Life Camp Staff Application

Life Camp Staff Application
2025-2026 School Year
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Staff Member Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Cell Phone #*
Home Phone #
Date of Birth*

MonthDayYear
Date
SSN#*
Education
List schools from which you received a diploma starting with the earliest*
Church History
List churches that you have been a formal member of starting with the earliest
(don't go back more than 20 years)
Church Name (1)*
Positions Held (1)*
Dates (1)*
Church Name (2)
Positions Held (2)
Dates (2)
Church Name (3)
Positions Held (3)
Dates (3)
Church Name (4)
Positions Held (4)
Dates (4)
Job History
List places of employment starting with the latest
Company / Position (1)*
Job Responsibilities (1)*
Dates of Employment (1)*
Company / Position (2)
Job Responsibilities (2)
Dates of Employment (2)
Company / Position (3)
Job Responsibilities (3)
Dates of Employment (3)
Ministry Questionnaire
What are your strengths?*
What are your weaknesses?*
Describe how you are a role model in regard to Christian living, showing respect, and exercising wisdom in relationships.*
Describe your conversion experience and current relationship with God.*
References
Do you have any criminal convictions (other than minor traffic offenses)?*

YesNo
Is there any reason you should not work with or around children?*

YesNo
Name of a former employer and telephone number(s)*
Name of a church leader or pastor and telephone number(s)*
Name of a family member and telephone number(s)*
Name of one other person and telephone number(s)*
Other
1. Is there anything else we should know?*
What good attributes do you feel you will add to the Life Camp experience?*
Agreements Made by the Applicant

1. Everything in this application is true and correct. I understand that if any information is found to be false, it is grounds for immediate dismissal.

2. I give the church the right to perform a complete criminal background and credit check on me.

3. I agree to the beliefs as stated in the Baptist Faith & Message (2000) – See online.

4. I agree that I am being hired “at-will” and that my hiring in part depends upon student enrollment.

5. I agree that if hired, I will always be mindful that I am representing Jesus Christ and Berkeley Baptist Church, and that I will do my best to always present a positive and professional attitude.
Signature - Agreements Made by the Applicant*

Clear
Date of Signature*

MonthDayYear
Date
Should be Empty:

Education

Church History

Job History

Ministry Questionnaire

References

Other