Contact Us

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3300 River Road
Mount Bethel, PA 18343

(570) 897-6000

Christian retreat center for New Jersey and Pennsylvania marriage retreat, singles retreat, women's retreat and youth summer camp in Mount Bethel, Pennsylvania.

Hiring Forms

We're glad you've decided to spend your summer serving God at Tuscarora Inn & Conference Center!


We're glad you've decided to spend your summer serving God at Tuscarora Inn & Conference Center!

There is some paperwork that we still need from you to complete the process. Below is a checklist with the
needed forms. If you haven’t done so already, please send the contract back ASAP. Unless you have any updates to these, returning staff do not need to fill out the Direct Deposit Form, W-4 form, I-9 form, Workers Comp forms, PA Act-32 Form, or Working Papers.

Thank you in advance for working on these forms. It is necessary that we have each of these forms on file by May 31. Even if you have worked in past summers, you must complete these forms and return them with the exception of those listed in bold above. If you have any questions, please don't hesitate to contact Tuscarora.

Hannah Riehle-Moeller, Summer Staff Supervisor, 570-897-6000 ext. 353,


  • Employment Agreement: Should have already been turned in.

  • Summer Staff Member Profile: Please take some time to think about these questions and write your answers on a separate piece of paper. Please include the questions in your essay.

  • Media Release Form

  • Fitness Room Permission

  • Health & Medical Information Form: Parental signature is required for those who are still under 18 by the start of the session, in addition to this, it would be helpful to have a copy of your insurance card.

  • Direct Deposit Authorization Form: Please print the bank name on the line for Depository Name. Bank Transit # is what is often referred to as the bank's routing number. If you have a checking account, you must attach a voided check or if you have a savings account you must attach a document from the bank with your name routing # and account #.

  • W-4 Form: Please follow the instructions on the top of the form. Submit only the completed page 1. Please make sure to fill in Section 5 designating the number of allowances you are claiming.

  • I-9 Form: Fill out part 1 of this form through the signature portion. Submit only the completed page 7. Please refer to the last page of the form, and enclose either a copy of one document from List A, or a copy of a document from List B AND List C.

  • Local Services Tax-Exempt Form

  • Workers Compensation Physician Panel: Please keep a copy at home for your records

  • Workers Compensation Employee Form: Sign only the top line (where the x's appear)

Under 18

  • Parental Permission Form

  • Working Papers: Applies to those who will be under 18 by the start of the session. Please fill out all sections on the Application for Employment Certificate with an "X" by them.

  • Birth Certificate: Submit a copy of your birth certificate with your working paper form.

New Jersey Resident

  • Non-Residence in Pennsylvania: Please complete down only to "Employee Signature" and "Date" and return the form.

  • NJ-W4 Form: Applies to New Jersey residents only. Please fill out the NJ W-4 and take note of line 6. If you meet the criteria listed in the instructions for line 6, then enter EXEMPT in this box.

Background Checks

Click here to access the background checks page. All employees of Tuscarora are required to complete these background checks in accordance with Pennsylvania State laws

  • Pennsylvania State Police Criminal Background Check

  • Pennsylvania Child Abuse History Clearance

  • FBI Fingerprinting

You may contact Danika Adderley, for questions concerning the background checks.