2012 SWC STAFF APPLICATION
AGE:_____________ D.O.B.____________ SEX: M/F marital
DRIVERS LICENSE# _______-________-_______-________
SPIRITUAL LIFE: HOME CHURCH:___________________________
HOW LONG SAVED:________________
CAMP EXPERIENCE HAVE YOU BEEN A CAMPER? Y/N YEAR:________
PERSONAL LIFE: PARENT/GUARDIAN/SPOUSE NAME:_____________________
CONTACT PHONE (____)_____________________
PRIOR WORK HISTORY
state required questions:
Have you ever been convicted of anything other than a monor traffic violation? N/Y (explain on
Are you currently being treated for any infectous deseases?
N/Y (explain on back)
Are you currently infected with communicable tuberculosis? N/Y (explain
Are there any health concerns we should know about? N/Y (explain
REFRENCES: (signatures of your pastor/youth pastor and TWO other NONrelated persons
“Having confidence in this applicants ability inqualifications of eduction, training and Christian
maturity/experience, I recommend the consideration of his/her application as staff for SWC. I
further believe this individual has the appropriate character and emotional stability to serve the
staff positon and age level for which he/she applied.
(pastor/youth pastor signature)
church phone: (____)___________________
(above printed name)
If applicant is a MINOR, please complete: “I authorize the camp to consent to emergency
medical or surgical treatment of my child, and to routine, non-surgical medical care. I also agree
to pay for the performance of such treatment, anesthetics, and operations as deemed
necessary in the opinion of the attending physician.” Printed name of parent, legal guardian, or
Signature of above named:__________________________________________
Disclamer: Pending funds available, staff expenses will be covered. As a extra precaution,
please ask your church to sponser your week at SWC.
*This application must be postmarked by July 1st*
*MAIL application to Eagles Nest church 620 east 4th st. Monroe, Mi. 48161
Questions: CALL Gen. Louie 734-241-1502
Applicant’s Commitment: I pledge myself to a week of cooperative ministry and will maintain a
personal discipline and spirit that exemplifies Christ at all times. I will make the physical, mental
and spiritual welfare of the campers my first priority. I will attend the Staff Orientation, which is
required by State Law, on the Sunday prior to my week of service. I authorize a criminal
background check and verification of information provided.
MEDIA by signing form you agree to allow us to use any media coverage
taken during event for future promotions and publications.