New Staff Application 2026

*Denotes Required Field

Welcome to Broken Wheel Western Adventures 2026 New Staff Application Form!

We are excited that you want to work at camp and are looking forward to receiving your application.

To apply for a staff position, fill out the Application Form below and submit it, along with the Staff Medical Form. These forms can be filled out on your desktop computer or mobile device.

Once your form has gone through the approval process, we will contact you and let you know if you are accepted as staff.

If you have any questions regarding your application or other camp questions, please contact us at brokenwheelstaff@outlook.com.

Thanks so much, we look forward to reviewing your form!

CONTACT INFORMATION

* Full Name

* Birthdate

* Gender

Male
Female

Marital Status

* Address

* City

* Province

* Postal Code

* Email

* Phone Number ( ) -

EMERGENCY CONTACT

* Name

Relationship

* Phone Number 1 ( ) -

Phone Number 2 ( ) -

DATES AVAILABLE

Please select the dates you are available below:

**Please note that the BWWA Staff Training is taking place June 28 at 4:00pm to June 30. Successful staff applicants should plan to attend this important training to more effectively serve in their roles at camp this summer.**

Trail Ride 1 (July 1-7)

Trail Ride 2 (July 9-18)

Trail Ride 3 (July 20-26)

If dates differ from those above, please give reasons below:

POSITIONS

Please choose 3 of the positions you are willing to serve in and number them in order of preference: (1 = Most Prefered 3 = Less Prefered)

Trail Boss

Head Cook

Assistant Cook

Camp Coordinator

Head Wrangler

Assistant Wrangler

Teepee Leader

Speaker

Please check off each certification you currently hold:

First Aid

What Level/Type

CPR

Food Safe

What Level/Type

CLOTHING (Optional for purchase)

* Tshirt Size (Free for Camp Staff identification)

Hoodie Size ($55)

Ball Cap ($40)

LEADERSHIP

* Do you have any previous volunteer experience? (Awana, Youth Group, 4H, Sports Coach/Assistant, Church Leader, Charity Event Worker, Soup Kitchen, Camp, etc.)

* What work experience do you have?

* What leadership experience do you have?

* What experience/knowledge do you have of the positions you are applying for?

* What do you see as your strengths and your weaknesses?

PERSONAL

Please give a number from 1-5 that describes you (1 = Poor 5 = Good)

* Work well with others

* Listen to and respect the perspective of others

* Read, process, and communicate written material

* Control my temper

* Communicate with people of various ages

* Notice and address individuals that are less engaged

* Neat and organized

* Self-motivated

* Show concern for health and wellbeing of others

* Show respect for others’ possessions

* Respond well to authority

* Respond to someone under your leadership that pushes the boundaries

* Public speaking

* Able to respond calmly and appropriately to stressful situations

* How do you enjoy spending your free time?

* What are your 3 favorite songs or movies?

* How do you rest and seek rejuvenation after a stressful/tiring situation?

* Describe your relationship with family members.

* Who is the one person you look up to the most and why?

* When did you receive Jesus as your Lord and Savior?

* What has God been teaching you in the past year?

* Please share some Scripture that is meaningful to you at this time and why.

* How comfortable are you with sharing your faith with other people?

* Do you attend a church or Bible Study?

Name of Church/type of Bible Study?

How often?

HORSE EXPERIENCE

At BWWA we spend a fair amount of time with horses. Even if you have little or no horse knowledge you are still very welcome. We ride on varying terrain, and it is helpful for us to know what your horse experience is.

* Please describe your horse experience below. If you have never been around horses, state “none”.

* Approximate Weight (lbs)

REGARDING YOUR ABILITY TO WORK WITH CHILDREN

In order to provide a safe and secure environment for campers, we believe it is necessary to ask the following questions as part of our application process. All information will be kept in confidence by the Camp’s leadership team and will not be disclosed by the Camp unless required by law. Please answer YES or NO to the questions. Answering “yes” may not necessarily prevent you from volunteering with the camp.

* Are there any circumstances involving your lifestyle or history that could call into question your ability to work safely with children or youth?

* Have you ever been convicted or found guilty of a criminal offence for which a pardon has not been granted? (Note: this does not include minor traffic violations)

* Have you ever been expelled from or had your employment terminated by any organization or employer for assault or violence against any person, or for assault, violence or impropriety with children, youth, or vulnerable persons? (e.g., senior citizens or persons with disabilities)

PHOTO CONSENT

I grant BWWA permission to use pictures of me and/or my child in their brochures, displays, printed material or on their web pages (without names attached).

AGREEMENT

I agree to participate in the camp's program to the best of my ability.

I agree to minister as part of a team and submit to authority.

I agree to keep my relationships from becoming a distraction while I’m at camp.

I understand that being a part of a team I will be asked to give up certain lifestyle choices and freedoms for the benefit of others. In doing so, I will forgo the use of alcohol, smoking, vaping, and non-prescription drugs during my time at camp. I understand that I could be asked to leave the team if I choose not to abstain from these activities.

I agree to submit a Criminal Record Check and understand that I may not be able to start camp without it. (To submit a CRC at no cost, please contact brokenwheelstaff@outlook.com or call/text 250-784-8960)

Please read the BWWA Statement of Faith

I have read and agree to work under the Statement of Faith of BWWA.

RELEASE OF INFORMATION AND DECLARATION OF INTENT

I understand that if BWWA approves my application and later determines, in its discretion, at any time that I am not suitable for the volunteer position for which I am applying, the leadership may terminate my volunteer service or volunteer position for any reason without advance notice.
If at any time, I determine that for any reason I am unable to support or adhere to or follow the policies and procedures of BWWA, I will inform the leadership and will resign my volunteer position.
If BWWA approves my application for a volunteer position, I will sign documents that the leadership requires and will at all times cooperate fully with the leadership in the fulfillment of my duties and will keep all sensitive information I encounter in my role as a volunteer, confidential.

DECLARATION

I HEREBY ACKNOWLEDGE THAT, TO THE BEST OF MY KNOWLEDGE, THE INFORMATION CONTAINED IN THIS STAFF APPLICATION IS TRUE AND CORRECT.

* Applicant Signature: Use your mouse or finger to sign here

* Date of Signature:

MEDICAL FORM

Please also fill out and submit the Staff Medical Form

REFERENCES

Please supply the contact information for 2-3 people (pastor, youth pastor, employer, teacher or Christian adult) you have known well for at least a year, who are at least 25 years of age, and who have agreed to act as a reference for you. Please supply name, phone number (with area code), email address and nature of relationship.

Please send them an email with a link to the Reference Form and ask them to fill it out. When they click "Submit" at the bottom of the form, it will automatically be sent to us.

Here is the reference form. You can simply copy/paste it into an email to send it to your Reference: Staff Reference Form

Reference 1

* Name

* Phone ( ) -

* Email

* Relationship

Reference 2

* Name

* Phone ( ) -

* Email

* Relationship

Reference 3

Name

Phone ( ) -

Relationship

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