Mission Springs: Summer Staff Job Application

Mission Springs
Summer Staff Application

1. Personal Data & Job Preferences

First Name
Middle Name
Last Name

Shirt Size

Email

Gender

Marital Status

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)

Address

Phone Number

City

State

Zip

Education and Employment

For what profession are
you preparing?

School Attending

Year in School

Major

GPA

I work at

Position/Title

How long

Are you a citizen
of the United States?

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

State

Expires

Do you have any traffic violations on your current driving record?

Any criminal record?

If yes, please explain

Have you ever been denied the opportunity to work with children in any capacity?

If yes, please explain

Spiritual and Miscellaneous

Church you attend

How long at this church?

Pastor's name

Phone number

Have you attended
Mission Springs Camps?

Do you play an instrument?
Which one(s)?

.

Job Choices

Refer to the Positions Available pages for the
Conference Center and Frontier Ranch
to see the jobs and their descriptions.

First Choice

Second Choice

Third Choice

.

I am willing to serve:
(Check any that apply)

In any position
At Frontier Ranch
At Conference Center
Only in the positions I listed

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

Describe your current relationship and personal commitment to Jesus Christ.

What are you doing to grow as a Christian?

What is discipleship? What is accountability?
How are you experiencing either or both?

In what ways do you attempt to share Christ with others?
What is your philosophy of evangelism?

(Read Matthew 20:25-28) How do you see these words of Christ
applying to the staff in a Christian camp?

Where do you see your gifts best being used here and why?

What are two of your strengths? What are two of your weaknesses?

Why do you want to serve at Mission Springs?

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

Elementary

Junior High

High School

College

Adult/Faculty

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).

Employer/Teacher

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.		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.		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.		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.		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.		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

1. Personal Data & Job Preferences
First Name Middle Name Last Name		Shirt Size
Email	Gender Marital Status	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)
Address		Phone Number
City	State	Zip
Education and Employment
For what profession are you preparing?	School Attending	Year in School Major GPA
I work at Position/Title How long	Are you a citizen of the United States? 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 State Expires	Do you have any traffic violations on your current driving record? Any criminal record? If yes, please explain	Have you ever been denied the opportunity to work with children in any capacity? If yes, please explain
Spiritual and Miscellaneous
Church you attend How long at this church?	Pastor's name Phone number
Have you attended Mission Springs Camps?	Do you play an instrument? Which one(s)?	.
Job Choices
Refer to the Positions Available pages for the Conference Center and Frontier Ranch to see the jobs and their descriptions.
First Choice Second Choice Third Choice
.	I am willing to serve: (Check any that apply) In any position At Frontier Ranch At Conference Center Only in the positions I listed
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
Describe your current relationship and personal commitment to Jesus Christ.
What are you doing to grow as a Christian?
What is discipleship? What is accountability? How are you experiencing either or both?
In what ways do you attempt to share Christ with others? What is your philosophy of evangelism?
(Read Matthew 20:25-28) How do you see these words of Christ applying to the staff in a Christian camp?
Where do you see your gifts best being used here and why?
What are two of your strengths? What are two of your weaknesses?
Why do you want to serve at Mission Springs?
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	Elementary	Junior High
High School	College	Adult/Faculty
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).
Employer/Teacher	Name/Relationship	Phone email
Employer/Teacher	Name/Relationship	Phone email
Christian Worker	Church/Organization	Phone email
Christian Worker	Church/Organization	Phone email