Summer Camp Employment Application

Summer Camp Employment Application

Address*

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Gender*

Position Applying For:*

What days are you available?*

Have you ever applied for a job at St. Paul UMC before?*

Have you ever worked at St. Paul UMC before?*

Can you make an entire summer commitment?*

Have you ever been charged with, convicted of, or plead guilty to a crime, either misdemeanor or a felony (including but not limited to drug-related changres, child abuse, or other crimes or violence, theft or serious motor vehicle violations)?*

Have you ever had to deal with a child abuse situation in any way, including being abused, being accused of abuse, knowing someone who was abused, etc.?*

Provide your references here.

Reference Address*

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Reference Address*

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( )   -

Reference Address

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( )   -

Do we have your permission to contact these references as well as anyone else in order to obtain information about you for the purpose of considering you for a position of one who would work with children/youth?*

Do we have your permission to share this information with those persons who will participate in acting on this application?*

This application is accurate

The facts set forth in my application are true and complete. I understand that if employed, false statements on my application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation on my personal history and/or financial and credit record through any investigative or credit agencies or bureaus of your choice in compliance with applicable laws or statutes.

Background Check

I HEREBY AUTHORIZE St. Paul United Methodist Church to request any local, state or federal law enforcement department or agency to release information regarding any record of any investigations, charges or convictions contained in its files, or in any criminal file maintained on me, whether said file is a local, state, or national file, and including but not limited to accusations and convictions for crimes committed, against minors, to the fullest extent permitted by local, state and federal law. I release any and all law enforcement departments, agencies, and their employees from all liability that may result from any such disclosure made in response to this request. I give my permission to check and obtain a report of my driving record. I also give my permission for this information to be shared with those persons who will participate in making decisions with respect to my application. You are authorized to reply upon a photocopy or fax of this document.

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