Pine Trail Employment Application Form - Summer 2018

Name Name * First Last
Age (as of June 1) *
Date Of Birth Date Of Birth * / MM / DD YYYY
Email *
Phone Phone * - ### - ### ####
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Current High School/College (include major if in college) *
Year in School

Year in School Freshman Sophomore Junior Senior
Background and Experience *
Please List Any Certifications You Have (i.e. CPR, First Aid, etc)
Interested Positions (May Select More Than One) *

Interested Positions (May Select More Than One) Camp Counselor (Must be 16 Years Old) Lifeguard (Must be 18 Years Old) Kitchen Staff Intern (Must be 18 Years Old) Other Other
Upload Resume (optional)

Attach Files
Please indicate any dates you are unavailable to work this summer.
In a few sentences, tell us why you want to work at Pine Trail Camp *
Please briefly share about your faith journey with Jesus Christ. *
1: Have you ever been convicted of a crime? *

1: Have you ever been convicted of a crime? Yes No
2: Have you ever been adjudged liable for civil penalties or damages involving sexual or physical abuse of children? *

2: Have you ever been adjudged liable for civil penalties or damages involving sexual or physical abuse of children? Yes No
3: Are you now or have you ever been subject to any court order involving sexual or physical abuse of a minor, including, but not limited to domestic order or protection? *

3: Are you now or have you ever been subject to any court order involving sexual or physical abuse of a minor, including, but not limited to domestic order or protection? Yes No
If you answered yes to any of the questions above, please explain:
Please provide 3 references including NAME, PHONE, EMAIL, and RELATIONSHIP

Please include references from individuals who are not immediate family members.
Reference 1 *
Reference 2 *
Reference 3 *
Please read the following statements carefully before signing:

I understand that:
-Pine Trail Camp Reserves the right to deny employment to person(s) who answer "yes" to any of the questions 1-3. If hired and the employer later learns of circumstances that would indicate a "yes" answer to any of the above questions, employment may be terminated immediately.
-The information provided on this form is subject to verification, which may include a criminal history check and request from any Central Registry of child abusers.
-Pine Trail Camp may terminate employment of volunteer service of any person if that person is found, regardless of when discovered, to: a) have a history of complaints of abuse of a minor. b) have resigned, been terminated, or been asked to resign from a position whether unpaid, due to complaint(s) of sexual abuse of a minor. c) Have falsified or omitted information in this disclosure statement.
Pine Trail Camp's Core Values:
-Outdoor Adventure
-Personal Restoration
-Christ-Like Character
-Continual Improvement

We live these values in light of the following doctrinal statements:
-We believe the Bible to be the inspired, infallible, authoritative Word of God.
-We believe that there is one God, eternally existent in three persons; Father, Son, Spirit.
-We believe in the deity of our Lord Jesus Christ, in his virgin birth, in his sinless life, in his miracles, in his vicarious and atoning death through his shed blood, in his bodily resurrection, and ascension to the right hand of the Father, and in his imminent return in power and glory.
-We believe that for salvation of lost and sinful man, regeneration by the Holy Spirit through faith in Christ alone is essential.
-We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a godly life.
-We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life, and they that are lost unto the resurrection of damnation.
-We believe in the spiritual unity of believers in our Lord Jesus Christ.
I understand and agree to the previous statements *

I understand and agree to the previous statements agree disagree
Date Date * / MM / DD YYYY
Signature *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Signature of parent or guardian if under 18 years of age

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Printed Name of Parent/Guardian if signatory Printed Name of Parent/Guardian if signatory First Last

Pine Trail Employment Application Form - Summer 2018

Pine Trail Employment Application Form - Summer 2018

Please provide 3 references including NAME, PHONE, EMAIL, and RELATIONSHIP

Please read the following statements carefully before signing:

Pine Trail Camp's Core Values: -Outdoor Adventure -Personal Restoration -Christ-Like Character -Continual Improvement

Pine Trail Camp's Core Values:
-Outdoor Adventure
-Personal Restoration
-Christ-Like Character
-Continual Improvement