X/TwitterThis field is for validation purposes and should be left unchanged.Thank you for your interest in serving at Northern Pines! After applying, you will receive an email confirming the receipt of your application. The application confirmation does not mean you will or won't be on staff, just that we received your application. We will review applications and followup in March. Please contact us at connect@npines.org if you have any questions.Please note, if you leave or refresh this page before successfully submitting the form, your progress will not be saved. To avoid losing your work, you can write the longer answers in a notes or document application and then copy and paste into the form fields.Your InformationName(Required) First Last Nickname or Preferred NameFor initial communication, our system will use your first name, but it is helpful to know if you go by a nickname. If selected for the Wilderness, you will choose your Biblical name later.Gender(Required) Female Male Date of Birth(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age at camp(Required)Background Check(Required)Your application will not be complete until we can run a background check. We need a Social Security number to complete a background check. You can email us at connect@npines.org to share your number or arrange a convenient time to text or call. Your application will not be complete until we can run a background check. I have sent this email Special DietThere is a weekly fee for special diets (gluten-free, dairy-free, etc.). Please let us know if you might need a special diet during your week(s). If you select yes, more details will follow. Yes No Service DetailsWhich week(s) are you applying to serve?(Required)Please review the upcoming conference details for the specific dates. You will need to arrive on campus on the SATURDAY before the conference begins for mandatory training in the afternoon. Week 1 Week 2 Both Weeks I'd be willing to serve either week(Required) Yes No Northern Pines Program(Required)Please select the position you're applying to serve. Wilderness Staff Junior High Counselor Senior High Counselor CCA Counselor Youth Program Musician Youth Program Photographer Children's Program Teacher Young Adult CCA Alternative PlacementWould you be willing to serve in another program or role? (If so, please list here). Is there anything you'd like us to know about program preference or placement? If you are a musician, please include details about your experience.Work and Education(Required)Please summarize your post high school education and/or job experience.Camp Experiences(Required)Please summarize your camp experiences (names, locations, years, capacity (camper/staff), and responsibilities if applicable)Leadership Experiences(Required)Please summarize your other, non-camp, leadership experiencePlease describe your faith(Required)Please let us know how you know you are a Christian, or where you are in your faith journey?Christian Activities(Required)Please share some christian or church-based activities in which you are presently active.Why do you want to serve at Northern Pines?(Required)Do you have any health conditions that would prevent you from carrying out your duties?(Required) Yes No Unsure Health Concerns(Required)If you answered "yes" or "unsure", please provide additional detailsDo you use tobacco, alcohol, or drugs?(Required)If yes, you are stating you will abstain during staff training and while serving on staff at Northern Pines. Yes No Anything else you'd like to add about your application?Applicant StatementsStatement of Accuracy(Required)The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this form to give you any information (including opinions) they may have regarding my character and fitness to work with children. In consideration of the receipt and evaluation of this form by Northern Pines of Minnesota, I hereby release any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization identified by me in this form. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement which I have read and understand. I agree Northern Pines Statement of Faith(Required)The following Statement of Faith is the foundation of Northern Pines and the youth programs: I believe in the Bible as the Word of God, a divine revelation, in the original language verbally inspired in its entirety. Acceptance of the Bible as the final authority in all matters. I believe in the Deity of the Triune God: God the Father, Christ the Son, and the Holy Spirit. I believe in the Deity of the Lord Jesus Christ, His substitutionary atonement for sin, His bodily resurrection and His personal, visible return to earth to reign in righteousness and glory. I believe in the person of the Holy Spirit and His Word of conviction, regeneration and sanctification; Who indwells every believer. I believe in the necessity of the New Birth, in Salvation by faith in Jesus Christ alone. I believe that the Church is the Body of Christ, a spiritual organism of born again believers who publicly confess Christ, and remember His death in the sacrament of communion. I believe in the importance of a life wholly committed to the will of God, in Christ. In signing this statement, I am indicating that I agree with the position of Northern Pines on these matters, and that as a member of the staff, I will uphold them in word and action. Standards of Conduct(Required)Should I be accepted, I agree to be bound by the Bylaws and policies of Northern Pines of Minnesota, and to refrain from unscriptural conduct in the performance of my services on their behalf. I certify that (a) no civil, criminal, or ecclesiastical complaint related to sexual misconduct ever has been sustained or is pending against me; (b) I have never resigned or been terminated from any paid or unpaid position for reasons related to sexual misconduct. I understand that any false or inaccurate statement made in this application will be grounds for the immediate revocation of all privileges and immediate dismissal from the staff. Note: If you are unable to make the above certification, please contact us at connect@npines.org to provide a description of the complaint, termination, or the outcome of the situation and any explanatory comments you care to add. I agree I'll email connect@npines.org to set up a time to discuss ReferencesAll applicants—new and returning—are required to provide references. These references cannot be related to you (sibling, parent, aunt, grandparent etc.). References should not have connections to Northern Pines and should be someone who has interacted with you within the last year. Please communicate with your two references before submitting this form. We will email them with a link to the reference form on our website.Permission to Contact References(Required) You have my permission to contact my references on my behalf to ask them to fill out a reference form online. Reference #1Reference #1 Name(Required) First Last Reference #1 Email(Required) Enter Email Confirm Email Reference #1 Phone(Required)How do you know this reference? (r1)(Required)Reference #2 Name(Required) First Last Reference #2 Email(Required) Enter Email Confirm Email Reference #2 Phone(Required)How do you know this reference? 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