Pleasant Valley Bible Camp Summer Staff Application
PERSONAL INFORMATION: Identifying information is necessary for all applicants in order to be considered for a position.
Name: *
Your answer
Date of Birth *
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Email Address
Your answer
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Shirt Size (adult sizes): *
Phone number (home): *
Your answer
Phone number (cell):
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Church: *
Your answer
College or School attending:
Your answer
Position Desired: *
Required
DATES OF CAMP: Our summer camps run from June 24 – August 4, 2017. Staff Orientation begins June 17. Please indicate weeks available to serve (positions and weeks will be confirmed in writing upon completion of paperwork required).
Week(s) Applying: *
Required
Certifications (current through August of 2018):
Education: *
Current Employer: *
Your answer
How long employed?
Your answer
Employer Phone Number:
Your answer
Past Employment: list past employment, duration, and reason for leaving
Your answer
PERSONAL REFERENCES: MUST NOT BE RELATIVES and should have known you for 3 years or more and be able to speak to your Spiritual Commitment and Christian Influence. Please include at least one reference who is a Minister, Elder, Deacon, Christian College Professor or Board member of a Christian organization. Reference checks will either be sent via email or a direct phone call. Please do not provide the names of peers, boyfriend/girlfriend, or relatives.
Reference Name: *
Your answer
Reference Phone Number: *
Your answer
Reference Email Address: *
Your answer
Reference Name #2: *
Your answer
Reference Phone Number: *
Your answer
Reference Email Address: *
Your answer
Reference Name #3: *
Your answer
Reference Phone Number: *
Your answer
Reference Email Address: *
Your answer
Describe any church/ministry involvement you may have:
Your answer
Describe any school/sports involvement you may have:
Your answer
Describe any previous camp experience you may have: *
Your answer
FIRST TIME STAFF QUESTIONS: Please answer the following questions if you have never served at PVBC or you haven’t served on PVBC’s Staff within the past 3 years.
1. What events led to your decision to give your life to Christ?
Your answer
2. What was your life like BEFORE you knew Christ?
Your answer
3. Since you’ve made a decision to follow Christ, how is life different now?
Your answer
4. List your specific reasons for believing God is leading you to work as a summer staff member?
Your answer
5. As you read the gospels and learn about Jesus, what are your 3 favorite attributes of Jesus and why?
Your answer
6. Share how you will make positive contributions to the ministry at PVBC:
Your answer
7. Do you have daily devotionals? If yes, please explain your format.
Your answer
8. Select a passage from the New Testament and develop a short and simple outline that highlights a key verse.
9. Are you currently dating anyone applying to serve at PVBC? If yes, who?
OTHER INFORMATION: all staff members, please respond to the following questions.
What other summer positions or jobs are you applying for/working at this summer? Are there any schedule conflicts with your time requesting to serve at camp? *
Your answer
What would be some of your goals for working at PVBC this summer? *
Your answer
List any physical limitations, allergies, special dietary needs, conditions, impairments, or disabilities that could affect your performance this summer: *
Your answer
List any convictions you have other than minor traffic violations:
Your answer
APPLICANT’S AFFIRMATION The information in this application is correct to the best of my knowledge. I authorize investigation of all statements herein and release Pleasant Valley Bible Camp (PVBC) and all others from liability in connection with the same. I authorize any references or churches listed in this application to give any information (including opinions) that they may have regarding my character and fitness for working with children or youth. I waive any rights that I may have to inspect any information provided about me by any person or organization identified by me in this application. I also understand that untrue, misleading, or omitted information herein may result in dismissal regardless of the time of discovery. I authorize the use of photographs or videotape pictures of myself to be reproduced and utilized by PVBC. In signing this application, I authorize PVBC and its appointed agents to conduct a criminal history/background check (applicants over the age of 18) as well as a Department of Human Services Background check (applicants over the age of 21) through Central Registry Clearance.
Signature (type your name below as a digital signature). *
Your answer
PARENT / LEGAL GUARDIAN AUTHORIZATION – applicants under the age of 18 as of June 1. I approve of my child serving at Pleasant Valley Bible Camp as a Staff Member and I commit to be supportive of all management decisions pertaining directly or indirectly to my child. I will endeavor to see that he/she fulfills his/her responsibilities as a staff member in every respect and I will strongly encourage that he/she will fulfill the length of commitment as stated above.
Signature (type parent/guardian name as a digital signature).
Your answer
Phone number of parent/guardian:
Your answer
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