First name: Last name:

Sex: Male Female

Birthday: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 or lower

Age 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 or older

Email Address:
Repeat your email:

Will you have a car for the summer? Yes No

Have you previously applied here? Yes No

Health: Excellent Good Poor

Indicate any problems:

Parent's Names:

Parent's Address: (include city, state, zip)

Home Phone Number:

If in College enter Campus Address: (include city, state, zip)

Dorm or Apartment Phone Number:

School Attending:

Cell Phone Number:

Class Year:

Grade Point Average:

Dates Available to Work:
From: To:

Church You Attend: Member? Yes No

Tentative Vocational Choice:

Major:

Previous Employment Experiences:

Church/School Activities and Honors:

Hobbies:

For What Position Are You Applying?

Food Service Cafeteria Supervisor Housekeeping Building Supervisor Lifeguards Guest Services Recreation Leader Retail Service Camp Seabreeze Coastal Explorers Warehouse/Special Projects Grounds Crew Audio/Visual Assistant Mens Staff Counselor Womens Staff Counselor Events Coordinator First Choice

Food Service Cafeteria Supervisor Housekeeping Building Supervisor Lifeguard Guest Services Recreation Leaders Retail Services Camp Seabreeze Coastal Explorers Warehouse/Special Projects Grounds Crew Audio/Visual Assistant Mens Staff Counselor Womens Staff Counselor Events Coordinator Second Choice

Food Service Cafeteria Supervisor Housekeeping Building Supervisor Lifeguard Guest Services Recreation Leader Retail Services Camp Seabreeze Coastal Explorers Warehouse/Special Projects Grounds Crew Audio/Visual Assistant Mens Staff Counselor Womens Staff Counselor Events Coordinator Third Choice

References

Please give complete address information and a daytime phone number for references.
NOTE: For NEW staffers only! If you have worked at Caswell before, you do not need to fill out this section.

Questions

If you are a New Applicant, please answer the following questions. If you are a Returning Staffer, please scroll down to another set of questions.

New Applicant

1. Briefly describe your initial encounter with Jesus Christ and relate how continuing experiences have changed your life.

2. How have your home, church, and school helped or hindered your growth as a person?

3. In light of your own experience and attitudes, what are your strengths and weaknesses as a group member? A leader? One working under authority? Working with the opposite sex?

4.Are there matters with which you are now occupied (family, friends, finances, etc.) that could claim your attention this summer? Discuss briefly.

5. What is your understanding of the position(s) for which you are applying? Why have you applied for this position?

6. What goals have you set for the summer and how do you hope to achieve them?

Returning Staff

Second Year: What is the motivating factor in your desire to return to Summer Staff at Caswell?

Third Year: How would another summer here on staff benefit you? How might the Assembly benefit if you are rehired? If so, how?

Fourth Year: How do you see the role Key Leadership and Supervisors play in the Caswell system of operations?

Fifth Year: How has your life changed as a result of your experience on staff?

The Summer Staff is employed to assist both program personnel and guests during the summer weeks. They are challenged not only to cheerfully serve in whatever ways their job defines, but also to grow personally in Christian community. Although these skills are not necessarily considered in hiring they may be avenues of Christian ministry during the summer. Indicate your number of years experience in the following areas. Choose the + sign for areas that you are interested in but have no experience.

I certify that the facts given in my application are true and complete to the best of my knowledge. I understand that consideration for employment is conditional upon the results of a reference check. I hereby authorize you to verify all information contained on this application with former employers, references, appropriate personnel or resources. I further authorize that any personnel at listed places of employment or references may disclose any and all information regarding my work history, personal characteristics, work habits, or areas of importance to this organization.

I furthermore waive the right the sue the aforementioned references for releasing such requested information.

I understand that misrepresentation or omission of facts called for shall be considered sufficient cause for dismissal if employed. I understand this authorization and agree to the release and verification of this aforementioned information.

Please check the appropriate statement.

I agree to the terms stated above
I do not agree to the terms stated above

Please type your name in the box as your signature that the form is complete.

Please be sure and download the reference form. It is in Word format. If you cannot use this format then please call or email Brian Hemphill at 910-278-9501 to get a copy of the reference form. Or you can direct your people to our Online References Form to fill one out. If you are a returning staffer, you do not need to fill one out.

You cannot be processed without sending in the reference forms!

Reference Form

If the Application is filled out correctly, press Submit to send it in.

If not, press Reset to empty the contents of the form.