Staff Application

In addition to filling out the application, please give this form to your references. REFERENCE FORM

 
 
Name *
Name
Phone *
Phone
Date of Birth *
Date of Birth
Permanent Address *
Permanent Address
Temporary Address (if away for school)
Temporary Address (if away for school)
Home Church Address
Home Church Address
Attending since
Attending since
Current Church Address
Current Church Address
Attending since
Attending since
POSITION(S) FOR WHICH YOU ARE APPLYING
(Please select all that you are interested in.) *
*Indicates a leadership position. These are usually, but not always filled with returning staff members.
MANDATORY DATES
May 23, 8AM-June 1, 7PM (leadership positions only)
Staff Training: June 3, 4PM-June 8, 9:15PM
Week 1: June 11, 10AM-June 16, 4:30PM
Week 2: June 18, 10AM-June 23, 1PM
Week 3: June 25, 10AM-June 30, 1PM
Week 4: July 2, 10AM-July 7, 1PM
Week 5: July 9, 10AM-July 14, 1PM
Week 6: July 16, 10AM-July 21, 3:30PM
Week 7: July 23, 10AM-July 28, 1PM
Week 8: July 30, 10AM-Aug 4, 10PM
EDUCATION
High School Address
High School Address
Start Date
Start Date
End Date
End Date
College Address
College Address
Start Date
Start Date
End Date
End Date
Other Address
Other Address
Other start date
Other start date
Other end date
Other end date
EMPLOYMENT HISTORY
Employer address
Employer address
Start date
Start date
End date
End date
Supervisor's phone
Supervisor's phone
Employer address
Employer address
Start date
Start date
End date
End date
Supervisor's phone
Supervisor's phone
Employer address
Employer address
Start date
Start date
End date
End date
Supervisor's phone
Supervisor's phone
REFERENCES
Please provide each reference with a reference form provided with this application. Your application cannot be processed until all of your references are received. No relatives please.
ACADEMIC Reference Name
ACADEMIC Reference Name
Address
Address
Phone
Phone
WORK Reference
WORK Reference
Address
Address
Phone
Phone
PASTORAL/SPIRITUAL Reference
PASTORAL/SPIRITUAL Reference
Address
Address
Phone
Phone
ADDITIONAL INFORMATION AND PERSONAL QUESTIONS
Because Camp Ray Bird desires to protect the children in our care and programs, please answer the following questions. We understand that the answers to these questions may be privately and deeply personal and we will protect your privacy.
SIGNATRE
By signing, I certify that the above information is correct and truthful. I understand that past employers and references will be contacted by Ray Bird Ministries . I also understand that Ray Bird Ministries may do a criminal record check for the purpose of ensuring all applicants have no history of abusing or neglecting a child.
Date *
Date
If you haven't started, please pray that God’s wisdom will be granted in making decisions so that He may be glorified in how you decide to spend your summer. Questions? Please Visit www.raybird.org, email david@raybird.org or call our office at 574-232-8523. Also, you will need to contact us to provide your Social Security Number for background check purposes.