Staff Application

Summer Staff Application
		SHETEK LUTHERAN MINISTRIES
Summer 2005		Thank you for your interest in applying to be a member of the Shetek Staff.
Name _____________________________ Date of application _______________ Date of Birth _______________ Social Security Number _______________M or F School Address ____________________________________________________ City ____________________ State ___ Zip ________ Phone ( )____________ E-mail Address____________________ Best Time To Reach You ______________ Home Address ____________________________________________________ City ___________________ State ____ Zip _______ Phone ( )_____________ Please check the appropriate space. (This section is optional. At times camps are asked for numbers and ratios of staff and campers.) __ White __ Black __ Native American __ Asian __ Hispanic __ Other Are you a U.S. citizen? ____ Have you been in the military? ____ Branch? _____ Dates of service? _______ Do you have reserve duty? ______Your present rank or rank at discharge? ___________ Schooling: What school are you presently enrolled? __________________________ What is your present major/minor? ______________________________ What grade/year are you presently listed as? ______________________ List schools you have attended, years, and degrees received: __________________________ ____________ ______________ __________________________ ____________ ______________ __________________________ ____________ ______________ List your home church and the church you attend while at school. Name ____________________ City _________________State ___ Name ____________________ City ________________ State ___ Positions desired at Shetek Lutheran Ministries. (In preferred order) 1 ______________________ 3 ________________________ 2 ______________________ 4 ________________________ In order to get a glimpse at your personality, skills and goals, we ask that you answer the following questions honestly and as clearly as possible. Have you ever been in a supervisory role over young people (i.e., Youth Director, Nanny, Counselor, etc.)? __ If yes, please explain. __________________________________________________ Do you have any physical conditions that may be problematic in the camp setting? ____If yes, please explain: _________________________________________________________ Have you ever been convicted of a crime? ____ If yes, please explain: _____________________
Please fill out attached pages of employment, internship, and volunteer history. Do you hold current certification in any of the following?
_____ _____ _____ _____ _____ _____ _____ _____ _____ _____	ARC Life Guard Certification ARC Advanced First Aid ARC CPR ARC Life Guard Instructor ARC First Aid Instructor Emergency Medical Tech Registered Nurse Chauffeur/Bus License Class___ Other Certifications ________________________	Expiration date ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________	State _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
Camp Skills and Interests: (Check 1 for positions you can lead, 2 for positions you can assist in, and 3 for positions you would be willing to learn.)
____ Canoeing ____ Sailing ____ Motor Boat ____ Rafting ____ Cook Outs ____ Biking ____ Athletics _____________ ____ Hiking ____ Tent Camping ____ Swimming		____ Arts and Crafts ____ Team Building ____ Puppetry ____ Story Telling ____ Clowning ____ Bible Study ____ Game Leading ____ Orienteering ____ Environmental Ed ____ Ropes Course ____ Astronomy	____ Worship ____ Guitar ____ Singing ____ Dance ____ Instruments (i.e. Piano) _________________ _________________ ____ Photography ____ Drama ____ Foreign Language ________________
Please list any other skills or talents not mentioned above: Three references are needed for the application process. Please list names of references below. (No relatives or school classmates please). Name: ______________________________________ Phone: ________________________ Name: ______________________________________ Phone: ________________________ Name: ______________________________________ Phone: ________________________
Please respond to the following questions. You may include additional sheets of paper if need be. Why do you want to work at a Lutheran Bible Camp? What personal goals do you have for your summer? Describe your leadership style. What will be your three greatest gifts to Shetek? What are two of your weaknesses? What is your Christian faith like today? What age campers do you prefer to work with and why? You tell us what we forgot to ask. *Please return your application by March 1st for earliest consideration.*