New Maintenance and Kitchen Staff Application – Part 2

Part 1 | Part 2 | Part 3

*Name: *Email: @


References

List three references, such as pastors, teachers, advisors, and employers (family members are not eligible). Give each reference a reference form. We recommend also providing them a stamped and addressed envelope. If they prefer, they can fill out the reference online at parkriverbiblecamp.org/employment/summerstaff/reference.

*Name: *Phone:

Address:

Address line 2:

City: State: Zip:

Company: Position/Title:


*Name: *Phone:

Address:

Address line 2:

City: State: Zip:

Company: Position/Title:


*Name: *Phone:

Address:

Address line 2:

City: State: Zip:

Company: Position/Title:


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: @


Criminal Disclusure

*Have you ever been convicted of a crime?

If "yes" please explain:


Additional information

Use this space to include any other relevant information for part 2.

I certify that all information on this part of the application is accurate to the best of my knowledge.


Part 1 | Part 2 | Part 3