Mission Springs LIT Application

This online application is for Leader-In-Training applicants that have never been an LIT before OR former LITs who were not here last summer. If you were an LIT last summer and you are applying to be an LIT again, please use the Returning Staff Application.
1. Personal Data & Job Preferences
First Name Middle Name Last Name		Shirt Size Select One Small Medium Large Extra Large
Email	Gender Select One Male Female	Age Date of Birth (Month/Day/Year)
Present Address
Address		Phone Number
City	State	Zip
Permanent Address (If different)
Address		Phone Number
City	State	Zip
Parent or Guardian's Address (If different)
Parent 1: First Name Last Name
Parent 2: First Name Last Name
Address		Phone Number
City	State	Zip
Education and Employment
	School Attending	Year in School GPA
I work at Position/Title How long	Are you a citizen of the United States? Select One Yes No If not, what certification do you have to work in the U.S.?	Please list any current licenses or certifications: (WSI, Lifeguard Training, CPR, First Aid, LVN, RN, EMT, etc.)
Drivers License # Class Select One Class A Class B Class C Class M State Expires Month January February March April May June July August September October November December Year 201020112012201320142015201620172018 Other	Do you have any traffic violations on your current driving record? Select One Yes No Any criminal record? Select One Yes No If yes, please explain	Have you ever been denied the opportunity to work with children in any capacity? Select One Yes No If yes, please explain
Spiritual and Miscellaneous
	Church you attend How long at this church?	Pastor's name Phone number
Do you play an instrument? Which one(s)?
Dates of Availability
The exact dates you are available are extremely important! Priority will be given to applicants available for the full term of employment.	I am out of school on: My school starts on:	I am able to begin work on: I must leave work on:

2. Christian Life and Self Evaluation

1.?When and how did you become a Christian? 2.?What are you currently doing to grow as a Christian? 3. Who is Jesus Christ to you? 4.?What do you think it means to be a servant? Are you willing to work ?behind the scenes??? Why? 5.?Why do you want to serve as an LIT as Mission Springs? 6.?Is there anything else you would like us to know about you?

3. Work and Ministry Experiences
Camp or Conference Center Staff Experience
For each camp you have worked for, please list:
Camp Name Phone Number Age Group Served # of Weeks, Year(s) Position Held and Responsibilities
Leadership/Ministry Experience
List paid and volunteer experiences you have had. Also explain responsibilities and accomplishments. Be sure to include any experience you have had, i.e. Church Youth Leader, V.B.S. Leader, Coach, Student Teacher, Dorm Resident Assistant, Campus Life, Young Life, Child Care Worker, Campus Crusade, InterVarsity, Sunday School Teacher, etc. Please include experience leading Bible Studies.
Please list: Organization Position Dates Age Group Served Supervisor Phone Number
Employment Record
List most recent emplyment first. Exclude camp staff positions. Also explain responsibilities and accomplishments.
Please list: Employer/Company Position Dates City, State Supervisor Phone Number
Age Group Teaching/Leading Ability
Rate your experience and/or ability to teach and lead in EACH of the age groups listed below.
Primary Select One No Experience Little Experience Some Experience Much Experience	Elementary Select One No Experience Little Experience Some Experience Much Experience	Junior High Select One No Experience Little Experience Some Experience Much Experience
Personal References
List the four individuals you intend to use as your personal references. Please do not use relatives or peers. Send the forms you will receive out as soon as possible. References should reach Mission Springs by March 15. Former staff are only required to have one reference (Christian Worker).
Parent/Guardian	Name/Relationship	Phone email
Employer/Teacher	Name/Relationship	Phone email
Christian Worker	Church/Organization	Phone email
Christian Worker	Church/Organization	Phone email

4. Mission and Agreement
The purpose of Mission Springs is to present Jesus Christ in a unique setting and to call persons to respond to Him as Savior and Friend. To provide high quality facilities, services, and programs in which individuals may encounter Jesus in commitment, renewal and growth, and which fosters fellowship and community within the family of God. Dedicated to the ministries of evangelism, discipleship, Christian nurture, and enrichment of the Covenant church and the extended Christian family. Our stand is simple -- to be Christlike.
1.	Select One Yes No	I would consider it a privilege to undertake any responsibility assigned to me by leadership. I agree to follow all present and subsequently issued policies and expectations of Mission Springs.
2.	Select One Yes No	I certify that I am in good health and have no chronic conditions that would limit my ability to do the job for which I am applying for. I can lift over 50 pounds and withstand a dusty work environment.
3.	Select One Yes No	I authorize my former employers and references to give information concerning me, whether or not it is on their records. I release them and their companies from any liability whatsoever.
4.	Select One Yes No	I certify that all statements given on this application are accurate and realize that falsification or misrepresentation of this or any other personnel record may result in my discharge.
5.	Select One Yes No	I will produce my driver's license and original Social Security card upon arrival to fulfill the governmental I-9 form requirement for employment eligibility.
By typing my name in the box below I agree that to my knowlege the information on this application is correct and complete. Full Name (First, Middle, Last) Today's Date