EMPLOYMENT APPLICATION

EMPLOYMENT APPLICATION

Van Riper Ellis Broadway Baptist Church - Christian Day Camp
PERSONAL INFORMATION
Name*

First NameLast Name
Position(s) applying for*
Address*

Street Address

Apt #

CityState / Province

Postal / Zip Code
Home Number
Cell Number
Email*
example@example.com
DOB*
SS #*
Are you a citizen of the United States?*

YesNo
If NO, are you authorized to work in the U.S.?

YesNo
Have you ever been convicted of a felony?*

YesNo
If YES please explain
May we contact you for another position?*

YesNo
EDUCATION AND TRAINING
High School/GED
Name
Years Completed
Graduated
Degree
Technical School
Name
Years Completed
Graduated
Degree
College
Name
Years Completed
Graduated
Degree
Graduate School
Name
Years Completed
Graduated
Degree
Other (trade, business...)
Name
Years Completed
Graduated
Degree
List any other relevant training certifications or coursework (ie First Aid/CPR)
WORK HISTORY
Job Title
Company
Supervisor
Phone
From
To
Responsibilities
Reason for leaving
May we contact your previous supervisor for a reference?

YesNo
Job Title
Company
Supervisor
Phone
From
To
Responsibilities
Reason for leaving
May we contact your previous supervisor for a reference?

YesNo
Job Title
Company
Supervisor
Phone
From
To
Responsibilities
Reason for leaving
May we contact your previous supervisor for a reference?

YesNo
REFERENCES

Please list 3 PROFESSIONAL References
NJ State Youth Camp Regulation 8:25-3.2(i), requires three-character reference checks for each new staff member, that is not related to the staff member. To be considered for the position, you must provide Three Professional References.
Full Name*
Relationship*
Company*
Job Title*
Email
example@example.com
Phone*
Full Name*
Relationship*
Company*
Job Title*
Email
example@example.com
Phone*
Full Name*
Relationship*
Company*
Job Title*
Email
example@example.com
Phone*
I acknowledge that I am seeking a position at a Christian day camp, where the atmosphere revolves around faith and spiritual development. It is crucial to feel at ease in this environment and be open to participating in discussions about faith with campers. Signature

I recognize that the summer camp position is contingent upon the number of campers who enroll. While I may initially be hired for a full-time role, it could transition to part-time if there are fewer campers. I am also open to taking on different responsibilities within the camp as needed. Signature

I certify that the facts in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.
Signature of Applicant

Clear
Date

MonthDayYear
Date
Should be Empty:

EMPLOYMENT APPLICATION

PERSONAL INFORMATION

EDUCATION AND TRAINING

WORK HISTORY

REFERENCES