Lost Valley Staff Application Form
We are looking for enthusiastic, committed, service-minded individuals or families who are able to minister at camp this summer! To complete the application you will need the name and contact information for 3 references (including a pastor). For more information about each position and our staff expectations visit https://tinyurl.com/LV-staff-info or email lostvalleybiblecamp@gmail.com.
Basic Information
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthday
-
Month
-
Day
Year
Date
T-Shirt Size (Unisex)
Please Select
XS
S
M
L
XL
XXL
3XL
4XL
Applying For (select any postions you are interested in):
*
Summer Staff
Summer Staff Director
Food Service Director
Cook
Kitchen Summer Staff
Head Housekeeper
Housekeeping Assistant
Site Manager
Guest Services Coordinator
Media Apprentice (UNPAID)
Other
Are you applying for the Northpoint Grand Rapids/Lost Valley scholarship?
Yes
Camp Experience
We are required to collect camp experience as part of the application process per the State of Michigan. Please list any experience you have as a camper or camp staff.
Camper Experience
Camp Staff Experience
Prior Employment History
List your most recent and/or most relevant paid employment positions (at least 2). If you do not have ANY previous work experience put N/A and todays date.
Job Information
*
Drug History
Have you ever or do you currently use foreign substances such as tobacco, alcohol, marijuana, recreational drugs, or non-prescribed medications?
*
No
Yes
Additional Questions Required by the State of Michigan
Have you been convicted of anything other than a minor traffic violation?
*
No
Yes (if yes, explain below)
Please explain any convictions:
Are you currently being treated for any infectious diseases?
*
No
Yes (if yes, explain below)
Please explain any infectious diseases:
Are you currently infected with communicable tuberculosis?
*
No
Yes
Are there any health concerns you feel we should know about (back problems, sun sensitivity, mental health issues, etc.)?
*
No
Yes (if yes, explain below)
Please explain any health concerns:
Interest
How did you find out about summer positions at Lost Valley?
*
Please Select
Website
Facebook
Family
Friends
Church
Family Camp
Jr/Sr High Camp
Kids Camp
Other
Please explain why you want to work as summer staff at our camp and include a brief statement regarding any interest you have in working specific positions (i.e. Lifeguarding, Kitchen Staff, Maintenance, etc.)
*
By signing below, you confirm that all the information provided is accurate and complete.
*
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References
Due to State guidelines all staff and volunteers are required to have 3 character references. We require that one of these references be a pastor; the other two should be completed by a previous employer, teacher, professor, guidance counselor, or school administrator. References from family members are not accepted. Please enter your references' information below and the appropriate reference form will be sent to each them automatically.
Pastor Reference
Pastor Reference Name
*
First Name
Last Name
Pastor Reference Email
*
example@example.com
Pastor Reference Phone Number
Please enter a valid phone number.
Pastor Relationship
Character Reference 1
Character Reference 1 Name
*
First Name
Last Name
Character Reference 1 Email
*
example@example.com
Character Reference 1 Phone Number
Please enter a valid phone number.
Character Reference 1 Relationship
Character Reference 2
Character Reference 2 Name
*
First Name
Last Name
Character Reference 2 Email
*
example@example.com
Character Reference 2 Phone Number
Please enter a valid phone number.
Character Reference 2 Relationship
I willingly waive my right of access to see this confidential reference understanding that signing this waiver is not required as a condition of employment.
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