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Full-Time Part-Time Summer Season
First Name
Last Name
Social Security Number
(Ex. XXX-XX-XXXX)
Current Address
Current City
Current State
Current Zip
Permanent Address
Permanent City
Permanent State
Permanent Zip
Home Phone
(Ex.: 707-823-4508)
Cell Phone
(Ex. 707-823-4508)
Email Address
A confirmation notice will be sent to this email address
Home Church
Kitchen Operations Program (Summer) Health (Summer)
Lead Cook
Kitchen Asst.
Baker
Guest Group Host
Gilead's Gifts
Rec. Specialist
Maintenance
Lifeguard
Office Personnel
Program Team
Counselor
Videographer
Nurse
First Aid
Other Available Possition None at this time.
Days Available to Work
Would you be able to work overtime if neccessary? Yes
No
Earliest Start Date
Latest Departure Date
Why do you want to be involved in camping ministry at Mt. Gilead?
Pastor's Name
Pastor's Phone
(Ex.: 707-823-4508)
Friend's Name
Friend's Phone
(Ex.: 707-823-4508)
Employer's Name
Employer's Phone
(Ex.: 707-823-4508)
What is God Doing?
Please write a one page testimont (600-750 words) of what God is doing in your life, currently.
Have you ever been in a job where you supervised others? Yes
No
If so, please explain
What is your definition of teamwork?
Have you ever been discharged from any possitions? Yes
No
If so, for what reason
How do you deal with disagreements with others?
Most Recent Employer
Company Name
Dates of Employment
(01/01/1999 - 01/01/2000)
Job Title & Description
Reason for Leaving
May we Contact This Employer? Yes
No
Supervisor's Name
Supervisor's Phone
(Ex. 707-823-4508)
Other Employer
Company Name
Dates of Employment
(01/01/1999 - 01/01/2000)
Job Title & Description
Reason for Leaving
May we contact this employer? Yes
No
Supervisor's Name
Supervisor's Phone
(Ex. 707-823-4508)
High School Name
High School City
High School State
High School Dates of Attendance
(01/01/1999 - 01/01/2000)
College Name
College City
College State
College Dates of Attendance
(01/01/1999 - 01/01/2000)
Other College Name
Other College City
Other College State
Other College Dates of Attendance
(01/01/1999 - 01/01/2000)
Current Year Freshman
Sophomore
Junior
Senior
Graduate
Major or Degrees Received
Do you have any experience, training, qualifications or skills that make you especially suited for work at Mt. Gilead? If so, please explain.
What do you consider to be your greatest strength?
What are some of your weaknesses?
What are your favorite hobbies?
Do have any of the following certifications?
CPR Exp.
First Aid Exp.
Lifeguard Exp.
W.S.I. Exp.
Waterfront Exp.
Have you ever been to a camp? Yes
No
If so, what camp(s)
Have you ever been on a camp staff? Yes
No
If so, what camp(s)
What years did you work?
What possitions did you work in?
Do you know anyone who has served at Mt. Gilead?
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?
Have you ever been convicted of any offense other than minor traffic violations? Yes
No
If "Yes" What was the conviction?

I acknowledge my responsibility to be careful and conscientious in reporting and suspicions of child abuse to my Mt. Gilead representative.


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.

Please check if the above is true.