M4 Camp Staff 2012 Application

* First Name

Middle Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

* Cell Phone:

* Home Phone:

* Date of Birth

* Place of Birth

* Age as of July 6th, 2012

* Father's Name and Address:

* Mother's Name and Address:

* T-Shirt Size

* Please list any certifications you may have and their expiration date (Lifeguard, CPR, First Aid)

* Social Network Address(es) (Facebook, Twitter, blogs, etc.) (Where applicable, a confirmed friend request from Mark Williams and Melanie Williams is required prior to scheduling an interview)

* Vocational Goal

* What is your goal in life?

* Hobbies and Interests

* Church where you are a member:

* Church where you are active

* Through whom or how did you become interested in serving at M4 Camps?

* What Christian work or ministry have you been involved in? (BSU, FCA, RUF, Campus Crusade, etc.)

* How do you describe your ability to get along with others?

* What is your strongest quality as a person?

* What is your weakest quality?

* Do you enjoy the outdoors?

Yes

No

Somewhat

Please list any gifts, talents, or skills that you would be able to share with camp (musical ability, acting, etc.)

* How will you push yourself to remain energetic and show enthusiasm even though your responsibility may become routine?

Have you had experience (please describe) in leading groups?

Staff positions are available to those only who have a conscientous respect for organization and the need for compliance to rules and regulations that place the welfare of campers ahead of personal interests.

* Will this be one of your priorities?

* Can you follow set procedures and schedules?

* How would you describe your level of commitment?

* General Health

* Do you have any physical, mental, medical, or special dietary need that could affect your workload? If so, please explain or indicate that you will reserve comments for a personal interview.

Reference Section

* Please list the name and telephone numbers (work and home) of two adult references other than your parents or relatives who know you well and indicate your relation to them. If possible, include one who has observed you relating to or working with children.

* Please answer the following questions.
1. Please share your testimony with us: What are evidences that you have a relationship with Jesus Christ and you are growing as a Christ follower? How does this affect your purpose in life?

* Are you willing to share your testimony with others?

YES

NO

* How does a person inherit etermal life?

* Do you believe that the Bible is the written Word of God? What role should it play in a believer's life?

* What is your philosophy on how people should view and relate to those in authority over them? What is your relationship like with your parents? Other authority figures (coaches, teachers, etc.)?

* Why do you want to work at M4 Camps?

Although not required to be on staff, please give us previous camp/counseling experiences (when, where, and what responsibilities you had). Or give experiences you have had which you consider to be valuable background for serving on a camp staff.

* Have you ever been convicted of a crime?

Yes

No

* Have you ever been adjudged liable for civil penalties or damages involving sexual or physical abuse of children?

YES

NO

* Are you currently under indictment or on probation for any crime?

YES

NO

* Do you smoke?

YES

NO

* Do you drink alcoholic beverages?

YES

NO

* Do you have a tattoo that would be visible to campers while at camp?

YES

NO

Camp Dates: July 5th-21st, 2012

I want to participate in this ministry and am certain that I will be available for all dates. (We do not hire anyone that is not available for ALL dates. (Certain special permissions are sometimes given, although rare). The dates to be available are July 5th-July 21st, 2012.

YES

If I am hired and sign a contract with M4 Camps, I consider my signature and my word binding.

YES

AGREEMENT:
By checking YES below, I affirm:
1. I have no physical or mental handicaps that would keep me from performing my duties.
2. I am a professing follower of Jesus Christ and am striving to live a godly life.
3. If employed I will enter into the spirit of the camp and submit to camp authority.
4. I am willing to take a CPR/First Aid Course if needed.
5. I have completed this application truthfully and further give my permission for M4 Camps personnel to confer with the references listed in this application and to run criminal background checks on my name if hired.

By checking yes, I am agreeing to the above statement.

YES

* Indicates Response Required


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