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Please fill out this form completely.
Mt. Gilead may not be able to process your application if information is missing. Once you have submitted the form you will be sent a confirmation email. This will be sent to the email address you provide below.
If you are concerned about Internet Security, please view our Security page.
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| First Name |
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| Last Name |
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Social Security Number
(Ex. XXX-XX-XXXX) |
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| Current Address |
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| Current City |
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| Current State |
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| Current Zip |
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| Permanent Address |
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| Permanent City |
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| Permanent State |
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| Permanent Zip |
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Home Phone
(Ex.: 707-823-4508) |
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Cell Phone
(Ex. 707-823-4508) |
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Email Address
A confirmation notice will be sent to this email address |
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| Home Church |
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| Other Available Possition |
None at this time. |
| Days Available to Work |
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| Would you be able to work overtime if neccessary? |
Yes
No |
| Earliest Start Date |
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| Latest Departure Date |
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| Why do you want to be involved in camping ministry at Mt. Gilead? |
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| Pastor's Name |
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Pastor's Phone
(Ex.: 707-823-4508) |
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| Friend's Name |
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Friend's Phone
(Ex.: 707-823-4508) |
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| Employer's Name |
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Employer's Phone
(Ex.: 707-823-4508) |
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What is God Doing?
Please write a one page testimont (600-750 words) of what God is doing in your life, currently. |
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| Have you ever been in a job where you supervised others? |
Yes
No |
| If so, please explain |
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| What is your definition of teamwork? |
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| Have you ever been discharged from any possitions? |
Yes
No |
| If so, for what reason |
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| How do you deal with disagreements with others? |
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| Most Recent Employer |
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| Company Name |
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Dates of Employment
(01/01/1999 - 01/01/2000) |
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| Job Title & Description |
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| Reason for Leaving |
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| May we Contact This Employer? |
Yes
No |
| Supervisor's Name |
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Supervisor's Phone
(Ex. 707-823-4508) |
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| Other Employer |
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| Company Name |
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Dates of Employment
(01/01/1999 - 01/01/2000) |
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| Job Title & Description |
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| Reason for Leaving |
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| May we contact this employer? |
Yes
No |
| Supervisor's Name |
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Supervisor's Phone
(Ex. 707-823-4508) |
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| High School Name |
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| High School City |
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| High School State |
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High School Dates of Attendance
(01/01/1999 - 01/01/2000) |
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| College Name |
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| College City |
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| College State |
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College Dates of Attendance
(01/01/1999 - 01/01/2000) |
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| Other College Name |
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| Other College City |
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| Other College State |
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Other College Dates of Attendance
(01/01/1999 - 01/01/2000) |
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| Current Year |
Freshman
Sophomore
Junior
Senior
Graduate |
| Major or Degrees Received |
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| Do you have any experience, training, qualifications or skills that make you especially suited for work at Mt. Gilead? If so, please explain. |
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| What do you consider to be your greatest strength? |
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| What are some of your weaknesses? |
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| What are your favorite hobbies? |
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| Do have any of the following certifications? |
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| Have you ever been to a camp? |
Yes
No |
| If so, what camp(s) |
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| Have you ever been on a camp staff? |
Yes
No |
| If so, what camp(s) |
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| What years did you work? |
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| What possitions did you work in? |
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| Do you know anyone who has served at Mt. Gilead? |
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| Have you ever been dismissed from rendering service to children or youth for reasons other than the expiration of the normal term of service? |
Yes
No |
| If "Yes" Why? |
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| Have you ever been convicted of any offense other than minor traffic violations? |
Yes
No |
| If "Yes" What was the conviction? |
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I acknowledge my responsibility to be careful and conscientious in reporting and suspicions of child abuse to my Mt. Gilead representative.
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I am in agreement with the Doctrinal statement of American Missionary Fellowship and Mt. Gilead Bible Conference as presented. |
| if you disagree with any part of the above, please explain. |
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Please check if the above is true. |