FAITH RANCH
P.O. BOX 355
JEWETT, OH 43986
(740) 946-2255
(740) 946-7661 FAX
E-MAIL: faithranch@faithranch.org
Full time/ summer STAFF APPLICATION
(Please Print or Type) (Use Additional Paper if Necessary) Date______________
PERSONAL
NAME: Mr.-Mrs.-Miss ___________________________________________________ SOC.SEC.NO._____________
CURRENT ADDRESS:____________________________________________________ CITY___________________
STATE______ ZIP___________ PHONE_______________________ E-MAIL:_______________________________
PERMANENT ADDRESS__________________________________________________ CITY___________________
STATE_____________ ZIP__________ PHONE____________________________
Date of Birth____________________ Height_______ Weight_________ Marital Status_________________________
FATHER’S NAME____________________________________________ MOTHER’S NAME____________________
ADDRESS______________________________________________________________ CITY___________________
STATE______ ZIP___________ PHONE_______________________ E-MAIL:_______________________________
CHURCH’S NAME & ADDRESS____________________________________________________________________
Pastor’s Name____________________________________________ Phone_________________________________
HEALTH
Do you have any chronic health problem?___ If so, please describe. _______________________________
_____________________________________________________________________________________
______________________________________________________________________________
Are you on regular medication of any kind? ___ If so, what is the name of the medication?______________
______________________________________________________________________________
Have you been under a doctor’s care in the past 5 years? ___ If so, please describe the circumstances.___
Name/Relationship of Closest Relative in Case of Emergency_____________________________________________
Address_______________________________________________ Phone__________________________
EDUCATION
College_________________________________________________ Major of Study___________________________
Last Grade Completed____________________________________ Degree Granted___________________________
Other__________________________________________________________________________________________
Complete if Applicable: Date School is out in Spring __________________
Date School begins in Fall ___________________
Date I am available _________________________
EMPLOYMENT
Present Occupation______________________________________________________________________________
Employer_______________________________________________________ Phone__________________________
Immediate Supervisor_____________________________________ Special Training__________________________
PREVIOUS EMPLOYMENT
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REFERENCES (2 Work References and 2 Character References – Do Not List Relatives)
Name__________________________________________ Occupation______________________________________
Address________________________________________________ Phone__________________________________
Name__________________________________________ Occupation______________________________________
Address________________________________________________ Phone__________________________________
Name__________________________________________ Occupation______________________________________
Address________________________________________________ Phone__________________________________
Name__________________________________________ Occupation______________________________________
Address________________________________________________ Phone__________________________________
AREA OF MOST INTEREST: (SUMMER: cabin counselor, horsemanship, food service, maintenance, program, teaching, other) This does not guarantee assignment to #1, #2, or #3 but may include all 3 and/or others. (FULL TIME: horsemanship, food service, maintenance, program office, farming, administration, grounds keeping, publicity & promotion, teaching, other)
CHOICE #1 ____________________________________________________________________________________
Reason for this choice: ___________________________________________________________________________
Qualifications for this choice:_______________________________________________________________________
CHOICE #2 ____________________________________________________________________________________
Reason for this choice: ___________________________________________________________________________
Qualifications for this choice:_______________________________________________________________________
CHOICE #3 ____________________________________________________________________________________
Reason for this choice: ___________________________________________________________________________
Qualifications for this choice:_______________________________________________________________________
CERTIFICATIONS
Sports & ActivitiesLifeguard………………………………………… Basic Lifeguarding……………………………... Archery Instructor……………………………… Riding Instructor……………………………….. CHA Standard English Level ____________ CHA Standard Western Level ___________ CHA Trail Level_____________…………….. Other______________________________ |
Expires.__________ .__________ .__________ .__________ .__________ .__________ .__________ |
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Health & SafetyCPR…………………………… Standard First Aid……………. Advance First Aid……………. Nursing: RN – State Lic. No………… LPN – State Lic. No……….. EMT – State Lic. No…………. Other:
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Expires.____________ .____________ .____________
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SKILLS, INTERESTS, ACTIVITIES, AND TRAINING
MARK ONLY THE APPROPRIATE LINES: T=Can Teach or Organize S=Skilled
E=Some Experience L=Would Like to Learn
OFFICETyping………………. Answering Phone…. Photograph………… Computers…………. Fax………………….. Graphic Arts……….. Receptionist………... Accounting…………. Marketing…………… Printing……………… Newsletter………….. Other………………...
FOOD SERVICECook………………… Assistant Cook…….. Baker……………….. Hostess/Host………. Dishwasher………… Buyer……………….. Nutritionist………….. Other………………...
MAINTENANCEHousekeeping……… Laundry……………... Lawn Care………….. Gardening………….. Farming…………….. Carpentry…………… Mechanical…………. Plumbing……………. Electrical……………. Automotive…………. Other……………….. |
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HORSEMANSHIPRiding……………….. Trail Guide…………. Colt Training……….. Vaulting…………….. Horse Swimming….. Horse Packing…….. Tack Care………….. Ferrier………………. Other………………..
