First Name:
Birth Date:
Address:
City:
Zip Code:
Home Phone:
E-Mail Address:
Social Security Number:
Gender:
Marital Status:
Church:
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:
Additional Information:
Middle Name:
Last Name:
