Dry Creek Baptist Camp Summer Staffer Application *APPLICATION DEADLINE: FEBRUARY 1, 2016*

Transcription

1 Dry Creek Baptist Camp Summer Staffer Application *APPLICATION DEADLINE: FEBRUARY 1, 2016* Name: Nickname: Sex: Age: Date of Birth: T-Shirt size: Mailing Address: City/State: Zip: Social Security #: Home Phone: ( ) School Phone:( ) Cell Phone: ( ) *Parent s Information (for emergency purposes only): Names: Address: (Dad) (Mom) Home Phone: (Dad) ( ) (Mom) ( ) Cell Phone (Dad) ( ) (Mom) ( ) Church Membership: City/State: Pastor s Name: Phone # ( ) *Education Information: High School Attending: Anticipated College: Year of Graduation: G.P.A. Last Day of Spring Term:

2 If extra room is required to adequately respond, please attach a separate sheet of paper. 1. Briefly describe your conversion experience. 2. Using scripture, describe what is required to get to heaven. 3. When you share the Gospel with a lost person, how do you do it? 4. What is God doing in your life right now? 5. In what capacities are you currently serving Christ? 6. What extracurricular activities are you involved in? 7. What special gifts or talents would you bring to the summer staff? 8. Would you be willing to be on the summer staff mowing team? 9. Would you be willing to go through lifeguard certification? 10. Summarize your past camp experiences (working or attending) that would better prepare you for this job. 11. What are your beliefs about the following? Alcohol/illegal drug use: Tobacco use: Pre-marital/extra-marital sex: Homosexuality: 12. Why do you want to work at Dry Creek Baptist Camp? 13. What movie, no matter how many times you have see it, do you have to watch when it comes on? 14. Where do you see yourself in 5 years? 10 years?

3 Summer Staffer Reference Form Dry Creek Baptist Camp ~ PO Box 580 ~ Dry Creek, LA (337) ~ (337) fax ~ is applying for the job of staffer at Dry Creek Baptist Camp. The job of staffer is a vital part of our summer ministry but often time goes unnoticed due to it s behind the scenes nature. This job includes kitchen duties, serving and cleaning up after meals, cleaning and stocking restrooms, grounds cleanup, and many other odd jobs around the camp. In consideration of students to serve on the Summer Staff at Dry Creek Baptist Camp during the approaching summer, we would appreciate your input regarding the student indicated above. Please take a few minutes to answer each question carefully and honestly, and then mail the completed form to the above stated address as soon as possible. Please rate the applicant by checking one or more items under each of the headings below and give an explanation for your rating on the back of this reference form. Do not rate areas in which you are uncertain or have not had an opportunity to observe. Additional comments or explanation of your rating is appreciated. Spiritual Condition Leadership Teachability No evidence of Salvation Makes no effort to lead Rigid, argumentative Professes faith in Christ Tries but lacks ability Highly opinionated Growth is evident Has some leadership promise Open-minded Disciple-maker Demonstrates servant leadership Willing to receive instruction Physical Condition Teamwork Perseverance Frequently incapacitated Frequently causes friction Easily discouraged Somewhat below par Usually cooperative Needs encouragement to press on Fairly healthy Prefers to work alone Persists in most circumstances Rugged and vigorous Most effective in teamwork Persists even under adversity Whole-heartedness Responsiveness Self-Image Seems unmotivated Slow to sense how others feel Insecure Content with status-quo Reasonable responsiveness Self-confident Works hard to achieve average results Responds with unusual insight May be prone to boast Gives all to accomplish the best Modest, true estimate of self Achievement Emotional Adjustment Friendliness Does only what is assigned Yields to urges and cravings Avoided by others Starts but does not finish Tense, fearful, worried Tolerated by others Meets average expectations Easily angered, frustrated Liked by others Resourceful and effective Downhearted, blue, depressed Well-liked by others Superior creative ability Maintains balance, self-controlled Sought by others 1. How long have you known the applicant? 2. Do you know anything in his/her character that might keep him/her from working well with children? Yes No 3. How is he/she gifted for Christian service? 4. Do you have any reason to doubt the applicant s personal integrity? Yes No 5. How would you evaluate his/her personal relationships? 6. Would the applicant excel at all aspects of the job description of staffer as stated above? 7. Do you have any reservation in recommending this person to serve on the Summer Staff of Dry Creek Baptist Camp? Yes No Reference Contact Information Name: How do you know the applicant: Home phone: Office phone: Cell phone: Church/Business: Mailing Address: City/State: ZIP: Signature Date

4 Spiritual Condition Leadership Teachability Physical Condition Teamwork Perseverance Whole-heartedness Responsiveness Self-Image Achievement Emotional Adjustment Friendliness

