Summer Staff Application

Please read through entire application before starting. You will not be able to save data. BIOGRAPHICAL INFORMATION Last Name: First Name: Street/PO Box: City State Zip Gender Male Female Age Date of Birth [dd-MMM-yyyy] Phone Cell Phone Email Blog/MySpace/Website/Other If your address is different between June & Sept 2. Street/PO Box 2. City 2. State 2. Zip 2. Phone Have you ever be convicted of felony involving a minor? Yes No Do you consider yourself a Christian? Yes No Are you in good health? Yes No NOTE: Smoking is NOT permitted while working for PCCCI on program staff. Physical Handicaps/Chronin Ailments: Do you know anyone who is currently serving PCCCI staff? Yes No If "Yes", whom? What camp or conference experience do you have? CHURCH AFFILIATION Church you regularly attend: What programs do you attend? How often do you attend? Pastor's Name: Church Street/PO Box Church City Church State Church Zip TRAINING/SKILLS Are you certified in any of these areas? Basic Lifegaurd Advance Lifeguard Lifegueard training Basic First Aid CPR EMT Do you play a musical instrument? Yes No If "Yes", what instrument and how well? What skills do you have? What leadership positions have you held in the past? Are you going to school? Yes No If "Yes", what is the name of your school? What year in school will you be next year? What is your major? PREVIOUS EMPLOYMENT 1. Employer 1. Dates employed 1. Your position: 1. Supervisor's Name: 1. Phone 1. Email 2. Employer 2. Dates employed 2. Your position: 2. Supervisor's Name: 2. Phone 2. Email 3. Employer 3. Dates employed 3. Your position: 3. Supervisor's Name: 3. Phone 3. Email ESSAY QUESTIONS Why do you want to work for PCCCI? What gifts and skills do you bring to the job? In your own words, briefly explain the Gospel of Jesus Christ. How did you become a Christian? What are your goals and ambitions in life? I agree that all the statements above are true to the best of my knowledge. * An email will be sent comfirming that you data has been has been recieved. Verification Code (enter the characters you see in the above picture) View Error Details   Powered by