Family Farm
Application for Summer Employment
Date
Application was completed: / /
*(2005 Staff training dates: May 31- June 4)
Positions for which you are applying: Age Group Preference (rate 1,2,3): History
with Family Farm:
Sr. Counselor: ____________________ _______ 6-7 year olds ______ years as a camper
Other:___________________________ ________ 8–10 year olds ______ years as a Jr. Counselor
Personal Data
Full Name Sex
Date of Birth Current Age
Social Security Number Drivers License Number Issued in
which state?
E-Mail Address Marital
Status
Name of College Classification Major
School Address City State Zip
School Phone
Number Cell
Phone Number
Home Address City State Zip
Home Phone Number
Church Address Phone
Number
Please
tell us how you learned about Family Farm (be as specific as possible).
Describe
previous experience working with children between the ages of 6 and 12.
Have you been arrested? Have you been convicted of a felony and/or
child abuse? If so, please describe and
include dates.
The following section is designed to provide insight
about your personal beliefs. Please be
candid and honest in your narrative of your beliefs.
Tobacco Products
Alcoholic Products
Narcotic Drug Use
Homosexuality
Pre-marital Sex
Bible
Please list any past or present involvement with any
Christian organizations (FCA, Church, Bible Study group, etc.).
Describe
how someone becomes a Christian.
Please
give a brief biographical sketch of your Christian life. Include when you became a Christian and any
growth you’ve experienced since then that taught you something important about
God.
I certify that the answers
given herein are true and complete to the best of my knowledge. I understand and authorize an investigation
into my background both through references and a criminal history background
check through the State and/or Federal Bureau of Investigation.
This
application is considered active for a period of time not to exceed one (1)
year. Any applicant wishing to be
considered for employment beyond this time period should inquire as to whether
or not applications are being accepted at that time.
I
hereby understand and acknowledge that unless otherwise defined by applicable
law, any employment relationship with this organization is of an “at will”
nature which means that the employee may resign at any time and the Employer
may discharge Employee at any time with or without cause. It is further understood that this “at will”
employment relationship may not be changed by any written document or by
conduct unless such change is specifically acknowledged in writing by an
authorized executive of this organization.
In
the event of employment, I understand that false or misleading information
given in my application or interview(s) may result in immediate discharge. I understand, also, that I am required to
abide by all employment policies, rules and regulations of the employer.
Signature__________________________________________________ Date__________________________
Return this
completed and signed (unsigned applications will not be considered) application
to:
Family Farm
Camp
18448 Hwy 67
www.familyfarm.org