SHILOH Summer Staff Application
Find Peace, Pursue Adventure
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date Of Birth
-
Month
-
Day
Year
Date
Share a Picture of yourself
*
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Gender
*
Male
Female
Marital Status
*
Married
Single
Start Date (When can you start work?)
*
-
Month
-
Day
Year
Date
End Date (when you can no longer serve with us)
-
Month
-
Day
Year
Date
Back
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Tell us a little about yourself & why you'd like to work at Shiloh this summer
*
Briefly tell us about your walk and journey with Jesus
*
Church you currently attend? (Name & Location of Church)
Have you ever attended or worked for a summer camp? Was it at Shiloh or another camp? If yes tell us about your experience.
Do you Smoke/Vape (any substance), Drink Alcohol, use any unprescribed or illegal drugs?
*
Yes
No
If yes to above question please tell us more about your use of these things
Which of the following areas would you like to get certified in? Choose as many as interest you.
Safe Serve Food Service
Lifeguarding
High Ropes / Climbing Wall Facilitation
CPR/First Aid
Archery Instruction
Do you have any experience in the following areas (choose as many as you have experience in)
*
Food Service
Groundskeeping / Landscaping
Housekeeping / Janitorial
High Adventure Activities / Rock Climbing
Group Team Building
Archery
Lifeguarding
First Aid / CPR
Pool Maintenance
Audio Visual / Technology
None of the Above
Other
Tell us about your experience with the things above
Have you ever been arrested or convicted of a crime (felony or misdemeanor)?
*
Yes
No
If yes please tell us about it.
At Shiloh we work directly with children. If hired do you consent to a background check?
*
Yes
No
Would you require any special accommodations to perform your job this summer?
Yes
No
If yes tell us about the special accommodations you will need.
Please Upload your Resumé Here.
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Pastoral Reference (Name, Email & Phone Number)
Professional Reference (Name, Email & Phone Number)
Character Reference (Name, Email & Phone Number)
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