Summer Staff Application | Champions Special Ministries

Name*

First Last

Address*

Street Address City State ZIP Code

Home Phone*

Cell Phone*

Email*

Enter Email Confirm Email

SSN #*

###-##-####

Employment Information

What position(s) are you applying for?*

Are you currently employed?*

No
Yes

Employer's name:

Employer's address:

How long with this employer?

Present salary:

When could you report for work?

If hired, can you show proof of your legal right to work in the USA?*

Yes
No

Have you ever been dismissed or asked to resign from a position?*

Yes
No

If "Yes", please explain the circumstances.

Have you ever been convicted of a felony, or a misdemeanor which resulted in imprisonment?*

Yes
No

If "Yes", please explain the circumstances.

Employment Experience

Please list your employment experience on the lines below. List most recent experience first. Include name of workplace, address, position eld, responsibilities, start and end dates.

Other Employer:

Please list start and end date, name of workplace, address, phone number and responsibilities.

Other Employer:

Please list start and end date, name of workplace, address, phone number and responsibilities.

Other Employer:

Please list start and end date, name of workplace, address, phone number and responsibilities.

Other Employer:

Please list start and end date, name of workplace, address, phone number and responsibilities.

Education

Please list the schools you have attended on the lines below.
Format = Name of School; Location; Dates Attended.

High School:*

Did you graduate?*

Yes
No

Did you obtain a GED?

Yes
No

School 1

Did you graduate from school 1?

Yes
No

What was your degree from this school?

School 2

Did you graduate from school 2?

Yes
No

What was your degree from this school?

School 3

Did you graduate from school 3?

Yes
No

What was your degree from this school?

Please list any other pertinent information about your education:

References

Please list 3 references: work related and personal reference. Include name & address (city, state, ZIP), phone number or email address, and relationship.

Reference 1 - Work*

Reference 2 - Work*

Reference 3 - Personal*

Personal

Please answer the following questions honestly.

How would others describe you?*

Why are you interested in working for Champions Special Ministries?*

Briefly describe your walk with Christ:*

What do you consider your gifts to be?*

Do you have any special skills you'd like to mention (photo/video shooting or editing; sports; dance or cheer, etc.)?*

No
Yes

Please list/detail any special skills you'd like to mention:

Have you had any previous physical injuries that could impact your ability to help or restrain a camper who might become aggressive at camp?*

Yes
No

Ex. arm, shoulder and/or wrist injuries

Signature and Date*

Please sign with your mouse or touch screen. Include the date.

A Voice of Love and Hope for Those with Disabilities
SCHOOL YEAR EVENTS

Application for Employment - Champions Staff

Employment Information

Employment Experience

Education

References

Personal