Staff Application Form 2017
We recognize that our Application Form is extensive. We wish we did not have to ask so many questions. However, in our desire to minimize the risk of abuse within ministry of LSBC, we believe this information is necessary to protect our children and to protect our volunteers. We thank you in advance for your understanding. Please fill out clearly.
Personal Information
Full Name: *
Your answer
Date of Birth: *
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Main phone number (please indicate if home or cell): *
Your answer
Alternate phone number (please indicate if home or cell):
Your answer
Email Address: *
Your answer
Full Mailing Address : *
Your answer
Driver's License #: *
Your answer
Marital Status: *
If married, is your spouse supportive of your ministry involvement? (If no, please explain)
Your answer
Dates Available (check all that apply): *
Required
Position(s) Applying For: *
Required
Education
Elementary/Secondary School Grade Completed: *
Your answer
College/University Years Completed: *
Your answer
Degree(s) Received: *
Your answer
Present Occupation and/or Employer: *
Your answer
Church Involvement
What Church do you attend? For how long? *
Your answer
Are you a member? *
Do you regularly attend (2 or more services a month)? *
When did you accept Jesus Christ as your Saviour? *
Your answer
Have you been baptized? *
Churches I have attended in the last five years are as follows:
(1) Name of Church:
Your answer
Address:
Your answer
Phone Number:
Your answer
Dates Attended:
Your answer
You were a:
(2) Name of Church:
Your answer
Address:
Your answer
Phone Number:
Your answer
Dates Attended:
Your answer
You were a:
(3) Name of Church:
Your answer
Address:
Your answer
Phone Number:
Your answer
Dates Attended:
Your answer
You were a:
My present and previous ministry experience is as follows:
(1) Name of Church/Organization:
Your answer
Dates and Description of Ministry:
Your answer
Pastor/Ministry Supervisor:
Your answer
Phone Number and/or Email:
Your answer
(2) Name of Church/Organization:
Your answer
Dates and Description of Ministry:
Your answer
Pastor/Ministry Supervisor:
Your answer
Phone Number and/or Email:
Your answer
(3) Name of Church/Organization:
Your answer
Dates and Description of Ministry:
Your answer
Pastor/Ministry Supervisor:
Your answer
Phone Number and/or Email:
Your answer
What courses or training have you taken that would better equip you for any particular aspect of Christian ministry or service?
Your answer
Please answer the following questions:
What would you say if someone asked you how to become a Christian? (Feel free to use Scripture) *
Your answer
How have you come to know God better in the past year? *
Your answer
Write about two experiences where you saw God at work through you. *
Your answer
The purpose of Living Springs Bible Camp is to evangelize and disciple campers to the glory of God. How would you be able to help us accomplish this purpose in the position you are applying for? *
Your answer
Confidential Information
In order to provide a safe and secure environment for our children, we believe it is necessary to include the following questions as part of our application process. All information will be kept strictly confidential (Police may access this information, under warrant, if requested). Answering yes to any of the questions does not necessarily preclude your involvement in ministry. Thank you in advance for your understanding.
Have you had any painful experiences (personal abuse in any form) that has better equipped you, or may hinder you from a productive ministry with children or youth? *
If yes to above, please explain:
Your answer
Would you like to request counseling regarding this circumstance?
Have you ever pled guilty to or been convicted of the use or sale of drugs? *
If yes to above, please explain:
Your answer
Have you ever been hospitalized or treated for alcohol or substance abuse? *
If yes to above, please explain:
Your answer
Have you ever pled guilty to or been convicted of a criminal offense (excluding minor traffic violations)? *
If yes to above, please explain:
Your answer
Have you ever pled guilty to or been convicted of any sexually related offenses? *
If yes to above, please explain:
Your answer
Have you ever pled guilty to or been convicted of any abuse related offenses? *
If yes to above, please explain:
Your answer
Are there circumstances involving your lifestyle or background that would call into question your ability to work with children or youth? *
If yes to above, please explain:
Your answer
Do you have a medical or psychiatric history or condition that may be relevant to your working with the children and/or young people? *
If yes to above, please explain:
Your answer
Do you have any physical conditions that would prevent you from performing certain types of activities (lifting children, playing sports)? *
If yes to above, please explain:
Your answer
References
Please provide the names of three individuals, excluding relatives, who could provide a reference for you. Include at least one reference from outside your Church. (Please include email addresses where applicable).
(1) Name of Reference: *
Your answer
Phone Number: *
Your answer
Address *
Your answer
(2) Name of Reference: *
Your answer
Phone Number: *
Your answer
Address: *
Your answer
(3) Name of Reference: *
Your answer
Phone Number: *
Your answer
Address: *
Your answer
Statement of Release
I hereby give Living Springs Bible Camp (LSBC) permission to contact persons named as references to ascertain my suitability for ministry. I release all such references from liability for any damage that may result from furnishing such evaluations to you. I understand that if my character or morals should be inappropriate and/or criminal at any time during my service, LSBC will be entitled to terminate my assistance without expressed cause or prior notice regardless of any other oral or written statement by LSBC prior to, at, or following the date of volunteer service. I understand that LSBC is responsible for the welfare of any person or persons entrusted to my care, and thus I will cooperate fully with the staff in the fulfillment of my duties and will keep all information I encounter, in my ministry, confidential. If at any time I find that for any reason I am unable to support the policies, procedures or doctrine of LSBC, I will graciously and quietly resign my volunteer position. If my supervisors find that I am in conflict with any policies, procedures or doctrines and we are not able to resolve the issue, I will graciously and quietly agree to resign my position.
I hereby acknowledge that the information contained in this application for volunteer ministry is correct to the best of my knowledge. *
I will provide a completed criminal record check to the camp office PRIOR to the start of the camps to which I have applied. (To obtain a volunteer letter to present to the police/RCMP when requesting your record check, please email lsbc1947@gmail.com) *
IMPORTANT INFORMATION: If accepted, please plan to attend staff orientation – June 30th, 7pm, to July 2nd.
Questions? Contact Jeff Enarson:
Phone: 780-877-2359
Fax: 780-877-2556
Cell: 780-678-9906
E-mail: jeffem.enarson@gmail.com

Contact Camp Administrator:
E-mail: lsbc1947@gmail.com

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