MARSH LAKE BIBLE CAMP - STAFF APPLICATION - 2009

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MARSH LAKE BIBLE CAMP - STAFF APPLICATION - 2009 *****PLEASE NOTE THE FOLLOWING BEFORE FILLING OUT THIS APPLICATION******* Complete and Mail to: Marsh Lake Bible Camp Attention: Camp Chairman Indicate the week you are available 2060 - 2nd Avenue Whitehorse, Yukon Y1A 1A9 Teen Camp : June 21 - June 26 (867) 667-4889 mlbc@northwestel.net Before you mail … have you included: PERSONAL INFORMATION (Please print or type) Name: _____________________________________________________________________ ______ Age: ____________________Birth Date: (DD/MM/YY) _____________________________ Current Address: ___________________________________________________________ ______ City: _________________________Province: ________________Postal Code: __________ Phone Number: (_____)______________Email: ___________________________________ Driver's License: Y____ N____ Class: _____________Citizenship:______________________ Gender:______________ Marital Status: ___________________________________________ Notify in Case of Emergency: ___________________________________________________ Relationship: _________________________________Phone: (_____)___________________ Health Care Number:___________________________________________________________ Family Doctor: _______________________________________________________________ ____ _ Phone: __________________________________________________________________ _________ Date(s) Available: __________________________________________________________________ Position Applied for: _____________________________________________________________ __ Are there any reasons why your duties would be limited due to physical limitation or disability? Y______N________. If yes, please explain ________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ CHURCH INFORMATION Home Church: _________________________City:________________ Phone: (___)________ Current Church:______________________ City:_______________ Phone: (___)___________ Are you a member of a church? Y___ N___ Church:_________________________________ Church Attendance: ____Regularly Attend ____Occasionally Attend ____ Seldom Attend Pastor: ___________________________Home Phone: (_____)________________ Youth/College Pastor: ___________________________Home Phone: (____)_________________ • Completed application (3 sheets) • Read, initialed each item, signed and included "Responsibilities of MLBC Staff Member" (1 sheet) • Completed and signed Criminal Records Check form (2 sheets) • Read, signed and included "Modeling a Biblical Lifestyle" (1 sheet) Junior I: June 28 - July 3 Junior II: July 6 - July 10

MARSH LAKE BIBLE CAMP - STAFF APPLICATION - 2009 CHRISTIAN EXPERIENCE Briefly describe when and how you came to faith in Christ. __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Who is Jesus Christ to you? Describe your relationship to Him as it stands today. __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ What evidence can you point to that shows you are growing in your faith? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ List your current and past involvement in church and para-church ministries, including dates. Also include volunteer community involvement. __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ REFERENCES: Please provide the names of three people (at least 20 years of age) that know you well and have agreed to act as your references. At least one should be a Christian worker (Pastor, Youth Pastor, Christian group leader, etc.). Please do not use relatives. Indicate if the phone number is a home or work number. Name: ______________________________ Position: _________________Phone: (___)__________ Name: ______________________________ Position: _________________Phone: (___)__________ Name: ______________________________ Position: _________________Phone: (___)__________

MARSH LAKE BIBLE CAMP - STAFF APPLICATION - 2009 CAMP EXPERIENCE List your experience as a camper and/or staff member in camping (list most recent first). __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Describe any leadership or other relevant training you have received that would be applicable to your work at Marsh Lake Bible Camp. __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ For each activity/skill, please write the number that best describes your qualification to organize, teach or perform that activity and your interest in leading it at MLBC. 1=Qualified and interested 2=Qualified 3=Can assist and interested 4=Interested SKILLS GENERAL STAFF ___ Archery ___ Cook/Kitchen helper ___ Riflery ___Teacher ___Crafts ___ Music Leader ___ Drama ___ Musical Instrument (specify) ________ ___ Canoeing ___ Lifeguard ___ Ropes course ___ Nurse ___ Field Sports ___ Janitorial/maintenance ___ Other ___ Office ___ Childcare/staff support ___ Other Please indicate any appropriate certificates, licenses, awards, qualifications or experience in the above areas. Please use additional paper if needed.

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