Cedar Valley Viewpoint Summer Staff Application Form

CEDAR VALLEY VIEWPOINT SUMMER STAFF APPLICATION FORM NAME: ____________________________________________ _______________________

PHONE:

PRESENT ADDRESS: _____________________________________________________________________ CITY: ______________________ ____________ __________

STATE: __________

ZIP CODE:

CHURCH: _____________________________________________________________________________ CHURCH ADDRESS: _____________________________________________________________________ CITY: __________________________________ CODE:___________

STATE: __________

PASTORS NAME:_________________________________ PHONE:___________________

ZIP

CHURCH

REFERENCES: (MUST INCLUDE ONE PREVIOUS EMPLOYER.) 1. NAME: ____________________________________________ PHONE:____________________ COMPLETE ADDRESS:_____________________________________________________________ HOW LONG KNOWN:_____________________________________________________________ 2. NAME: ____________________________________________ PHONE:____________________ COMPLETE ADDRESS:_____________________________________________________________ HOW LONG KNOWN:_____________________________________________________________ 3. NAME: ____________________________________________ PHONE:____________________ COMPLETE ADDRESS:_____________________________________________________________ HOW LONG KNOWN:_____________________________________________________________

DO YOU FIND IT EASIER TO: TEACH GAMES/RUN PROGRAMS

OR

RUN WORKSITE OPERATIONS

HAVE YOU EVER BEEN TO CVV, CAMP ROCK OR AN EQUIVALENT WORK CAMP? YES OR NO IF YES, PLEASE STATE NAME OF THE CAMP AND YEARS ATTENDED:_______________________________ _____________________________________________________________________________________

DO YOU HAVE OTHER CAMP COUNSELING EXPERIENCE? OR NO

YES

IF YES, PLEASE STATE CAMP NAME, POSITION HELD, AND YEAR EMPLOYED:________________________ _____________________________________________________________________________________ DO YOU HAVE ANY CONFLICTS WITH THE TENTATIVE SCHEDULE AS GIVEN? YES OR NO IF YES, PLEASE EXPLAIN:_________________________________________________________________ DO YOU HAVE A VEHICLE AVAILABLE FOR USE DURING THE WEEKS YOU WOULD BE EMPLOYED: YES OR NO (PLAN TO HAVE A CLEAR SCHEDULE JUNE TH TH TH TH 28 -30 , AND JULY 5 -10 !) PLEASE ANSWER THE FOLLOWING QUESTIONS THOROUGHLY ON ANOTHER SHEET OF PAPER! 1. WHY DO YOU WANT TO WORK FOR CVV/CAMP ROCK? 2. FOR WHAT POSITION ARE YOU APPLYING? 3. WHAT ARE THE STRENGTHS AND SKILLS YOU FEEL YOU CAN BRING TO THIS POSITION? 4. WHAT DO YOU HOPE TO GAIN FRON THIS POSITION AND FROM BEING ON STAFF? 5. LIST AND DESCRIBE ANY PAST WORK EXPERIENCE? 6. LIST AND EXPLAIN ANY ACCOMPLISHMENTS AND/OR ACHIEVEMENTS RELATED TO SCHOOL, WORK, OR OTHER ACTIVITIES. 7. BRIEFLY DESCRIBE YOUR FAITH, HOW IT RELATES TO YOUR EVERYDAY LIFE, AND HOW YOU WANT TO PUT YOUR “FAITH INTO ACTION.”

I HEREBY CERTIFY THAT THE INFORMATION STATED ABOVE AND ATTACHED HERETO IS TRUE TO THE BEST OF MY KNOWLEDGE. SIGNATURE:_________________________________________________________DATE:__________ ___ PARENT/GUARDIAN (IF UNDER 18):______________________________________DATE:_____________

CEDAR VALLEY VIEWPOINT DOES NOT DISCRIMINATE ON BASIS OF GENDER, RACE, CREED, OR NATIONAL ORIGIN.