Name *

First Name

Last Name

Gender *

Female

Male

Cell Phone *

(###)

###

####

Home Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Marital Status *

Single

Engaged

Married

Separated

Divorced

Remarried

Widow/Widower

Have you shared Christ with others through personal witnessing? *

Yes

No

Do you ascribe, without reservation, to the Statement of Faith of Shenandoah Baptist Church and Camp Eagle? *

Yes

No

Do you give at least ten percent (10%) of your total income to your local church? *

Yes

No

Has there been any change in your personal life that would violate Biblical standards of conduct and purity? *

Yes

No

Has there been any change in your church membership or involvement? *

Yes

No

Have you prayed about returning to a position with this ministry? *

Yes

No

Have you ever been a camper at Camp Eagle? *

Yes

No

For what position are you now applying? *

Counselor

Day Camp Staff

Program Facilitator

Maintenance Position

SLS (Servant Leadership Staff)

Kitchen Staff

Tech Staff

Operations Staff

Marketing Staff

Are you available for full-time or part-time work? *

Full-Time

Part-Time

Have you been convicted of a crime since leaving our ministry? *

Yes

No

Has there been any change in your position with regard to practices or doctrine that may conflict with the doctrine and practice of Shenandoah Baptist Ministries and Camp Eagle? *

Yes

No

Pastor's Name *

First Name

Last Name

Pastor's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pastor's Phone Number *

(###)

###

####

Supervisor's Name *

First Name

Last Name

Supervisor's Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Supervisor's Phone *

(###)

###

####

Other Reference's Name

First Name

Last Name

Other Reference's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Other Reference's Phone

(###)

###

####

I certify the information contained in this application is correct to the best of my knowledge & understand that deliberate falsification of information is grounds for dismissal. *

Yes

No

I authorize Camp Eagle to inquire about my work and personal history and to verify all information given in my application for employment. *

Yes

No

AUTHORIZATION TO RELEASE REFERENCE INFORMATION. *

Yes

No

Date *

MM

DD

YYYY