Returning Staff Application

This application is for returning staff who are applying for a position they have previously held. Returning staff who are applying for a new position need to fill out the Counselor/VBS/Flex application or the Maintenance, Kitchen, Office, Medical application.

Fields marked with an asterisk (“*”) are required in order to submit the application.

Basic Information

*Name: *Email:

*Phone:

*Current address:

Address line 2:

*City: *State: *Zip:

*Able to begin: If “other,” please specify:

*Available through: If “other,” please specify:

Please list any time off needed:

View job descriptions to see qualifications (including age minimum) and responsibilities of each position. This link will open a new window, so you will not lose your progress.

*Position you are applying for (first choice):

Alternate choice(s) (hold “Ctrl” to make multiple selections):

Additional responsibilities (hold ctrl to make multiple selections):

References

List two references we can contact. They should be persons (other than full-time camp staff or your family members) who have watched you interact with young people or demonstrate other camp-related skills over the past two years.

*Name: *Phone:

*Relationship:

*Name: *Phone:

*Relationship:

Peer Referrals

Optional: If you know of anyone else who may be interested in minsitry at PRBC, please list their information here and notify them that you have done so.

Name: Phone:

Email:

Name: Phone:

Email:

Certifications

List current and past certifications.

Lifeguard: Expiration date:

First Aid: Expiration date:

CPR/AED: Expiration date:

Other: Expiration date:

Other: Expiration date:

Other: Expiration date:

Essay

*How have you changed since your last work experience at PRBC?

*Have you remained sexually abstinent since your last summer at PRBC (outside of marriage)? How often do you drink alcohol or use tobacco/narcotics?

*What skills do you have which were not demonstrated during your last term of employment with PRBC?

*What would you like to continue to do as part of the PRBC staff?

*What is something you can improve upon from your last term of employment? How will you accomplish this?

*What do you believe are the two most valuable assets you bring to the position for which you are applying?

Additional information

Use this space to include any other relevant information not mentioned elsewhere on the application.

Signature

Please sign and date the application. By typing your full name in the field below, you sign this application.

“I have completed this application form truthfully and completely. I will complete a voluntary disclosure form if requested, and I will also complete the background questionnaire truthfully and completely if hired.”

*Signature: *Date: