Path of Life Camp
53 Winn Hill Road
Port Crane, NY 13833

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Staff Application

You may be requested to provide additional information to complete your application.
If so, the relevant forms are located at http://pathoflifecamp.org/forms.php

Name:_____________________________________Gender: M / F      Married: Yes / No
Address:___________________________________Date of Birth: ____ /____ /_________
__________________________________________Phone: (_____) _____ - _________   
City:______________________________________State:____ZIP:__________
Email:_____________________________________
(optional)
Mobile:     (_____) _____ - _________
(optional)
Are you a student? (check one)    High School     College     Not a student
If yes, what grade level? ________________________   When was your last physical?   ___ /_______
Your Spiritual Life:
Are you a born-again Christian?Yes / NoHow long? ____________________
Are you a member of a Bible believing church?Yes / NoHow long? ____________________
What is the name of your church? ________________________________________________
Pastor's Information: (if applicable)
Name:_____________________ Phone: (_____) _____ - _________
Address:________________________________________________
City:_____________________________ State:____ ZIP:_________
Email: (optional) ___________________________________
Please give two character references:
Reference 1:
Name:_____________________ Phone: (_____) _____ - _________
Address:________________________________________________
City:_____________________________ State:____ ZIP:_________
Reference 2:
Name:_____________________ Phone: (_____) _____ - _________
Address:________________________________________________
City:_____________________________ State:____ ZIP:_________

Please indicate any of the following areas that you feel you may be able to help with our camp program:

Bible Study
Counselor
Counselor in Training (CIT)
Horses/Barn staff
Kitchen staff
Lifeguarding

Please indicate if you are currently certified by the Red Cross Heart Association and/or the National Safety Counsel in any of the following:

CPR
First Aid
Water Safety
If yes, copies of certification will be necessary for camp files.
Your Camp Experience:
Will you be able to work the entire camp season?  Yes / No
If not, please explain: _________________________________________________________________
Have you attended a summer camp previously? Yes / No
If yes, where? _______________________________________________________________________
Will you need any special accomodations to perform your duties at camp? Yes / No
If yes, please explain: _________________________________________________________________
Do you have any prior counseling experience? Yes / No
If yes, where? _______________________________________________________________________

Please explain briefly why you want to be a part of the Path of Life Staff and what you can contribute to the camp program:______________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Please describe your salvation experience:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Statement of Faith, Path of Life Recreational Association, Inc.
1) We believe the Bible is the inspired Word of God.
2) We believe that there is one God, eternally existent in three persons - Father, Son, and Holy Spirit.
3) We believe in the virgin birth and deity of Jesus Christ, in His substitutionary and atoning death through His shed blood; in His bodily resurrection; in His ascension to the right hand of the Father, and in His personal return in power.
4) We believe that regeneration by the Holy Spirit is absolutely essential for the salvation of lost and sinful men.
5) We believe in the present ministry of the Holy Spirit by whose indwelling the Christian is enabled to live a Godly life.
6) We believe in the resurrection of both the saved and the lost; they that are saved to the resurrection of life and they that are lost to the resurrection of damnation.

By submitting this application: I hereby state that I am 100% sure I am a saved Christian as outlined in the above Statement of Faith.
I further agree to cooperate with the camp program and to carry out the tasks given to me by the camp directors to the best of my ability.

Signature: __________________________________Date:___________________