GENERAL INFORMATION

I am applying for the position of:  Select Position Servant Staff / Lifeguard Kitchen Staff / Cook

First Name:       Middle Name:

Last Name:       T-Shirt Size:

Social Security #             Gender Male Female

Street Address:

City, State, Zip:

Phone:                                 Cellular Phone:

Email:     Date of Birth:

How did you hear about our camp?

EDUCATION

High School Attended:

City, State:

Classification: Select One Freshman Sophomore Junior Senior Graduate School Other

Diploma Received: Select One Yes, I Graduated No, I Did Not Graduate I Received My GED I Am Still In High School

Current College Attending:

City, State:

Number of Years:    Major:   Degree Obtained:

Church You Attend:

City, State:

Pastor's Name:

Church /Pastor Phone Number:

Please describe any Church involvements or activities:

To qualify for Servant Staff you must hold a valid Red Cross Certification in Lifeguarding PRIOR to the first day of camp.

Do you hold a Red Cross Certification? N/A Yes, I Am Certified Yes, I Am Certified, But Not By Red Cross No, I Am Not Certified No, But I Will Be Prior To Camp

EMPLOYMENT HISTORY

Current or Most Recent Job Employer:

Employer City / State:

Employer Phone:       Dates of Employment:

Supervisor:

Reason For Leaving?
None

Job 2

Employer:   

Employer City / State:

Employer Phone:       Dates of Employment:

Supervisor:

May we Contact Them? Yes No
If no, why not?
N/A

Reason For Leaving?
None

Job 3
Employer:   

Employer City / State:

Employer Phone:       Dates of Employment:

Supervisor:

May we Contact Them? Yes No
If no, why not?
N/A

Reason For Leaving?
None

Do you have ANY summer activities that might prevent you from working all summer?
None

Have you ever been arrested, charged, indicted, or convicted of any crime? Yes No
If Yes, Please describe in each in detail.
None

REFERENCES

Reference 1

Full Name:	

Street Address:

City, State, Zip:

Phone:         Occupation

Reference 2

Full Name:	

Street Address:

City, State, Zip:

Phone:         Occupation

Reference 3

Full Name:	

Street Address:

City, State, Zip:

Phone:         Occupation

Please list other skills or abilities you have that might be useful in a camp setting: None

Why do you want to work for Pine Springs Baptist Camp?

In clicking the submit button on this application, I affirm that the information given herein is true and correct. I understand and agree that any misrepresentation or omission of facts in this application shall be grounds for rejecting the application, or, if discovered after hiring, shall result in immediate dismissal.

By clicking submit, I agree to follow and obey all Camp Rules and Regulations set forth by the camp and management and understand that the management reserves the right to dismiss any employee who fails to comply.

All applicants must have a personal relationship with God through faith in Jesus Christ. They must fully agree with and be ready to sign, without reservation, the Pine Springs Baptist Camp Doctrinal Statement. Other requirements include a mature and growing Christian faith.

All applicants must posses a deep love and enjoyment for working with children between the ages of 5 and 18. Experience with this age group is helpful, but not a requirement. Applicants must be of patient and kind nature. All applicants must be of sound judgment, emotionally mature for their age, and possess good communication skills. All applicants must have a sound desire to serve others, and personal leadership skills. They must be able to develop and maintain a rapport both with children, peers, and adult supervisors. Pine Springs seeks people who genuinely “care about kids” and can be excellent Christ-like examples.