APPLICATION FOR SUMMER STAFF PREVIEW!

Thank you for your interest in serving at Gleanings For The Hungry and in our Summer Staff program. This application is for...

Christian high school students
Ages 16 - 18 yrs (by this summer)
Interested to serve alongside our Summer Staff
Have the approval and support of your parents/guardians
Committed to
- Serve for 2-4 consecutive weeks
- Pay $50/week of service

GENERAL INFORMATION

FULL NAME*

First NameLast Name

EMAIL*

CURRENT ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

PHONE NUMBER*

Area CodePhone Number

BIRTHDATE*

MonthDayYear

T-SHIRT SIZE*

All shirts will be unisex fit

PHOTO*

Upload a File

Upload a high quality photo of yourself. We need a clear, well-lit photo of your face. It will be used throughout summertime.

How did you hear about Gleanings for the Hungry, Summer Staff Internship?*

TIME COMMITMENT

We are excited to welcome you to our Summer Staff Preview weeks this year. We are offering 2 weeks in June or up to 4 weeks in July/August. Choose a minimum of 2 consecutive weeks from the selections listed below. Maximum of 4 weeks. Please contact us if you have any questions at summerstaff@gleanings.org.

Select all the weeks you are committed to serve below
Plan to arrive on a Sunday and depart on a Saturday

In which Summer Staff program weeks are you committed to serve? You must commit to a minimum of 2 consecutive weeks. (Select all that apply)*

Comments about Time Commitment:

Summer Schedule

5:30/6:00 AM Early morning work activities
7:30AM Morning Meetings
8:00 AM Chapel every weekday
9:00 AM - 5:00 PM General work hours
6:00 PM - 9:00 PM Team times and other opportunities
11:00 PM End of day and quiet hours
Love Feast dinner and ministry program (once a week)
Weekend team activities (occassional)

I agree to participate wholeheartedly in the schedule above and to consistently attend all required activities and events. I will communicate early and clearly if any changes occur. I understand that "No call, no show" is unacceptable.*

I agreeI disagree

What is your current sleep schedule like?*

HEALTH & EMERGENCY CONTACT INFORMATION

PARENT/GUARDIAN NAME:*

PARENT/GUARDIAN PHONE:*

Area CodePhone Number

PARENT/GUARDIAN EMAIL:*

example@example.com

Do you have the full approval, agreement, and support of your parent(s)/guardian(s) to serve at Gleanings in this Summer Staff Preview program?

YesNo

SAFETY RESPONSIBILITY:*

I hereby resolve Gleanings For The Hungry of responsibility for accidents which might happen during the time I am working with them. I will not hold Gleanings For The Hungry responsible for personal possessions lost, damaged or stolen on Gleanings premises. I acknowledge that my safety is my responsibility.

PHYSICAL HEALTH:*

Please select your current status of physical health.

EXPLAIN (IF NOT IN GOOD HEALTH):

Please explain any current or recent health issues you have experienced.

HEALTH INSURANCE:*

Yes, I currently have health insurance.No, I currently do not have health insurance.

NAME OF INSURANCE CARRIER:*

The name of your health insurance provider. If none, type n/a.

INSURANCE POLICY NUMBER:*

List your health insurance policy number. If none, type n/a.

OTHER HEALTH INFORMATION:

Please list any information that would be helpful to health and medical personnel. (Allergies, food allergies, recent hospitalizations, etc.)

RECENT INJURIES/PHYSICAL LIMITATIONS:

Please list any recent injuries or physical limitations that might affect your capacity for work.

ALLERGIES/DIETARY RESTRICTIONS:*

Please list any information that would be helpful to our kitchen staff and/or health and medical personnel. (Allergies, food allergies, dietary restrictions/preferences, etc.)

MEDICATION:*

Please list any medication you are currently taking and/or you will be taking during your service at Gleanings. If none, type n/a.

DISABILITIES / CHALLENGES:*

Have you ever been diagnosed or experienced challenges with a learning disability? If so, please explain. (All information is confidential between Gleanings leadership reviewing these applications.) If none, type n/a.

MENTAL HEALTH:*

Have you ever been diagnosed with a mental health issue (i.e. depression, anxiety, self harm, etc.)? If so, please explain. (All information is confidential between Gleanings leadership reviewing these applications.) If none, type n/a.

LIFE, SPIRITUALITY & FAITH STATEMENT

I acknowledge that Gleanings For The Hungry is a Christian organization and I understand that Gleanings' mission is to feed the needy of the world both physically and spiritually. I understand that the opportunity to take part in the Summer Staff internship program will involve spiritual activities such as prayer, worship, mission-minded work, spiritual conversations, and more. I also acknowledge that this is a leadership role, which will present opportunities to set an example, lead, guide, and counsel youth in matters of faith and spirituality.

Christian Ministry*

I acknowledge the statement above.

Are you a Christian?*

YesNo

When did you give your life to Christ?*

Describe what your daily walk with Christ is like.*

CHURCH NAME:*

Please type n/a if does not apply

PASTOR'S NAME:*

Please type n/a if does not apply

PASTOR'S EMAIL:*

example@example.com

PASTOR'S PHONE NUMBER*

Area CodePhone Number

PERSONAL RESPONSE

Why do you want to join the Summer Staff Preview at Gleanings For The Hungry? Please write a well-thought out response.*

Which choice best describes how ready you are to shift your lifestyle, daily routine, and sleep habits to a rigorous work schedule that requires early mornings?*

Which best describes how ready you are for extremely demanding work, long hours, and physical labor?*

Which choice best describes how ready you are to receive and respond to personal evaluation, correction, and feedback?*

Which choice best describes how ready you are to surrender your personal habits and lifestyle to focus on the team's purpose?*

Which choice best describes how ready you are to totally abstain from romantic relationships while serving with other awesome people during Summer Staff?*

Which choice best describes how you will deal with interpersonal conflicts?*

Which choice best describes how you will participate in a team and community environment?*

Do you have any questions?*

APPLICATION AGREEMENT

I agree to join in the vision and mission of Gleanings for the Hungry, to abide by the Summer Staff Packet (Read before applying) to commit to serve for a minumum of six consectutive weeks, to pay a $50/week Summer Staff Preview fee.

Agreement

I wholeheartedly agree to the statements above.