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Summer Staff
Application |
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Please complete each section. Incomplete application
cannot be considered. |
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PERSONAL INFORMATION Please complete. |
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Last Name |
First Name |
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Home Address City State Zip |
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Home Phone () Cell Phone () |
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E-Mail Address |
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Male
Female |
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Qualified applicants must
be at least 18 years of age and have graduated high school. Do
you meet this requirement? |
Yes |
No |
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PLEASE CHECK THE POSITION(S)
YOU ARE APPLYING FOR |
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June 5 - August 4, 08 |
Counselor |
Cook |
Program
Coordinator |
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Lifeguard |
Nurse |
Maintenance
Staff |
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EDUCATIONAL BACKGROUND
Please
complete. |
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High School Graduation Date |
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College Graduation Date |
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As of September 2008 I will
be in: |
College |
Highschool |
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As of September 2008 I will
be a: |
Sophmore |
Junior |
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I will
not be enrolled in school this fall |
Freshman |
Senior |
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Please list any awards, activites or events
you are or have been involved with in school: |
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EMPLOYMENT BACKGROUND Please list your last
two places of employment |
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Place of employment From Date to |
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Supervisor's Name Phone () |
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Position and responsibilities |
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Place of employment From
to |
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Supervisor's Name Phone () |
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Position and responsibilities |
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REFERENCES Please list three references.
Do not use family members. At least one should be a current or
former employer and at least one should be a teacher or pastor.
You will
need to direct the three persons listed here to visit the refenence
page to fill out a short online reference form. Final decisions
cannot be made untill these online forms are submitted. If your
references are not able to complete the online form you may give
them a printed version which can be found on our staff page. |
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1. Full Name Relationship to
applicant |
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Phone ( ) |
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2. Full Name Relationship to
applicant |
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Phone () |
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3. Full Name Relationship to
applicant |
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Phone ( ) |
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IMPORTANT INFORMATION Please complete. |
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Where do you currently attend
church? |
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In what ways if any are you
involved? |
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I do not attend
church. |
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Please give us your personal
testimony. Include when and how you became a Christian and any
important experiences in yourChristian Life so far: |
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If a camper expressed interest
in becomming a Christian, how would you help them? |
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Have you ever been convicted
of a crime, other than a minor traffic offense? |
Yes |
No |
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Have you ever been convicted
of any type of sex abuse offense? |
Yes |
No |
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Do you hold current certification
in the following? |
CPR |
WSI |
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First Aid |
Lifeguard |
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Do you have any special skills
or certifications that would be helpful in the summer camp enviornment?
Please include any previous employment in or summer camp experience.
Please list: |
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READ CAREFULLY THEN CHECK
AND SIGN ACCORDINGLY. |
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I understand that if offered
a position at the Pleasant Hill Outdoor Center, I will be committing
myself to a summer of service, and that my behavior and attitude
will be examined in terms of my example and ministry to others. |
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I understand that untrue,
misleading, or omitted information herein or in other documents
completed by the applicant may result in dismissal, regardless
of the time of discovery by the camp and... |
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I certify that (a) no civil,
criminal, ecclesiastical complaint has ever been sustained or
is pending against me for sexual misconduct, or (b) I have never
been required to receive professional treatment for reasons related
to sexual misconduct on my part and... |
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I hereby authorize Pleasant
Hill Outdoor Center to run a criminal background check at its
discretion and understand that information obtained will be used
to determine employment eligibility and... |
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I certify that I am representing
only myself in this application and that this has been completed
by the person whose name is listed on the application and entered
below. |
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Please sign your name here: Date: |
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Thank you again for your
interest. If you have any questions about your application please
contact us at 419 938-3715. We will be actively reviewing applications
as we receive them and begin interviews by January 1, 2008. God
bless as you prepare for His service this summer! We'll be in
touch. |
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Double check that you have
completed all sections and then press submit. Remember, you'll
need to direct your three listed references to the references
page (link on Employment page) to complete a short reference
form. You may also print a paper reference form from the staff
information page. Final decisions cannot be made on applications
untill references have been completed. |
Is there anything else you want us to know?
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4654 Pleasant Hill Rd
Perrysville, OH 44864
(419) 938-3715 |
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