• APPLICANT INFORMATION

  • If hired, are you able to provide verification that you are over 18 years of age?
  •  -

  • Interest and skills

  • Please indicate which position(s) you are applying for:*
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  • Do you hold certification in any of the following:*

  • Are you interested in becoming certified in*

  • EDUCATIONAL BACKGROUND

    • High School 
    • Graduation Date
       - -
    • College 
    • Graduation Date
       - -
    • Graduate School 
    • Graduation Date
       - -

  • EMPLOYMENT BACKGROUND

  •  -
  • Would you like to add another employer?
    • Second Employer 
    •  -

  • REFERENCES

  • Please provide two NON-family members as references below.

    PLEASE NOTE: Each listed reference will receive an email notification requesting that they complete a reference form on your behalf.

    • Professional reference from an employer, teacher, or coach 
    •  -
    • Character reference from a non-family member 
    •  -

  • Getting to Know You: Experience and Skills

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  • Getting to Know You: Biographical Information

  • Would you call yourself a Christian?
  • Do you hold any opinions, views, or religious beliefs that could be considered controversial?
  • Do you currently attend a church?
  • Have you ever been a camper at Pleasant Hill Outdoor Camp?*

  • FINAL QUESTIONS

  • Other than minor traffic violations, have you ever been convicted of a crime?*
  • Have you ever been charged with any crime related to child abuse or endangerment?*
  • Have you ever been charged with any type crime related to sexual abuse or sexually deviant behavior?*

  • READ CAREFULLY THEN CHECK AND SIGN ACCORDINGLY

  • Check and Sign Accordingly*

  • If you would like to attach additional information such as a resume, references, photos, or certification documents, please do so here.

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  • Can you sing?*
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