Summer Staff Application Form

Name

First

Last

Birthday

Age

T-shirt Size

Email (Regularly Used)

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parents/Guardians Name & Phone Number

What school are you attending (or did you last attend)?

Classification

School Address

Address Line 1

Address Line 2

City

State

Zip Code

School Email Address/School Leadership Email Address

Summarize you involvement in extra-curricular activities and work responsibilities:

If you are not in school, please give place of employment:

Do you have any physical disabilities or special health needs?

What is your home church?

Church Address

Address Line 1

Address Line 2

City

State

Zip Code

Pastor's Name

First

Last

Pastor's Email

Youth Pastor's Name

First

Last

Youth Pastor's Email

Third Reference Name

First

Last

Reference's Email (This reference must not be related to you. They can be a mentor, church deacon, current or former employer, etc.)

Have you ever been convicted of or entered a plea of guilty or "no contest" to any misdemeanors or felonies (other than traffic violations)?

YES
NO

If YES, please attach an explanation:

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Have you ever participated in, been accused of, pleaded guilty, or "no contest"to or been convicted of abuse or any sexual misconduct?

YES
NO

If YES, please attach an explanation:

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Have you worked at Camp Joy in the past?

YES
NO

Have you worked at a different camp in the past?

YES
NO

If YES, what camp?

Why are you interested in serving at Camp Joy for a summer?

Have you attended Camp Joy as a camper?

YES
NO

If YES, who was your counselor?

Are you interested in serving on a weekend ministry team?

Are you interested in any leadership positions Camp Joy may have?

Are you a born again believer? If so, when?

Brief Salvation Testimony:

Are you consistent in our devotions?

Know a foreign language, which?

Play a musical instrument, which?

Top Position of your choice?

Skilled Position Opportunities:

Would you be willing to accept any position to which you are qualified?

YES
NO

If NO, please explain:

If you receive a contract, what is the likelihood that you would be able to accept it?

Please upload a recent photo of yourself:

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Signature

Clear Signature

I understand that as a part of the application process, I consent to a criminal background check. I also realize that any false or misleading answer to any question on this application could result in my dismissal from employment.

Location

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