Application Form

Complete the Sr Counselor form below to apply

Sr Counselor Personal Information Required field!
Full Name* Required field!
Email* Required field!
Phone* Required field!
Home Address* Required field!
Age* Required field!
Birthdate* Required field!
Gender* Required field!
Marital Status* Required field!
Registered Voter* Required field!
Medical & Health Issues Required field!
Education Background Information Required field!
Name of College Required field!
Classification Required field!
Major Required field!
College Mailing Address Required field!
Counselor Camp Information Required field!
Positions Applying For*

Sr Counselor, other, etc

Required field!
Age Group Preference*

Rate 1,2,3

Required field!
History with Family Farm*

Number of years as a Camper, Number of years as a Jr Counselor

Required field!
Your experience working with children between the ages of 6 and 12* Required field!
Why would you like to work at Family Farm* Required field!
How you learned about Family Farm* Required field!
Church Background Information Required field!
Current Church* Required field!
Pastor’s Name & Phone* Required field!
Personal Beliefs Information

Provide insight about your personal beliefs. Please be candid and honest in your narrative of your beliefs

Required field!
Tobacco Use* Required field!
Alcoholic Use* Required field!
Narcotic Drug Use* Required field!
Homosexuality* Required field!
Pre-marital Sex* Required field!
Bible* Required field!
Spiritual Background Information Required field!
Involvement with Christian Organizations*

(past or present)

Required field!
Describe how someone becomes a Christian* Required field!
Christian Life Background*

Give a brief biographical sketch of your Christian life

Required field!
Reference Information

Include three non family references

Required field!
First Reference* Required field!
Phone* Required field!
Address* Required field!
Second Reference* Required field!
Phone* Required field!
Address* Required field!
Third Reference* Required field!
Phone* Required field!
Address* Required field!
Applicant’s Statement & Background Check Information Required field!
Sign to Agree*

• I certify that the answers given herein are true and complete to the best of my knowledge. I understand and authorize an investigation into my background both through references and a criminal history background check through the State and/or Federal Bureau of Investigation.

• This application is considered active for a period of time not to exceed one (1) year. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

• I hereby understand and acknowledge that unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature which means that the employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

• In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate discharge. I understand, also, that I am required to abide by all employment policies, rules and regulations of the employer.

Required field!
Todays Date* Required field!
Social Security Number* Required field!
Driver License Number* Required field!
State Issued* Required field!
What is your criminal history* Required field!
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