Staff Application - Lake Swan Camp

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Lake Swan Camp Contact Information. Please Email, Mail, or Fax Applications to: [email protected]. Lake Swan Camp Att
Lake  Swan  Staff  Application   Please  print  and  use  a  pen  to  fill  out  the  application.  If  you  prefer  using  a  computer  to  fill  out  the   application  please  email  [email protected]  for  that  kind  of  application.  Thanks.  

Applicant  Information   Name:____________________________________        Cell  Phone  Number:  ________________________   Home  Phone  Number:_______________________            Email:  __________________________________  

Lake  Swan  Camp  Contact  Information   Please  Email,  Mail,  or  Fax  Applications  to:   [email protected]   Lake  Swan  Camp  Attn:  Matt  Brubaker  647  ST  RD  26  Melrose,  FL  32666   Fax:  352-­‐478-­‐0410            Phone:  352-­‐475-­‐2828  (Please  call  if  you  have  any  questions  about  the  application.)  

Lake  Swan  Camp  Statement  of  Faith   The  Bible  is  the  inspired,  infallible,  authoritative,  inerrant  Word  of  God.   There  is  one  God,  eternally  existent  in  three  persons:  Father,  Son,  and  Holy  Spirit.   The  Lord  Jesus  Christ  is  the  only  begotten  son  of  God,  virgin  born,  whose  death  on  Calvary’s   cross  is  the  substitutionary  atonement  for  sin.  He  bodily  rose  from  the  death  and  ascended  to   the  Right  in  power  and  glory.   Through  repentance  and  faith  in  Christ,  lost  and  sinful  man  is  regenerated  by  the  Holy  Spirit,   which  is  essential  for  salvation.   The  present  indwelling  ministry  of  the  Holy  Spirit  enables  the  Christian  to  live  a  Godly  life.   There  shall  be  resurrection  of  the  redeemed  and  the  lost;  the  redeemed  to  eternal  life  and  the   lost  to  eternal  damnation.     All  Lake  Swan  Camp  Staff  must  agree  to  the  statement  of  faith.  Any  opposition  to  the  above  either   through  words  or  actions  can  be  grounds  for  termination  of  employment.  If  you  disagree  on  any  point,   please  use  a  separate  sheet  of  paper  and  indicate  which  portions  you  disagree  with  and  why.  

Current  Mailing  Address   Street:__________________________                City:__________________          State:  _____    Zip:  ___________  

Permanent  Address  (if  different  from  above)   Street:__________________________                City:__________________          State:  _____    Zip:  ___________  

 

  Personal  Information   Gender:  _______            At  least  18  years  old?_________  If  not,  what’s  your  birthday?__________________                     Social  Security  Number:________________________________________________________________     Driver’s  License  Number:_________________________________________    State  Issued  By:  ________      

Have  you  ever  been  convicted  of  child  abuse  or  a  crime  involving  actual  or  attempted  sexual   molestation  of  a  minor?    _____Yes        ______No              If  Yes,  please  explain.   What  Church,  if  any,  do  you  attend?  ________________________________________________         Pastor  Name__________________________              Church  Phone  Number:  ___________________   Education   High  School:  ___________________      Years  Completed:    9      10      11      12   College:  _______________________    Years  Completed:    1          2          3            4        >4   Other  Training  and  Certifications:  _______________________________________________________  

Hobbies   Please  list  any  hobbies  that  you  enjoy  and/or  are  particularly  proficient  in:   Hobby  #1:  ____________________________  

Hobby#3:  ____________________________  

Hobby  #2:  ____________________________  

Hobby  #4:____________________________

Previous  Employment   Name  of  Employer___________________________          Address__________________________________   Position________________    Responsibilities____________________________  Dates  _______________   Name  of  Employer___________________________          Address__________________________________   Position________________    Responsibilities______________________________  Dates______________  

In  Case  of  Emergency   Contact  Person  1   Name:____________________            Relationship:_____________              Phone  Number:  _________________   Alternative  Phone:  ___________________________              Email:  __________________________________  

Contact  Person  2   Name:_______________________            Relationship:______________              Phone  Number:  _____________   Alternative  Phone:  _____________________              Email:  ________________________________________    

References:  Please  do  not  include  minors  or  relatives.   Employment  Reference   Name:  __________________________________    Relationship:______________________________   Telephone:  ________________________  Email:__________________________________________   Character  Reference   Name:  _________________________________    Relationship:_______________________________    Telephone:  __________________________      Email:_______________________________________   Spiritual  Reference   Name:  _________________________  _______  Relationship:________________________________   Telephone:  _____________________________  Email:_____________________________________  

Position  you  are  applying  to:  Please  indicate  all  roles  you  are  willing  to  serve  in.  Rate  each  job   1-­‐3  with  3  being  most  excited  to  serve  in  that  role. _______Assistant  Cook   _______Cook  Help   _______Kitchen  (Hostess,   Dish  washer,  pots  washer)    

_______Assistant   Housekeeper   _______Lifeguard   _______Maintenance  

_______Office  Assistant   _______Snack  Shack   _______Boat  Driver     (must  be  18)

  Areas  of  Proficiency   Please  mark  the  following  0-­‐3.  0=Little  to  no  experience,  1=Interested  in  Learning  2=Some  Experience.   3=Very  experienced  and/or  certified  in  this  area. ______Canoeing  

______Lifeguarding  

______Construction  

______AV  Equipment  

______First  Aid/CPR  

_______Cooking  

______Boat  Driving  

______Archery  

_______Teambuilding

 

 

Availability   What  is  the  earliest  possible  date  that  you  can  begin  your  working  ministry  at  LSC?_________________   What  is  the  last  possible  date  you  will  be  able  to  continue  working?  _____________________________   Are  there  any  factors  that  will  limit  your  availability  during  that  time?____________________________   (use  separate  sheet  of  paper  if  necessary)  

Question  &  Answer:  Please  use  a  separate  sheet  of  paper.   Please  describe  your  personal  relationship  with  God  up  until  this  point  in  your  life.   Describe  how  a  person  can  receive  eternal  life.  Do  you  have  any  experience  leading  someone  to  Christ?   Why  do  you  want  to  work  at  Lake  Swan  Camp?   What  is  your  greatest  aspiration  in  life?   If  you  died  today  and  stood  before  God  in  Heaven  how  would  you  respond  if  God  asked  you  why  He   should  let  you  in  Heaven?  

Applicant’s  Statement   To  the  best  of  my  knowledge,  any  and  all  information  on  this  application  is  correct.  I  understand  that  the   application  is  merely  part  of  the  hiring  process  and  does  not  guarantee  in  any  way  that  I  will  be  hired.  I   authorize  any  of  the  references,  previous  employers,  or  churches  above  to  be  contacted.  I  release  all   such  references  from  any  liability  for  providing  personal  information  to  Lake  Swan  Camp,  even  if  it   damages  my  chances  of  being  hired.  I  waive  any  right  that  I  may  have  to  inspect  references  provided  on   my  behalf.  Should  I  be  hired  by  Lake  Swan  Camp,  I  endeavor  to  do  my  best  to  uphold  its  reputation,   statement  of  faith,  and  standard  of  service  to  all  guests.  I  understand  that  if  I  am  approved  for   employment  by  Lake  Swan  Camp  that  I  must  then  submit  and  pass  a  background  screening  through  the   Department  of  Children  and  Families.       Applicant’s  Name_________________  ___  Signature_________________________    Date____________   If  under  18,  we  also  need:   Parent/Guardian’s  Name_____________________  Signature____________________  Date__________