BONITA PARK STAFF APPLICATION

General Information
Name:
Present Address:
Phone Number: Effective Until:
E-Mail:
Permanent Address:
Social Security Number: Are you over the age of 18?
*social security number is optional

Education
High School:
Do you have a diploma?
College:
Do you have a degree? Major:
Other Education:

Position Information
For what position(s) are you applying?:

Full Time:

Part Time:

Temporary:

Summer Staff:

Days and hours available to work:
(exluding summer staff)
Beginning and ending commitment dates:
(exluding summer staff)
Salary Request:
(exluding summer staff)
Have you previously applied for work at Bonita Park?
Yes      No
If yes, please indicate when and for what position:
Please list any special skills you possess which would assist you in the position for which you are applying:
Do you have any skills or talents you would like to develop for future career use?
                          Certification:
Expiration Date:

CPR:

Lifeguard Training:

WSI:

Standard First Aid:

Advanced First Aid:

Other:

Define Other:

Employment / Ministry / Camp Experience
Employer: Type of Business:
Phone Number:
Address:
Supervisor's Name and Phone Number:
May we contact this previous employer directly?
Starting Position:
Final Position:
Responsibilities:
Reason for Leaving:
Employer: Type of Business:
Phone Number:
Address:
Supervisor's Name and Phone Number:
May we contact this previous employer directly?
Starting Position:
Final Position:
Responsibilities:
Reason for Leaving:
Employer: Type of Business:
Phone Number:
Address:
Supervisor's Name and Phone Number:
May we contact this previous employer directly?
Starting Position:
Final Position:
Responsibilities:
Reason for Leaving:
Have you ever worked under a different name for any of the employers listed in your previous answer?
Yes      No
If so, please state all such names:
Have you ever been disciplined or fired by your current or prior employers?
Yes      No
If yes briefly explain the full circumstances, including the name of the employer, the date of the occurence, and the reason for the discipline or firing:
Please describe your military experience in the United States Armed Forces:
If the position you are applying for requires driving a camp vehicle, do you have a current driver license?
Yes      No
License Number: State Issued:
Explain any violation and state violation:
Is there any reason why you might be unable to perform the duties and responsibilities of the position for which you are applying?
Yes      No
If yes, please explain:
Do you have any personal responsibilities or other commitments that may prevent you from meeting the work schedules for this position? This may include weddings, graduations and any daily or weekly obligations.
Yes      No
If yes, please explain:
If you are offered a position, will you be able to verify that you are legally permitted to be employed in the United States of America under Title VIII, U.S. Code Section 1324A, either by providing U.S. citizenship or permanent residence status or with unexpired INS employment authorization?
Yes      No

Spiritual Information
Please give us a brief autobiographical sketch of your walk with Christ:
Briefly state your view on the authority of Scripture:
What spiritual avenues of Christian growth are you currently in?
What would you do to maintain your spiritual growth while working at Bonita Park?
Why do you desire to serve at Bonita Park?
What is your view on alcohol, tobacco use and drugs?
Have you ever attended a retreat at Bonita Park?
Yes      No
If yes, when and what retreat?

References
Please provide one Christian Personal Reference: such as a Pastor, Youth Pastor or Christian Leader.
Name:
Address:
Phone Number: Email:
Please provide one Professional Personal Reference: such as a recent employer or teacher.
Name:
Address:
Phone Number: Email:

Personal Background Information
Have you ever been convicted of a crime, or are any criminal charges currently pending against you in any jurisdiction?
Yes      No
If yes, please explain (a conviction does not constitute an automatic bar to employment):
Have you ever been convicted of, or are any charges pending against you concerning any crime involving actual or attempted child abuse or sexual molestation in any jurisdiction, including, but not limited to: murder, abduction for immoral purposes, sexual assault, failing to secure medical attention for an injured child, pandering, crimes against nature involving children, taking indecent liberties with children, neglect of children, or obscenity offenses?
Yes      No
If yes, please explain:
Because we take very seriously our legal and moral responsibility to provide for all or our staff, constituents and visitors, we must maintain an environment that is positive and wholesome. We seek to maintain a staff of blameless character and testimony. Therefore as a part of our background check on applicants, we periodically consult the National Crime Index Service as well as local law enforcement officials and the INA. Do you have any reason to believe that such a background check on you would disclose any negative information?
Yes      No
If yes, please explain:

Employment at Will
All employees of Bonita Park Camp and Conference Center are "at will employees". This means that the employee can be discharged without cause and will not receive unemployment compensation based on their time at Bonita park. Bonita Park is exempt from unemployment tax.

Verification

I understand that if I am employed and if any statement herein is not true, I may be released immediately. If I am released, I will be paid only through the day of release.

I understand that if employed, I will be required to abide by all camp policies, standards and regulations, as they are promulgated from time to time. I further understand that if employed, when my employment is terminated by retirement or otherwise, I must return all employer's property in my custody before I am entitled to my final payment of any amounts due to me on separation.

I hereby authorize Bonita park to contact all prior employers for information and release them from any liability incurred in the release of information provided on my behalf.

I hereby affirm that I have carefully read and agree with Bonita Park's Mission, Statement of Faith and Employment-at-Will Clause, copies of which were furnished to me in connection with this application form. I understand that, if at any time subsequent to employment, I no longer agree with the Employer's Statement of Faith or I exhibit conduct that is contrary to the Statement of Faith or if I fail to meet the minimum requirements of the position, I may be disqualified from employment.

I affirm that I have neither been convicted, nor am I the subject of pending charges for any offense involving actual or attempted child abuse or sexual molestation in any jurisdiction.

I recognize that as a condition of my employment, I consent to Bonita Park obtaining a criminal records check from the Central Criminal Records Exchange or other appropriate federal and/or state law enforcement agency, and I do so, realizing the importance of promoting the employer's ability to protect its workers and those it serves.

I understand that this is an application for employment and that no employment contract is being offered.

I hereby affirm and acknowledge, by signing immediately below, that all of the information provided and all of my answers to the foregoing questions are true and complete, and that any misrepresentation or omission will be grounds for rejection or, if later employed, dismissal.
Applicant Signature: Date:
 

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