First name: Last name: Gender: Male Female Birthday:

Phone Number: Email Address:

Address: City: State: Zip:

Emergency Contact Name:

Relationship to you: Phone # H: Cell:

Have you ever worked at Riverview? Yes No When?

Please upload a current photograph for your employee file. (Photos are private and will not be shared with anyone outside of Riverview Employees)

Please print out and send this form to two (2) references, to be returned within two weeks. One must be a pastor or spiritual leader, the other must be a teacher or other adult mentor. Please also include contact information for the two you send the reference sheets to below.

1)Pastor/Spiritual leader:

Phone number: Email address:

Address: City: State: Zip:

2) Teacher/Adult Mentor:

Phone number: Email address:

Address: City: State: Zip:

What dates are you available to work? to

Are you willing to work late into the night if necessary?

Are you willing to work more than forty (40) hours a week if necessary?

Are you willing to come back to Riverview on an "as needed" volunteer basis?

Please briefly answer the following questions, these help us get a sense of where you are in your spiritual journey.

What church do you attend?

Do you attend regularly?

Briefly describe your involvement in your church:

Do you attend a youth group/small group? Where?

Please describe how Jesus Christ became personal to you, how someone becomes a Christian, and what it means to be a Christian. Please use scripture references in your response.

What do you do to grow deeper in this relationship? Personally? Communally?

Have you ever been in a leader/discipleship position? Briefly describe.

What does the word "Gospel" mean to you?

What does the word "Disciple" mean to you?

Describe what it means to you to "Live Dangerously"

Please briefly answer the following questions. These help us get a sense of who you are as a person.

Describe yourself as best you can in one word.

Do you consider yourself to be a morning person? Night owl?

About how many hours a day do you spend the following activities?

• Sports:
• Homework:
• Outdoor activities (Yardwork, recreation):
• Video/Computer gaming:
• Social Networking/blog sites:
• Email/Skyping/Texting:
• Television/Movies:

Do you have a personal web page or blog? If yes please include URL.

What are your three (3) favorite movies?

What type of music do you most listen to? Use specific artists and genres.

What do you think are your two (2) biggest strengths?

Two biggest weaknesses?

Where do you attend school? Year? If you are not in school, what do you do?

Summer Staff is a leadership position which allows you to mentor students and peers alike. Because of this, we believe our staff should be exemplary characters. Have you ever suffered from an immoral addiction? (i.e. sexual immorality, drug abuse, drinking, etc.) If yes, please explain. (NOTE: Answering, yes to the above question does not necessarily disqualify you from a staff position at Riverview.)

Please briefly answer the following questions. These help us to know what your expectations are for the Summer.

How did you hear about Riverview?

Why did you choose to apply to Riverview?

What do you expect to learn from working at a Summer camp?

What does "hard work" mean to you?

Have you worked at another camp/ministry?

Do you have any special skills which would be useful to camp ministry? (i.e. Belaying, lifeguarding, paintball, archery, etc)

Is there anything else you would like us to know as we consider your application?