WATERFRONTLifeguard………….... Swimming……….…. Fishing……………… Boating/Canoeing…. Other………………..
OTHER SPORTSArchery……………... Initiatives…………… Horseshoes…………. Rappelling…………. Other………………..
CAMP CRAFTLashing…………….. Orienteering……….. Outdoor Cooking….. Overnight Camping.. Tent Camping……… Other………………...
MUSICSinging……………… Guitar……………….. Piano………………... Other………………... |
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SPIRITUALBible Study………. Worship Service… Devotions………… Story Telling….….. Other………………
GROUP ACTIVITIES Drama…………….. Skits/Stunts………. Campfire Programs Evening Programs Square Dancing…. Informal Dancing… Puppetry………….. Other………………
ARTS & CRAFTSLeather Work…….. Nature Crafts…….. Sketching………… Weaving/Basketry.. Wood Carving……. Painting…………… Other………………
NATUREAnimal Care……… Birds………………. Conservation…….. Flowers…………… Forestry…………… Insects……………. Weather………….. Hiking……………... Creation Interpretation…. Other……………… |
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PERSONAL TESTIMONY (Use additional paper if necessary)
1. Briefly describe your personal testimony and background in the Christian faith.
2. What are you currently doing to enhance your Christian growth?
PERSONAL TESTIMONY CONTINUED
3. What are your personal goals for life? (List short term (1 year) and long term)
4. My relationship with my parents is (was):
5. The qualities in my mom and dad that I would like to see more of in myself are:
MINISTRY (Use additional paper if necessary)
1. Staff in all areas of program will have the opportunity to share the Gospel with campers/guests. How would you explain the plan of salvation to:
(a) a nine year old?
(b) a sixteen year old?
(c) an adult?
2. What would be the most effective way to share the importance of quiet time with God?
3. What contribution do you think a Christian camp can make to children/guests?
4. What contribution do you think you can make at our Camp and Conference Center?
5. What can you offer:
(a) campers?
(b) Guests?
(c) Other staff?
6. Are you willing to clean bathrooms or wash dishes?
7. What ministries have you participated in or have been associated with in a leadership position? Please specify your role in each ministry. (i.e. Campus Crusade, Young Life, Navigators, Bible Study, Church, etc.)
8. Please state briefly your views for yourself and others on the following:
(a) Smoking or use of Tobacco –
(b) Drinking Alcoholic Beverages –
(c) Marijuana –
(d) Other Drugs –
(e) Abortion –
(f) Premarital Sex –
(g) Homosexuality –
9. Do you have a problem being obedient to: (Please explain)
(a) Male authority:
(b) Female authority:
(c) Authority younger than you?
(d) Authority older than you?
10. Write a brief biographical sketch that includes any other information that may have a bearing on this application. You may use additional paper if necessary.
11. Why do you want to serve on the Faith Ranch ministry team?
FAITH RANCH CAMP-Staff Application
PERSONAL REFERENCE
To be completed by applicant
Name of Applicant_________________________________ Position Applied for ____________________
Name of Person Filing Out This Reference (please print)_______________________________________
Authorization Applicant, please sign and date before handing out this reference form.
I authorize ___________________________ (reference) to provide Faith Ranch with the information requested. I release all references from any liability for information provided in good faith.
Signed______________________________ Date_______________
To be completed by reference
How long have you know this person?______ What is your relationship to this person?_______________
Faith Ranch strives to hire staff members who are trustworthy, capable of caring for and disciplining our campers, and who model positive Christian lifestyles. Your honest and prompt response is appreciated.
Please rank the following characteristics as they are displayed in the life of the applicant by circling the appropriate number. NK = no knowledge or insufficient information.
Poor Superior
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Christ-like lifestyle |
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NK |
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Leadership skills |
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NK |
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Work with peers |
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NK |
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Response to authority |
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NK |
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Friendly manner |
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NK |
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Work ethic |
1 |
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NK |
Please write any comments you may have pertaining to your responses above.
If you had a child of camper age, would you feel comfortable leaving your child in the care of the applicant? Why or why not?
In the following space, or on a separate sheet of paper, please share any additional comments regarding the applicant’s suitability for this position.
Do you have any reason to believe this applicant is not fit to work in close contact with or individual supervision of children? Yes___ No___ if yes, please explain in detail.
Would you recommend this person for employment? ___________________
Signed_________________________________ Date_____________ Phone (____)__________________
Address__________________________________ City________________ State____ Zip_____________
Thank you. This statement is confidential. Please send completed form directly to:
Faith Ranch, P.O. Box 355, Jewett, OH 43986
Phone: 740-946-2255 FAX: 740-946-7661
