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First name: Last name: Gender: Birthday:

Phone Number: Email Address:

Address: City: State: Zip:

T-shirt size:

Emergency Contact Name:

Relationship to you: Phone # H: Cell:

Have you ever worked at Riverview? Yes No When?


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:

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

What camping ministry skills/experience do you have? (1 being no skill or experience, and 5 being fully trained or certified)

Lifeguard 1 2 3 4 5
Food Service 1 2 3 4 5
First Aid 1 2 3 4 5
CPR 1 2 3 4 5
Belaying 1 2 3 4 5
Landscaping 1 2 3 4 5
Housekeeping/Cleaning 1 2 3 4 5
General Maintenance 1 2 3 4 5
Archery 1 2 3 4 5
Paintball 1 2 3 4 5
Barista 1 2 3 4 5
Cashier 1 2 3 4 5

What would you most like to do out of the above positions? (Top 3)

If you are not certified as a lifeguard, food handler, first aid, or CPR, which of these certifications do you plan to acquire in order to serve at Riverview Bible Camp? Certification in one of these areas is a requirement for employment. (Lifeguard certifications can be acheived in the community you live in, WA State Food Handler's and First Aid Cards can be acquired online).

  • Lifeguard
  • Food Handler's Card (Must be WA state!)
  • First Aid

Do you agree to submit to randomized drug tests if asked? (A positive test will be grounds for immediate dismissal) Yes I agree.

Thank you for applying to serve at Riverview Bible Camp!