Day Camp Staff Application • Advent UMC Eagan

Position of Interest

Program Director

Lead Counselor

Counselor

Personal Information

First Name *

Last Name *

Date of Birth *

Middle Name *

Preferred Name

Gender *

Contact Information

Phone Number *

Mailing Address *

Mailing State *

Primary Email Address *

Mailing City *

Mailing Zip Code *

Religious Affiliation

Are you affiliated with a church or faith community?

Yes

Tip: Religious affiliation is not required for employment.

Name of church or faith community if not Advent.

Education

Education Background *

High School

Trade School

College

Other

Tip: (Please check all that apply, even those currently in process)

Certification/Special Training/Skills

Certifications

CPR

First Aid

Other

Tip: Certifications must be current

If checked other, please list them below. *

What skills, training or experience do you think you would bring to ministry at Advent?

Do you have a valid driver's license? *

Yes

Camp Staff Experience

Have you ever been on staff as a volunteer or paid staff member at a summer camp? *

Yes

Was it an overnight or day camp? *

Day Camp

Overnight Camp

Dates of employment/volunteering? *

Please list your role and location of the camp. *

Other Employment Experience

Current/Most Recent Employer

Name

Start Date

Supervisor Name

May we contact this employer?

Yes

Position with Employer #1

End Date

Supervisor Email Address or Phone Number

Would you like to list another employer?

Yes

Second Employer

Name

Start Date

Supervisor Name

May we contact this employer?

Yes

Position with Employer #2

End Date

Supervisor's Email or Phone Number

Volunteer Experience

Tip: Please list any volunteer experience you have. Dates of volunteer service are appreciated.

Please list any experience you have had working with children or youth.

References

Reference #1 Name

Reference #2 Name

Reference #1 E-mail

Reference #2 E-mail

Background Check

All potential employees 18 years old and older are required to pass a background check prior to beginning employment at Advent.

I am aware that Advent UMC will run a background check on my history before beginning employment and authorize them to do so. *

I agree to a background check

I do not agree to a background check

Application Statement

By my electronic signature below, I promise that the information provided in this application is true and I understand that any false or misleading information may disqualify me from further consideration for employment, and may lead to my dismissal from employment.

I acknowledge and agree that my employment at Advent UMC will be considered an "employment at will".

Applicant Signature *

Date Signed *