Luther Point Bible Camp Summer 2018 Application

Have you ever previously worked at a camp?*

YesNo
If "yes" what position did you hold?
At what camp?
Who was your supervisor?
Supervisors Phone #:
Do you have time off needed this summer? If so, when?*

Have you been in the military?*

YesNo
Branch:
Dates of service:
Your present rank:

Physical Condition
Are there any reasons you may have difficulty in performing any of the essential elements of the job for which you have applied (lifting restrictions, health restrictions, etc.)?*

YesNo
If yes, please explain:

Education
High School:
Graduation Date:
College/Post Secondary:
Major:
Spring 2020 School Term Ends:
Fall 2020 School Term Begins:

Certification/Skills
Please select all items for which you hold a valid certification that expires after August 15, 2020

CPRFirst AidAEDLifeguardEmergency ResponseOther

Briefly outline your faith and what it means to be a follower of Christ*

Why do you want to work at Luther Point this summer?*

What gifts would you bring to this camping community?*

What fictional character do you identify the most with? Why?*

Other information Luther Point needs to know?

Employment and Service History

Please complete the following work and volunteer history concerning you past five years. Begin with your most recent work history.
Company #1
Business/Organization Name
Position Held:
Name of Supervisor:
Dates Employed:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Company #2
Business/Organization Name
Name of Supervisor:
Position Held:
Dates Employed:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Company #3
Business/Organization Name
Name of Supervisor:
Position Held:
Dates Employed:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Company #4
Business/Organization Name
Name of Supervisor:
Position Held:
Dates Employed:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number

Authorization to Release Information, Waiver and Consent
I certify that the answers given in the accompanying Luther Point Bible Camp Application are true and complete to the best of my knowledge. I authorize Luther Point Bible Camp to verify the information I have provided on this application by contacting the references and places of employment I have listed. In the event of employment, I understand that false or misleading information given in my application, disclosure form, letter of call or interview may result in discharge. I hereby authorize each employer, volunteer entity, and any other person or entity to release all such information to Luther Point Bible Camp or its agent. I understand that by releasing this information to Luther Point Bible Camp or its agent that my employer, former employers, or any person or entity will not be vouching for its accuracy, and I agree not to bring any legal action against my current employer, my former employers, volunteer entities, or any person or entity for their response to Luther Point Bible Camp or its agent’s inquiry. I understand that in the event of employment Luther Point Bible Camp to which I am applying or its agent will be investigating my background and criminal or police records (including those maintained by both public and private organizations) and public records for the purpose of obtaining information which may be material to my qualifications for employment. I understand that my employment will be dependent upon a clear background check. I understand and waive my right to privacy in this investigation and release and hold harmless Luther Point Bible Camp, to which I am applying, it’s agent, and any person or entity which provides information pursuant to this authorization from any liability. In the event that my application is accepted and I become employed by Luther Point Bible Camp, I agree to abide by and be bound by the policies of Luther Point Bible Camp and to refrain from inappropriate conduct in the performance of my duties on behalf of Luther Point Bible Camp. I authorize the aforesaid parties to treat a photocopy of this release as though it is the original executed copy. I have read this waiver and the entire application, and I am fully aware of its contents. I sign this consent freely and under no duress or coercion. *

Clear
Should be Empty:

Luther Point Bible Camp

Physical Condition

Education

Certification/Skills

Employment and Service History

Authorization to Release Information, Waiver and Consent