Summer Employment Application

First Name:

Birth Date:

Address:

City:

State:

Zip Code:

Home Phone:

Cell Phone:

E-Mail Address:

Social Security Number:

Gender:

Marital Status:

Church:

Check the position(s) that you are interested in. If you are interested, and qualified, in more than one position, please indicate your first, second, etc. preferences in the textbox on the right. Applicants must be 17 YEARS OLD OR OLDER. Pay for most positions is $48.00 per day plus room and board. PLEASE SUBMIT APPLICATION AS SOON AS POSSIBLE BUT NO LATER THAN APRIL 15th.
EDUCATION/TRAINING/CERTIFICATION
Name & Location
Education/Training/Certification
Years Attended
EMPLOYMENT HISTORY

Most Recent Employer:

Kind of Business:

City, State, Zip Code:

Phone:

Your Title:

Name of Supervisor:

Phone:
Your Duties: (indicate size of business, specific job duties, related special
                   assignments, supervisory responsibilities if any, etc.)
(if PT, hours/week:
)

From:

To:

May we contact this employer?:

Reason for leaving:


2nd Most Recent Employer:

Kind of Business:

City, State, Zip Code:

Phone:

Your Title:

Name of Supervisor:

Phone:
Your Duties: (indicate size of business, specific job duties, related special
                   assignments, supervisory responsibilities if any, etc.)
(if PT, hours/week:
)

From:

To:

May we contact this employer?:

Reason for leaving:

Write out your personal testimony in 300 words or less.
How will you be an example for Jesus Christ at camp?
What contribution on your part will make for a well run camp for children?
What is your desire and purpose in wanting to work at Crystal Springs Baptist Camp?
List hobbies, crafts, abilities (musical, mechanical, clerical), that you regularly use?
List any physical problems that might affect your work at camp. Any special diet required?
Permanent Staff arrive at Camp the end of May and are needed until approximately the middle of August. Would you be able to work during that time? If not, please explain. *It is imperative that those applying for summer counselor positions be able to work during Senior High, Junior High, Intermediate, and Junior Camp. See website for schedule.
List any additional information that the Executive Director should know in reviewing your application.
Have you ever been charged or convicted of a felony? If so, please explain.
For refernece purposes, please list the name and addresses of two (2) persons not related to you. Also list your Pastor's name and address.
Reference #1: name, address, phone
Reference #2: name, address, phone
Pastor's name, address, phone
Agreement with Crystal Springs Baptist Camp

In signing this application, I hereby authorize Crystal Springs Baptist Camp to process my application for employemnt by checking listed references and by verifying statements made on this employment application. I authorize investigation of all statements contained herein and I authorize all former employers and references listed in the application to give you any and all information concerning my previous employment and any pertinent information they may have, personal and otherwise. I further understand that Crystal Springs Baptist Camp will thoroughly pursue the safety of minors being served by their ministries. To that end, they may check my name against the list of registered sex offenders. I realize and agree thaty any photos or recordings taken of me during the summer may be used in camp promotional material. In signing this application, I am also saying that all information within this application is true. In the event of my acceptance, I shall be subject to dismissal if I have given false or incomplete information.

I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THAT CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT.

Applicant's Name:


Middle Name:

Last Name:

How did you hear about this position?