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Staff Application - Part 1

Please complete the following and submit to Brett Rogers, Summer Camp Director

Name:

Birth Date:

E-mail:

Permanent
Address:
 Street City:  State:  Zip:

School
Address:
 Street  City:  State:  Zip:

Gender:

Cell phone #
:

What are your passions? List some things you love doing:

What are your talents and strengths?
The following are my strongest abilities

What are some areas you'd like to improve?
The following are some non-strengths:

Self Portrait
This is how I see myself:



My use of time is more:

Education

Name of College/University:

Major or Degree:

Years completed of college:    Name of High School:

College GPA: High School GPA: Years completed of high school:

Networking:

Social Networking sites: (MySpace, Facebook etc.):

May we contact you using these sites?

Lifestyle Questions:

Have you ever been convicted of a crime(s)?:

Do you currently use alcohol or illegal drugs?:   No

If yes, what drug or alcohol? Frequency of use?

Certifications: I hold current certification, or am licensed in:

CPR                                                               
Wilderness First Aid                                                                       
Wilderness First Responder                  
EMT
Lifeguard
Archery 
Ropes Course Facilitation
Registered Nurse: What State?
Other                                                   

Do you have a Commercial Drivers License?
Can you drive a manual transmission? Yes No

If TRAINED, I would feel confident LEADING the following: (Use the same scale as above)

Climbing Wall:   Archery:   Low Ropes Course:   Mountain Biking:   Geocaching:

What Positions?

After reading job descriptions for the following job descriptions, please check those you'd like to be considered for

Head Cook Program Leader  
Assistant Cook  
Camp Nurse  

Tell Us About Yourself:

Previous Work Experience

Dates
Company/Organization
Employers/
Supervisors Name
E-mail or Phone number of Employer/Supervisor

How did you hear about Sonlight Christian Camp?

Website        Web Search Engine Friend Former Camper

 

I authorize investigation of all statements herein and release the camp and all others from liability in connection with the same. I understand that untrue, misleading or omitted information herein may result in dismissal regardless of the time of discovery by the camp. I authorize the release of any information about me from my listed references. I understand that I will have to complete a background check, a driver’s license check, and, if hired, will need a physical examination before starting work to comply with Colorado law. I affirm that I have never been convicted of any charge of child abuse or neglect, unlawful sexual offense, or any felony.
 
   
“Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503 C.R.S., and upon conviction thereof, shall be punished accordingly.”  



   
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