Camp 2025 – Staff Application 1Basic Information2Ministry Experience3Camp Service4Personal Lifestyle5Other Information6Staff Agreement7Medical Release8Support HSDC! HiddenFor Official Use OnlyHiddenJob Profile Staff Cabin Leader HiddenStaff AssignmentActivitiesWorship TeamTech / Sound TeamVideo TeamSquare SergeantPastorNursing StaffOther Duties As AssignedHiddenCabin / Lodging AssignmentNo Cabin AssignedFemale CabinsTwin Oaks 1Twin Oaks 2Twin Pines 1Twin Pines 2AshBirchCattailDogwoodElmFirGooseberryHeatherIvyJuniperKnotty PineLodgepoleManzanitaMale CabinsNutmegOliveOakPoplarPonderosaQuaking AspenRedwoodSageToyonValley OakWillowYuccaCedar Lodge 1Cedar Lodge 2Cedar Lodge 3Cedar Lodge 4Cedar Lodge 5Cedar Lodge 6Cedar Lodge 7Cedar Lodge 8Cedar Lodge 9RV ParkNo Overnight Stays At CampHiddenColor Team AssignmentNo Color AssignedRedBlueYellowGreenHiddenStart of Camp (DO NOT ADJUST)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920HiddenYears Old (At Start of Camp)HiddenDate Submitted Submitter User ID You may only submit a single staff application under this specific user ID. If your spouse or family member would like to apply for staff, please logout and have them register for their own account. If for some reason you need to register a staff member that cannot register for their own account, reach out to our registrar at registrar@camphighsierra.orgApplication Reference IDTitle(Required)Mr.Mrs.MissRev.Dr.PastorOtherCustom Title(Required) Legal Name(Required) First Last Preferred Name Add an optional nick name if you prefer going by something else. This is the name that will be on your button.Date of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleT-Shirt SizeSMLXL2XL3XLAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Email(Required) Cell Phone(Required)Home PhoneMay we text your cell phone regarding camp?(Required) Yes No Verse Card Bible Version(Required)KJVNKJVNIV84ESVMedical InformationDo you have medical insurance?(Required)Yes, I am covered on someone else's policyYes, a policy in my nameNo, I do not have medical coverageConsent(Required) I agree to the medical insurance waiver below.I, acknowledge and confirm that I am willingly deciding to attend and participate in activities offered by High Sierra Discipleship Camp. I expressly understand and agree that said participation is without the provision of health insurance coverage. I am fully aware that any medical treatment required as a result of an emergency, accident, illness, or otherwise, will be my sole financial responsibility, and that High Sierra Discipleship Camp shall not be held liable for any medical expenses incurred.Insurance Provider Name(Required) Insurance Policy Number(Required) Insurance Phone Number(Required)Name of Primary Insured(Required) First Last Insurance CardMax. file size: 2 GB.Health History (Select all that apply): Drug allergies Insect stings Heart condition Hay fever Other allergies Chronic asthma Handicaps Diabetes Food allergies Frequent colds Stomach upset Epilepsy Other Health History ExplainedPlease describe any relevant health history, heart conditions, allergies (food, drug, environmental), asthma, major surgeries, etc.Will you be on any medication during camp?YesNoCurrent MedicationPlease list all medications that you will be on during camp.Medical History UploadMax. file size: 2 GB.Many staff prefer to simply upload their medical history, you can do that here.Primary Care Physician's Name First Last Primary Care Physician's Phone Number Church Youth Ministry ExperienceYouth Ministry(Required) Yes No Are you currently actively serving in youth ministry? (AWANA, Youth Group, Adventure Club, etc…)Past Youth Ministry(Required) Yes No Have you ever served in youth ministry in the past?Youth Ministry Experience (Years)(Required)Please enter a number from 0 to 100.How many total years of youth ministry experience do you have?Youth Ministry Program(Required) What is the name of the Program in which you are currently serving?Youth Ministry Explained(Required)Youth Ministry Explained(Required)Church Name(Required) What is the name of the church in which you are currently serving.Church Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Church Phone(Required)Camp ExperienceHigh Sierra Discipleship Camp Experience(Required) Yes No Have you ever attended Camp at HSDC, HSSC, or AWANA Scholarship Camp? (Answer ‘Yes’ if you have ever been Staff, a Cabin Leader, or a Camper)Years as CamperPlease enter a number from 0 to 100.Years as StaffPlease enter a number from 0 to 100.Years as Cabin LeaderPlease enter a number from 0 to 100.Other Camp Experience(Required) Yes No Have you ever attended