5 Summer Staffer Reference Form Dry Creek Baptist Camp ~ PO Box 580 ~ Dry Creek, LA (337) ~ (337) fax ~ is applying for the job of staffer at Dry Creek Baptist Camp. The job of staffer is a vital part of our summer ministry but often time goes unnoticed due to it s behind the scenes nature. This job includes kitchen duties, serving and cleaning up after meals, cleaning and stocking restrooms, grounds cleanup, and many other odd jobs around the camp. In consideration of students to serve on the Summer Staff at Dry Creek Baptist Camp during the approaching summer, we would appreciate your input regarding the student indicated above. Please take a few minutes to answer each question carefully and honestly, and then mail the completed form to the above stated address as soon as possible. Please rate the applicant by checking one or more items under each of the headings below and give an explanation for your rating on the back of this reference form. Do not rate areas in which you are uncertain or have not had an opportunity to observe. Additional comments or explanation of your rating is appreciated. Spiritual Condition Leadership Teachability No evidence of Salvation Makes no effort to lead Rigid, argumentative Professes faith in Christ Tries but lacks ability Highly opinionated Growth is evident Has some leadership promise Open-minded Disciple-maker Demonstrates servant leadership Willing to receive instruction Physical Condition Teamwork Perseverance Frequently incapacitated Frequently causes friction Easily discouraged Somewhat below par Usually cooperative Needs encouragement to press on Fairly healthy Prefers to work alone Persists in most circumstances Rugged and vigorous Most effective in teamwork Persists even under adversity Whole-heartedness Responsiveness Self-Image Seems unmotivated Slow to sense how others feel Insecure Content with status-quo Reasonable responsiveness Self-confident Works hard to achieve average results Responds with unusual insight May be prone to boast Gives all to accomplish the best Modest, true estimate of self Achievement Emotional Adjustment Friendliness Does only what is assigned Yields to urges and cravings Avoided by others Starts but does not finish Tense, fearful, worried Tolerated by others Meets average expectations Easily angered, frustrated Liked by others Resourceful and effective Downhearted, blue, depressed Well-liked by others Superior creative ability Maintains balance, self-controlled Sought by others 1. How long have you known the applicant? 2. Do you know anything in his/her character that might keep him/her from working well with children? Yes No 3. How is he/she gifted for Christian service? 4. Do you have any reason to doubt the applicant s personal integrity? Yes No 5. How would you evaluate his/her personal relationships? 6. Would the applicant excel at all aspects of the job description of staffer as stated above? 7. Do you have any reservation in recommending this person to serve on the Summer Staff of Dry Creek Baptist Camp? Yes No Reference Contact Information Name: How do you know the applicant: Home phone: Office phone: Cell phone: Church/Business: Mailing Address: City/State: ZIP: Signature Date

6 Spiritual Condition Leadership Teachability Physical Condition Teamwork Perseverance Whole-heartedness Responsiveness Self-Image Achievement Emotional Adjustment Friendliness

7 Summer Staffer Reference Form Dry Creek Baptist Camp ~ PO Box 580 ~ Dry Creek, LA (337) ~ (337) fax ~ is applying for the job of staffer at Dry Creek Baptist Camp. The job of staffer is a vital part of our summer ministry but often time goes unnoticed due to it s behind the scenes nature. This job includes kitchen duties, serving and cleaning up after meals, cleaning and stocking restrooms, grounds cleanup, and many other odd jobs around the camp. In consideration of students to serve on the Summer Staff at Dry Creek Baptist Camp during the approaching summer, we would appreciate your input regarding the student indicated above. Please take a few minutes to answer each question carefully and honestly, and then mail the completed form to the above stated address as soon as possible. Please rate the applicant by checking one or more items under each of the headings below and give an explanation for your rating on the back of this reference form. Do not rate areas in which you are uncertain or have not had an opportunity to observe. Additional comments or explanation of your rating is appreciated. Spiritual Condition Leadership Teachability No evidence of Salvation Makes no effort to lead Rigid, argumentative Professes faith in Christ Tries but lacks ability Highly opinionated Growth is evident Has some leadership promise Open-minded Disciple-maker Demonstrates servant leadership Willing to receive instruction Physical Condition Teamwork Perseverance Frequently incapacitated Frequently causes friction Easily discouraged Somewhat below par Usually cooperative Needs encouragement to press on Fairly healthy Prefers to work alone Persists in most circumstances Rugged and vigorous Most effective in teamwork Persists even under adversity Whole-heartedness Responsiveness Self-Image Seems unmotivated Slow to sense how others feel Insecure Content with status-quo Reasonable responsiveness Self-confident Works hard to achieve average results Responds with unusual insight May be prone to boast Gives all to accomplish the best Modest, true estimate of self Achievement Emotional Adjustment Friendliness Does only what is assigned Yields to urges and cravings Avoided by others Starts but does not finish Tense, fearful, worried Tolerated by others Meets average expectations Easily angered, frustrated Liked by others Resourceful and effective Downhearted, blue, depressed Well-liked by others Superior creative ability Maintains balance, self-controlled Sought by others 1. How long have you known the applicant? 2. Do you know anything in his/her character that might keep him/her from working well with children? Yes No 3. How is he/she gifted for Christian service? 4. Do you have any reason to doubt the applicant s personal integrity? Yes No 5. How would you evaluate his/her personal relationships? 6. Would the applicant excel at all aspects of the job description of staffer as stated above? 7. Do you have any reservation in recommending this person to serve on the Summer Staff of Dry Creek Baptist Camp? Yes No Reference Contact Information Name: How do you know the applicant: Home phone: Office phone: Cell phone: Church/Business: Mailing Address: City/State: ZIP: Signature Date

