis 2:22-24; Matthew 19:4-6; Mark 10:6-9; 1 Corinthians 7:10-16; Ephesians 5:22-33) That God wonderfully and immutably creates each person as male or female. These two distinct, complementary genders together reflect the image and nature of God. (Gen. 1:26-27) Rejection of one’s biological sex is a rejection of the image of God within that person.
This statement of faith does not exhaust the extent of our beliefs.
The Bible itself, as the inspired and infallible Word of God that speaks with final authority concerning truth, morality, and the proper conduct of mankind, is the sole and final source of all that we believe. For purposes of Black Rock’s faith, doctrine, practice, policy, and discipline, our Board of Directors is Black Rock’s final interpretive authority on the Bible’s meaning and application.
Please read the following thoroughly and carefully. By checking each box, you are indicating your agreement.
(Required)
I understand that if I am hired by Black Rock Retreat, I am committing myself to fulfilling the expectations of Black Rock Retreat including, but not limited to, Black Rock Retreat’s established policies, procedures, standards, regulations, Philosophy of Ministry, Statement of Faith, duties, responsibilities and exemplification of a Biblical, Christ-centered life as a representative of Black Rock Retreat.
I certify that I voluntarily agree with the Philosophy of Ministry and Statement of Faith of Black Rock Retreat without reservation or coercion and agree to model and teach the principles contained therein in word and action as I fulfill my duties at Black Rock Retreat and in my personal life.
Black Rock Retreat has my permission to obtain all necessary information from the references that I have listed, or any other applicable and appropriate sources, concerning my prior employment, performance, personal history, character, or criminal record, and I release all such parties from any liability for information provided in good faith.
I affirm that I have neither been convicted of, nor am I the subject of pending charges for any offense involving actual or attempted child abuse. I affirm that I am not currently under investigation for such crimes.
I understand that this is an application for employment and does not constitute a contract of any kind. I also understand that Black Rock Retreat may terminate my employment at any time at their discretion, with or without prior notice. If I am dismissed, I will be paid only through the date of my dismissal and agree to return all Black Rock Retreat property in my possession before being eligible to receive final payment of any amount due me upon separation.
I certify that the stated information in this application is true and complete to the best of my knowledge. I understand that any misrepresentation or false statement contained herein may be considered grounds for rejection of my application or possible termination if I am employed.
Please input 3 references as part of your New Staff application. At least 2 of your 3 references may NOT be a family member.
(Required)
Reference #1 Name:
Email
(Required)
Phone Number
(Required)
Relation to Applicant
(Required)
Professor
Teacher
Employer
Supervisor
Pastor
Mentor
Friend
Neighbor
Alt Person
Reference #2 Name
(Required)
Email
(Required)
Phone Number
(Required)
Relation to Applicant
(Required)
Professor
Teacher
Employer
Supervisor
Pastor
Mentor
Friend
Neighbor
Alt Person
Reference #3 Name
(Required)
Email
(Required)
Phone Number
(Required)
Relation to Applicant
(Required)
Professor
Teacher
Employer
Supervisor
Pastor
Mentor
Friend
Neighbor
Alt Person
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