Camp, other than HSDC, HSSC, or AWANA Scholarship Camp? (Answer ‘Yes’ if you have ever been Staff, a Cabin Leader, or a Camper)Years as Camper (Other)Please enter a number from 0 to 100.Years as Staff (Other)Please enter a number from 0 to 100.Years as Cabin Leader (Other)Please enter a number from 0 to 100.Camp Staff Experience(Required) Camp Position Desired (1st Choice)(Required)Put me in coach (Any position needed)Cabin LeaderActivitiesNursing StaffCamp AdministrationTech TeamVideo TeamWorship TeamPastor (Pastors must already be approved)OtherPlease pick the camp position you are applying for. Please note that by applying for staff / cabin leader, you are volunteering to fill the needed role for camp. We will do our best to honor your positional desires, but we cannot guaranty any position.Camp Position Desired (2nd Choice)Put me in coach (Any position needed)Cabin LeaderActivitiesNursing StaffCamp AdministrationTech TeamVideo TeamWorship TeamPastor (Pastors must already be approved)OtherPlease pick the camp position you are applying for. Please note that by applying for staff / cabin leader, you are volunteering to fill the needed role for camp. We will do our best to honor your positional desires, but we cannot guaranty any position.Camp Position Desired (1st Choice) Other:(Required) You have indicated “Other” on your first choice, please explain.Camp Position Desired (2nd Choice) Other:(Required) You have indicated “Other” on your second choice, please explain.Free Time Activity Signup(Required) Hike Crafts: Leather Crafts: Lanyards Crafts: Other Work Project Hang out: Pond Hang out: Pool Hang out: Coffee House Hang out: Game Room Basketball Field Sports Other All cabin leaders and staff need to be available during free time to assist with some activities. Please select your top THREE choices from the list.Special Abilities NOTE: Answering yes to one or more of the following questions will not automatically disqualify an applicant from a role as staff / cabin leader. Please answer the following… Do You:Use Tobacco?(Required) Yes No Vape or Smoke E-cigarettes?(Required) Yes No Consume Alcoholic Beverages(Required) Yes No Use Nonprescription Drugs?(Required) Yes No This includes prescription drugs for which you do not hold a valid prescription from a licensed Doctor.View / Read Pornographic Material?(Required) Yes No Personal Lifestyle Explained(Required)Have you ever been accused, charge, or alleged to have committed any act of neglecting, abusing, or molesting any child?(Required) Yes No Child Abuse Continued(Required)Do you have any physical or metal impairments or spiritual weaknesses that might limit or restrict your ability to serve as a cabin leader?(Required) Yes No HiddenTotal HSDC Staff Experience (Years)This section is not required as you have indicated that you have more than 3 years of experience at HSDC. Please click next to continue.Personal InformationThis information is required to conduct a criminal records verification and fingerprint information request.Full Legal Name(Required) First Middle Last Date of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920What type of ID do you have?(Required) US Drivers License / ID Canadian Drivers License / ID Other International Drivers License / ID U.S. Insular Possessions and Territories such as Guam, CNMI, USVI, American Samoa, or Puerto Rico are listed under “US Drivers License / ID.”Drivers License State(Required)AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingU.S. Insular Possessions and Territories such as Guam, CNMI, USVI, American Samoa, or Puerto Rico are listed here.Drivers License Number(Required) Canadian Drivers License Provence / Territory(Required)AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonCanadian Drivers License Number(Required) International Drivers License Country(Required)AfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishWallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land IslandsInternational Drivers License Number(Required) Present EmploymentAre you presently employed? Yes No Name of Present Employer(Required) Employer Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Employer Phone(Required)Supervisor Name(Required) First Last Your Title(Required) Position Type(Required)Full Time (More than 32 Hours / Week)Part Time (Between 20 – 31 Hours / Week)Part Time (Less than 20 Hours / Week)Employment Dates(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920When did you start working in this position?Military / Uniformed ServiceHave you ever served in the Military or Uniformed Services?(Required) Yes No Branch of Service(Required)Air ForceArmyCoast GuardMarinesNavySpace ForceU.S. PHS Commissioned CorpsNOAA Commissioned Officer CorpsIf you have served in multiple branches of the armed forces, please only select the latest branch in which you served, or are currently serving.What is your present status?(Required)Active DutyReserveNational GuardIndividual Ready Reserve (IRR)RetiredDischarge – HonorableDischarge – Other than HonorableDischarge – DishonorableEnlistment / Commission Date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Discharge / Retirement Date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920TestimonyChristian Testimony(Required)Camp Testimony(Required)Pastor / Staff / Club Commander RecommendationPlease provide the contact details for somebody who knows you well. This individual should be a in a position of leadership at your Church, or at High Sierra Discipleship Camp. This individual will be required to fill out a letter of recommendation before your application will be approved.Reference Name(Required) First Last Reference Phone Number(Required)Reference Email(Required) Authorization for Background CheckAUTHORIZATION AND REQUEST FOR CRIMINAL RECORDS VERIFICATION AND FINGERPRINT INFORMATION. I, , hereby authorize High Sierra Discipleship Camp to obtain and/or request information about my criminal history and fingerprints from any entity chosen specifically for conducting this search, to release information regarding any record of charges or convictions contained in its files, or in any criminal file maintained on me, whether said file is local, state, or national file, and including but not limited to associations and convictions for crimes committed against minors, to the fullest extent permitted by city, county, state, and federal law. I do release said entities from all liability that may result from any such disclosure made in response to this request. I may revoke this request at any time, but that revocation must be in writing and give 30 days’ notice of same.Signature (Background Authorization)(Required) Cabin Leader Requirements: The cabin leader is responsible to the camp administration and must cooperate with fellow workers, but his or her primary responsibility will be to the campers. Each cabin leader should assume leadership, as needed, and make necessary decisions. The cabin leader’s spiritual vitality, Christian maturity, dependence upon the Word of God, and fellowship with Jesus Christ are essential for a successful camp ministry. A cabin leader must be: A born-again believer in Christ. Actively serving in a local church; youth or children’s ministry service is preferred. Prepared to deal with campers regarding personal decisions for salvation and/or dedication for Christian service. He or she must be also able to lead evening cabin devotions. Willing to enter wholeheartedly into the spirit of the camp and participate in the total camp program. I have read the cabin leader requirements and carefully answered the questions in this application. I agree wholeheartedly to enter into the spirit of the camp and participate in the total camp program. I will fulfill my responsibility as part of the camp leadership staff, following the chain of command from cabin leader to camp director. By signing this application, I give my authorization to the High Sierra Discipleship Camp Committee to verify the information on this form. They may contact references and appropriate government agencies as deemed necessary in order to verify my suitability to work at camp. PHOTO RELEASE: I grant to the representatives High Sierra Scholarship Camp and Sugar Pine Christian Camps the right to take photographs of myself in connection with any HSSCamp activities. I authorize High Sierra Scholarship Camp and Sugar Pine Christian Camps, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that High Sierra Scholarship Camp and Sugar Pine Christian Camps may use such photographs, videos or other likenesses of myself without my name and for any lawful purpose, including, for example, publicity, illustration, advertising, and Web content. We serve at HSDC in the tradition of the apostle Paul, working for the glory of God and not the pleasing of men (Eph. 6:5-8). Paul willingly made himself a servant to all (I Cor. 9:19) and willingly did all tasks necessary to win the lost (I Cor. 9:22). God pleads with us to present our bodies as a living sacrifice in Romans 12:1. The Bible calls this our ‘reasonable service.’ We encourage you to come to camp with a servant’s heart, willing to be used to win souls and change lives! Signature (Staff Agreement)(Required) ELECTRONIC SIGNATURE CONSENT By rendering your digital signature below, you, as the staff member, provide your explicit consent for your electronic signature to be applied to the High Sierra Discipleship Camp Medical Release, and Release and Waiver of Liability and Assumption of Risk, and Indemnity Agreement. You acknowledge and agree that this electronic signature is legally binding, just as your physical signature would be on a paper document. You accept all terms and conditions outlined in the agreement, and you agree to assume all responsibilities and risks associated with your participation in the camp activities. Please note, you have the option to opt out of electronic signature submission. If you choose to opt out, you may instead submit a completed paper document to High Sierra Discipleship Camp. To opt out and receive a paper application, please contact our office directly at registrar@camphighsierra.org HIGH SIERRA DISCIPLESHIP CAMP – MEDICAL RELEASE, AND RELEASE AND WAIVER OF LIABILITY AND ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, , hereby agree to the following: 1. MEDICAL RELEASE: In case of an emergency, illness, or accident when I cannot be reached, I give permission for High Sierra Discipleship Camp, its employees, agents, volunteers, or other medical personnel to obtain or provide medical treatment for me, which in their judgment is necessary for my welfare. I authorize them to arrange for such medical and hospital treatment as they deem necessary for my health and well-being. 2. RELEASE AND WAIVER OF LIABILITY AND ASSUMPTION OF RISK: I understand and acknowledge that participation in High Sierra Discipleship Camp activities comes with inherent risks, including but not limited to risk of personal injury, death, illness, damage, or loss. I voluntarily, knowingly, and freely assume all such risks, both known and unknown, even if arising from the negligence of High Sierra Discipleship Camp or others, and I assume full responsibility for my participation. 3. INDEMNITY AGREEMENT: I agree to indemnify and hold harmless High Sierra Discipleship Camp, its directors, officers, employees, agents, volunteers, Sugar Pine Christian Camp, and any others acting on its behalf, from and against any and all claims, actions, suits, costs, losses, damages, and any other liabilities, including attorneys’ fees, arising out of or related in any manner to my participation in High Sierra Scholarship Camp activities. This includes, without limitation, any claims of negligence, personal injury, sickness, or death, as well as property damage and expenses, of any nature whatsoever which may be incurred, directly or indirectly. 4. FINANCIAL RESPONSIBILITY FOR MEDICAL TREATMENT: I understand and agree that all costs and expenses incurred in connection with any medical treatment for me, including but not limited to, physician, hospital, or other healthcare provider expenses, will be my sole responsibility and not the responsibility of High Sierra Discipleship Camp, its directors, officers, employees, agents, volunteers, or Sugar Pine Christian Camp. I understand and acknowledge that High Sierra Discipleship Camp may select medical professionals or facilities that are not “in-network” with respect to my health insurance. I agree that in such instances, I am responsible for any and all costs, including those not covered by my health insurance. I acknowledge that I have read this agreement, fully understand its terms, and have signed it freely and voluntarily without any inducement, assurance, or guarantee being made to me and intend my signature to be a complete and unconditional release of liability to the greatest extent allowed by law. DIGITAL SIGNATURE COMPLIANCE This document has been digitally signed by the user below in compliance with applicable laws within the United States, and the E-SIGN act. DATE SIGNED: 12/21/2024 SIGNER’s IP ADDRESS: 18.118.19.89 SIGNER’s EMAIL: SIGNER’s NAME: Signature (Medical Waiver)(Required) Help Support HSDC!Camp costs have continued to escalate over the years, but we have stood string on our beliefs of not charging our staff and cabin leaders to attend camp. You are the back-bone of High Sierra, and without you, we could not do what we do! With that being said, if you can afford to help support camp’s operations, we would be greatly appreciative. You can donate using the form below.Would you like to donate and cover your costs to HSDC?Yes!No Thanks.We are charged for every individual that attends HSDC, staff and cabin leaders included! Please consider donating so that we can continue to keep camper costs low.How much would you like to donate today?(Required) Our costs for each staff member is $485 for the 2025 camp year.Credit Card(Required)