Summer STAFF APPLICATION

GENERAL INFORMATION
Name *
Name
Sex *
Phone *
Phone
Date Of Birth *
Date Of Birth
Marital Status *
Do You Have A Criminal Record *
Present Address *
Present Address
Permanent address (if different from above)
Permanent address (if different from above)
Include location and dates and a description of your position.
Please include the dates you worked and the position you were in.
Please list the school name, years completed, and certificates if appropraite.
Check the position(s) you are interested in applying for. *
If you have any conflicts with meeting the term of service (June 19 - August 26), (ie) wedding, family gathering, etc., please state those dates here. These days off must be approved prior to the start of the summer camping season.
CHURCH INFORMATION
Pastor *
Pastor
Church Phone # *
Church Phone #
HEALTH INFORMATION
1. Are there any reasons why your duties would be limited due to physical limitations or disabilities? *
2. Do you have any allergies? If yes, specify reaction and medication required.
CHRISTIAN WALK
APPLICABLE SKILLS
The following activities are taught to the campers or are used in program, please check one or more of the boxes that apply and note your specific experience in that area. I – Interest E – Experience L – Ability to Lead C – Certification
Archery
Belaying
Ropes/Challenge Course
Outdoor Ed/Survival
Canoeing/Kayaking
Crafts
Drama
Worship Team/Vocals
Musical Instrument
Video production/photography
Lifeguarding
First Aid
I Agree that the above information is accurate and that I will find confidential references as outlined below
Date *
Date
CONFIDENTIAL REFERENCES
Please give the reference form link to the following people: - Pastor/Christian Leader (this reference will comment on your spiritual journey) - Employer/Teacher (this reference will comment on your work ethic) - Christian Friend (this reference will comment on you character) All three people must be at least 21 years of age, know you well, and be able to comment on the particular area that is highlighted – spiritual, work, character. Please do not use relatives or Tulahead staff members. To ensure references are honest, accurate and confidential, we ask that your references send the forms directly to the camp office. Please let them know a little bit about the job you are applying for. Note: We cannot process your application until we receive all of your references