8 Spiritual Condition Leadership Teachability Physical Condition Teamwork Perseverance Whole-heartedness Responsiveness Self-Image Achievement Emotional Adjustment Friendliness

9 Summer Staffer Reference Form Dry Creek Baptist Camp ~ PO Box 580 ~ Dry Creek, LA (337) ~ (337) fax ~ is applying for the job of staffer at Dry Creek Baptist Camp. The job of staffer is a vital part of our summer ministry but often time goes unnoticed due to it s behind the scenes nature. This job includes kitchen duties, serving and cleaning up after meals, cleaning and stocking restrooms, grounds cleanup, and many other odd jobs around the camp. In consideration of students to serve on the Summer Staff at Dry Creek Baptist Camp during the approaching summer, we would appreciate your input regarding the student indicated above. Please take a few minutes to answer each question carefully and honestly, and then mail the completed form to the above stated address as soon as possible. Please rate the applicant by checking one or more items under each of the headings below and give an explanation for your rating on the back of this reference form. Do not rate areas in which you are uncertain or have not had an opportunity to observe. Additional comments or explanation of your rating is appreciated. Spiritual Condition Leadership Teachability No evidence of Salvation Makes no effort to lead Rigid, argumentative Professes faith in Christ Tries but lacks ability Highly opinionated Growth is evident Has some leadership promise Open-minded Disciple-maker Demonstrates servant leadership Willing to receive instruction Physical Condition Teamwork Perseverance Frequently incapacitated Frequently causes friction Easily discouraged Somewhat below par Usually cooperative Needs encouragement to press on Fairly healthy Prefers to work alone Persists in most circumstances Rugged and vigorous Most effective in teamwork Persists even under adversity Whole-heartedness Responsiveness Self-Image Seems unmotivated Slow to sense how others feel Insecure Content with status-quo Reasonable responsiveness Self-confident Works hard to achieve average results Responds with unusual insight May be prone to boast Gives all to accomplish the best Modest, true estimate of self Achievement Emotional Adjustment Friendliness Does only what is assigned Yields to urges and cravings Avoided by others Starts but does not finish Tense, fearful, worried Tolerated by others Meets average expectations Easily angered, frustrated Liked by others Resourceful and effective Downhearted, blue, depressed Well-liked by others Superior creative ability Maintains balance, self-controlled Sought by others 1. How long have you known the applicant? 2. Do you know anything in his/her character that might keep him/her from working well with children? Yes No 3. How is he/she gifted for Christian service? 4. Do you have any reason to doubt the applicant s personal integrity? Yes No 5. How would you evaluate his/her personal relationships? 6. Would the applicant excel at all aspects of the job description of staffer as stated above? 7. Do you have any reservation in recommending this person to serve on the Summer Staff of Dry Creek Baptist Camp? Yes No Reference Contact Information Name: How do you know the applicant: Home phone: Office phone: Cell phone: Church/Business: Mailing Address: City/State: ZIP: Signature Date

10 Spiritual Condition Leadership Teachability Physical Condition Teamwork Perseverance Whole-heartedness Responsiveness Self-Image Achievement Emotional Adjustment Friendliness

11 Summer Staff Schedule Meet and Greet May Counselor Training May Staff Training May Opportunity Camps May 30 June 2 Florida College June 3-11 GA June Engage June Boys Mission June 26 July 1 Adventure July 3 8 Preteen I July Back to School July Preteen II July Camp Clean-up & July 29 End of Summer Party Application and Reference Guidelines: Answer all questions truthfully. Attach a recent picture of yourself to the completed application and mail back promptly. Hand out all four provided reference forms. It is your responsibility to make sure that your references send this form in. Two should be to church leaders of the church you are a member of. (pastor, youth minister, music minister, Sunday School teacher, deacon ) Two should be personal or work relationships. (adult friend, teacher, principal, work supervisor ) Write the name, relationship, and a telephone number of all four references on the back of the application that you send back in. Dry Creek Baptist Camp PO Box 580 ~ Dry Creek, LA (337) ~ (337) fax APPLICATION DEADLINE: FEBRUARY 1, 2016

12 CONFIDENTIAL Background Check Authorization Print Name: (First) (Middle) (Last) Former Name(s) and Dates Used: Current Physical Address Since: Social Security Number: (Mo/Yr) (Street, NO P.O. Box) (City) (Zip/State) DOB: Telephone Number: Drivers License Number/State: The information contained in this application is correct to the best of my knowledge. I hereby authorize Dry Creek Baptist Camp and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; credit reports, current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records. I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to Dry Creek Baptist Camp or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources. Dry Creek Baptist Camp and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicants personal information, including, but not limited to, addresses, social security numbers, and dates of birth. Signature: Date: