Staff Re-Application Form

              Camp Blue Ridge
Staff Re-Application Form
Personal Information

School Information

Desired Positions At Camp

In case you are hired, please fill in the following information...


Conduct Clearance Information
Camp Blue Ridge understands that providing a safe environment for campers, visitors, and children is a first priority and therefore requires that the applicant provide complete disclosure as to the following questions concerning prior conduct and/or misconduct. Please answer the questions completely, providing any and all detailed information pertaining to your answers, including attaching of any reports or other documents pertaining to your answers.

Please note, this application is not complete without your signature. Read the following statement carefully.

The information contained herein and my answers to the question above are true, accurate, and complete. By my signature below, I attest and affirm to the truth, accuracy and completeness of my answers. I acknowledge that a failure to provide complete, truthful and accurate answers may lead to my termination as an employee of Camp Blue Ridge or the rejection of of my application of my application for employment. By my signature below, I hereby grant and provide permission for the Potomac Conference of Seventh-day Adventists and/or individuals, agencies, or authorities to verify the accuracy of the information contained herein and my eligibility for this job. I hereby authorize and release any and all individuals to truthfully and completely provide information to Camp Blue Ridge or the Potomac Conference of Seventh-day Adventists, pertaining to my eligibility and this application for employment with Camp Blue Ridge.

In case of my employment at Camp Blue Ridge, I give permission for pictures and/or video of me to be used in camp promotional material.