Personal
Name :
Sex :
Male
Female
Email :
Social Security # :
Date of Birth (optional) :
(month)
January
February
March
April
May
June
July
August
September
October
November
December
(day)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
(year)
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
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1941
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1944
1945
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1975
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1977
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1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
Year in School :
Current Address :
Current City, State, Zip :
Current Phone :
Home Address :
Home City, State, Zip :
Home Phone :
Position Applying For
(Check all that apply)
Assistant Program Directors
High Adventure Counselors
Cook
Camp Counselor
Retreat Director
Maintenance
Camp Assistant
Technology Director
Summer Program Director
WET & WILDerness Counselor
Ropes and High Adventure Assistant
Employment for non-leadership positions with Pathways begins May 25 and ends August 17. Leadership
positions begin May 19 and end August 17. Please list any foreseen conflicts between any of these dates, with the exception of weekends.
Please initial :
I have read all of the Pathways Ministry
Team Staff Descriptions for the
position(s) I am applying for.
I have read the outline of Pathways Personnel Policies .
If I am hired this summer, I am willing to abide by these policies.
Education
High School :
Graduated : Yes No
College/University :
Graduated : Yes No
Area of Study :
Extracurricular activities, organization memberships, interests and hobbies:
Church Membership
(Please list your home church as well as the church you presently attend.)
Church Name (home) :
City :
Denomination :
Pastor :
Phone :
Church Name (present) :
City :
Denomination :
Pastor :
Phone :
Camp Experience
Camp(s) attended :
When :
Describe your experience :
Have you been employed by another camp? Is so, please list which one & supervisor’s contact information.
Certifications
Do you hold any current certification in courses that would apply to summer
camp? (First Aid, Life Guarding, etc. Give expiration dates.)
Employment Experience List most recent employer first
Employment 1
Employer's Name :
City :
Phone :
Dates of Employ :
Responsiblities :
Employment 2
Employer's Name :
City :
Phone :
Dates of Employ :
Responsiblities :
Employment 3
Employer's Name :
City :
Phone :
Dates of Employ :
Responsiblities :
Ministry Skills
(Check all that apply)
References
Please list 3 (non-related) people for references. Please print and distribute reference form
to each reference and have them send it to the Pathways office. By listing these
references, you give permission to contact these persons.
Reference 1
Name :
Phone :
Relationship :
Email :
Reference 2
Name :
Phone :
Relationship :
Email :
Reference 3
Name :
Phone :
Relationship :
Email :
Essay Questions - please answer each of the following
questions in one to three paragraphs.
1. Why do you wish to be involved in the ministry of Pathways this summer?
2. What is your Christian faith like today? What has been important in this growth?
3. What skills, talents, or experience do you have that would be an asset to Pathways?
4. What are some areas in which you would like to grow or expand?
5. Anything else you would like to tell us about?
Camp life is very strenuous. Do you have any health conditions
that would affect your job performance or be aggravated while carrying out your job responsibilities?
Yes No
If yes, explain :
During the past five years, have you served a sentence in jail or
prison or been convicted of a misdemeanor, felony, child abuse or sexual abuse offence?
(information concerning this question will not automatically bar you from employment but may be used
to direct your interest to areas less related to the area of your conviction)
Yes No
If yes, explain :
May we share this application form and references with other camps needing applicants?
Yes No