Super Summer Employment Application

1
Name* This field is required.
First Name
Last Name
2
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
Age* This field is required.
4
Date of Birth
Date
Month
Day
Year
5
Email* This field is required.
example@example.com
6
Phone Number* This field is required.
Area Code
Phone Number
7
Shirt Size* This field is required.
XS
S
M
L
XL
2XL
3XL
8
School
9
Previous Employer #1
10
Previous Employer #2
11
Previous Employer #3
12
Do you have a personal relationship with Jesus Christ?* This field is required.
YESNO
13
How long have you been a Christian?* This field is required.
14
Do you attend church regularly?* This field is required.
YESNO
15
What church do you attend?* This field is required.
16
Tell us a little a bit about your personal relationship with Christ.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
17
What do you believe are some good ways to teach children about Jesus? Be specific.* This field is required.
18
Have you had CPR training in the past 2 years?* This field is required.
YESNO
19
Describe your experience working with children.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
20
Why do you think you are qualified to work with children?* This field is required.Include personality descriptors that might be beneficial in daily interaction with children.
Huge
Large
Normal
Small
Ok
Ok
21
Social Security #* This field is required.Please use proper formatting (i.e. 123-45-6789)
22
Have you ever been convicted or accused of a crime, used drugs, or tobacco?* This field is required.
YESNO
23
You answered "yes" to the above question, please explain.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
24
Background Check Authorization - Your Rights* This field is required.
25
Background Check Authorization - Your Rights* This field is required.
26
What age children do you prefer to work with?* This field is required.
Early Childhood
Elementary
Middle School
27
What shift would you prefer?* This field is required.Please order them from greatest preferred to least.
28
When is your last day of school?
Date
Year
Month
Day
29
Super Summer starts May 26th, can you be there the first day?* This field is required.
YESNO
30
Super Summer ends on August 5th, can you be there the last week?* This field is required.
YESNO
31
Do you have any vacation plans?Two weeks off is the maximum we allow for Super Summer staff.
32
Will you have another job this summer?* This field is required.
YESNO
33
Please explain your position and the hours you will be required to work.
Huge
Large
Normal
Small
Ok
Ok
34
Personal Reference #1
First Name
Last Name
Phone Number
E-Mail
Role/Relationship to You
35
Personal Reference #2
First Name
Last Name
Phone Number
E-Mail
Role/Relationship to You
36
Personal Reference #3
First Name
Last Name
Phone Number
E-Mail
Role/Relationship to You
Should be Empty:

Save your progress

Save your progress

Your form submission has been saved as a draft.

Save your progress

Your form submission has been saved as a draft.