Handi*Camp Availability/Reference Form


Applicant's Name *
Applicant's Name
Position Preference: *
Please check the position(s) you are interested in.
If necessary, are you willing to serve in ANY position for which you are qualified, even if it is not checked above? *
Staff Orientation Availability *
Please see the "LOCATIONS AND DATES" section of the Staff Information Sheet. Compare the Handi*Camp dates to any commitments already on your personal calendar before filling out the sections below. This information is helpful to us as we consider all of our applicants and it in no way obligates the Handi*Camp organization or you. Each staff member, with the exception of nurses, is expected to attend Orientation. There is very little time to communicate the information that is crucial to serving our campers in the best and safest way possible. Certain sessions are required, depending on the position for which you are applying. We will consider each case individually if you are applying and unable to attend portions of Orientation.
Please check which week(s) you are interested in serving: *
REFERENCES
Fill in the names, complete addresses, phone numbers and email addresses of three PERSONAL REFERENCES - people who know you well enough to provide us with thorough information concerning your Christian character and work ethic. We will contact your "referees" by email and give them two options: completing a paper form or an online form. Please be sure to give ACCURATE information for each person. ** DO include your pastor, youth pastor or another church leader. ** Do NOT include the name(s) of anyone related to you. ** Do NOT list peers. ** Also - DO list your most recent employer, if applicable (#4 below).
REFERENCE 1 - Name of Pastor, Youth Pastor or Church Leader: *
REFERENCE 1 - Name of Pastor, Youth Pastor or Church Leader:
Reference 1 - Mailing Address:
Reference 1 - Mailing Address:
Reference 1 - Home/Cell Phone:
Reference 1 - Home/Cell Phone:
Reference 1 - Work Phone:
Reference 1 - Work Phone:
REFERENCE 2 - Name:
REFERENCE 2 - Name:
Reference 2 - Mailing Address:
Reference 2 - Mailing Address:
Reference 2 - Home/Cell Phone:
Reference 2 - Home/Cell Phone:
Reference 2 - Work Phone:
Reference 2 - Work Phone:
REFERENCE 3 - Name:
REFERENCE 3 - Name:
Reference 3 - Mailing Address:
Reference 3 - Mailing Address:
Reference 3 - Home/Cell Phone:
Reference 3 - Home/Cell Phone:
Reference 3 - Work Phone:
Reference 3 - Work Phone:
REFERENCE 4 - Name of Employer:
REFERENCE 4 - Name of Employer:
Reference 4 - Mailing Address:
Reference 4 - Mailing Address:
Reference 4 - Home/Cell Phone:
Reference 4 - Home/Cell Phone:
Reference 4 - Work Phone:
Reference 4 - Work Phone:
Date of hire:
Date of hire:
Employment end date: (if applicable)
Employment end date: (if applicable)