2018 SWC STAFF APPLICATION

 NAME___________________________EMAIL_________________________________

ADDRESS_____________________________________________________________

PHONE(___)_______________________OCCUPATION:__________________

			AGE:_____________    D.O.B.____________   SEX: M/F      marital status: M/S

DRIVERS LICENSE#      _______-________-_______-________

SS#________-_______-________                   CELL#(____)__________________

HOME PHONE#(_____)________________WORK#(____)_______________

EMERGENCY CONTACT#(____)_____________________

SPIRITUAL LIFE:    HOME CHURCH:___________________________

HOW LONG SAVED:________________

CAMP EXPERIENCE	HAVE YOU BEEN A CAMPER? Y/N  YEAR:________

PERSONAL LIFE: PARENT/GUARDIAN/SPOUSE NAME:_____________________

				CONTACT PHONE (____)_____________________

PRIOR WORK HISTORY	

EMPLOYER:_________________________PH.#(_____)_____________

state required questions:
Have you ever been convicted of anything other than a minor traffic violation? N/Y (explain on back)
Are you currently being treated for any infectious diseases?                                 N/Y (explain on back)
Are you currently infected with communicable tuberculosis?		        N/Y (explain on back)
Are there any health concerns we should know about?			        N/Y (explain on back)
REFERENCES: (signatures of your pastor/youth pastor and TWO other NON-related   persons required.)
“Having confidence in this applicants ability and qualifications of eduction, training and Christian maturity/experience, I recommend the consideration of his/her application as staff for SWC. I further believe this individual has the appropriate character and emotional stability to serve the staff position and age level for which he/she applied.

1. Name:__________________________________

church:______________________________city:___________________
		(pastor/youth pastor signature)	
	
 church phone: (____)___________________
		(above printed name)
2.Name:___________________________________ phone(____)________________

address:____________________________________________________

3. Name:___________________________________phone(___)_________________

address:________________________________________________

If applicant is a MINOR, please complete: “I authorize the camp to consent to emergency medical or surgical treatment of my child, and to routine, non-surgical medical care. I also agree to pay for the performance of such treatment, anesthetics, and operations as deemed necessary in the opinion of the attending physician.” Printed name of parent, legal guardian, or authorized person:
                                              _______________________________________________

Signature of above named:__________________________________________

insurance co.______________________

Policy#_______________________________

Disclaimer: Pending funds available, staff expenses will be covered. As a extra precaution, please ask your church to sponsor your week at SWC.

*This application must be postmarked by June 30th 2018*
*MAIL application to Bethany Eagles Nest Church 2740 Nadeau Rd. PO Box 245 Monroe, Mi 48161 ATTN: Pastor Louie     Questions: CALL Gen. Louie 734-735-6777 
Applicant’s Commitment: I pledge myself to a week of cooperative ministry and will maintain a personal discipline and spirit that exemplifies Christ at all times. I will make the physical, mental and spiritual welfare of the campers my first priority. I will attend the Staff Orientation, which is required by State Law, on the Sunday prior to my week of service. I authorize a criminal background check and verification of information provided.

Applicant’s Signature___________________________________

date:_______________________

MEDIA by signing form you agree to allow us to use any media coverage taken during event for future promotions and publications. 

Thank you