Pathways Lutheran Outdoors Ministries

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Personal

Name :

Sex :

Male Female

Email :

Date of Birth (optional) :

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 Director
Assistant Program Director - Health Care
Camp Assistant - Camp Emmaus
Camp Counselor
Cook - Emmaus Assistant Cook
Cook - Emmaus Head Cook
High Adventure Counselors
Maintenance - Assistant Emmaus
Summer Program Director - Challenge Course & High Adventure Programs
Summer Program Director - Emmaus Programs
Technology Director
WET & WILDerness Counselor

Employment for non-program staff positions with Pathways begin May 26 and end August 11. Program staff positions begin May 20 and end August 11. Please list any foreseen conflicts between any of these dates with the exceptions 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)

Lead singing	Bible studies	Smiling	Environmental
Guitar	Storytelling	Worship leading	Small group leading
Clowning	Drama	Group games	Piano
Arts & Crafts	Swimming	Tent camping	Outdoor cooking
Backpacking	Public speaking	Fishing	Laughing
Love kids	Singing	Listening	Canoeing
Musical Instruments :		Other :

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