2025 Returning Summer Staff Application

Returning Staff Application Black Lake Bible Camp
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Best time of day to reach you?
Gender*

MaleFemale
Marital Status*

SingleMarried
What is your camp name?*
What position are you applying for?*
What is your 2nd choice (different)*
What is your 3rd choice (different)*
Please list any date(s) & reason(s) you anticipate you will not be able to work. (Note: If hired, you are expected to work the whole duration of your contract. refer to the calendar in the staff packet to see our summer dates.)*

Emergency Contacts - you must list at least two, minors MUST list parent(s) first.
1) Name:*
Relationship*
Phone Number*
2) Name:*
Relationship*
Phone Number*
3) Name:
Relationship
Phone Number
4) Name:
Relationship
Phone Number
Medical Insurance Information

(Black Lake Bible Camp is a secondary insurance provider only.)
Insurance Policy*
Policy #*
Group #*
Doctor's Name*
Phone Number*
Bring a basic first aid kit with you including medications for any common ailments and supplies like small bandages. If you run out of something or need something you have not brought, the nurse may dispense up to a 24 hour supply of over-the-counter medications/products. We will help with transportation to the store, if needed.

Will you bring a car?*

YesNoDon't know
Drivers License #
Present Occupation or year in school*
High School Name*
City
Year of Graduation*
College name
City
Year of graduation
Vocational school
City
Year of graduation
Home Church*
Pastor's name*
Church phone number*
How often do you attend?*
List any other groups, Bible studies, or ministries you are currently a part of.
Any other certifications that would be relevant to the position(s) you are applying for.

Describe your views on the following topics:
Pre-Marital Sex*
Christians dating non-Christians*
Do you smoke?*

YesNo
Do you consume alcoholic beverages?*

YesNo
If 'yes" to either of these would you be willing to refrain during the duration of your employment?

YesNo
Yes or No, have you ever committed an act of abuse or violence against a child, peer, or adult? If yes, please explain.*

What positions have you held in the past at Black Lake Bible Camp?*
What did you learn from your last summer at Black Lake?*
What was the best part about your last summer?*
What was the toughest or most challenging part about your last summer?*
What would you do differently or change from your last summer?*
What concerns (if any) do you have about returning?*
What concerns do you have about other potential staff that may be returning?*
What ministry activities have you been involved in this past year?
Why do you want to return to BLBC?*
What is your current personal devotional practice?*
How would you describe your current relationship with God?
How would you explain the message of Salvation to a camper?*
After reading the Statement of Faith do you agree with the entire Statement of Faith? (pg. 11 & 12 of the staff packet). By checking yes, you are agreeing to the whole BLBC Statement of Faith and not teaching/sharing anything that would contradict it*

YesNo
If "no" what do you disagree with and explain why?
After reading Black Lake Bible Camp's Code Of Conduct do you agree to abide by those guidelines? (pg. 7 of the staff packet)*

YesNo

You must provide three adult references that we can email the reference form to. Your Youth/College Pastor or Pastor is required to be at least one reference. Relatives cannot be used as a reference unless you have worked as an employee for them. Other people that can be good references are teachers, coaches, small group leaders, and mentors.
First Reference
Pastor/Youth Pastor's first name*
Last Name*
Email Address*
Phone #
What is your relationship?*
Second Reference
First name*
Last name*
Email address*
Phone #
What is your relationship?*
Third Reference
First name*
Last name*
Email address*
Phone #
What is your relationship*
Authorization
The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that I am required to abide by all rules and regulations of Black Lake Bible Camp.
Signature*
Date
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Returning Staff Application Black Lake Bible Camp