Staff Application Form

I am applying for *
I want to work at *
(check all that apply)
Name *
Phone *
Address *
Birthday *
Gender *
Marital Status *
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Work Status *
Church Reference *
Church Reference
Church Reference Phone *
Church Reference Phone
(if different)
(youth volunteer, band member, study leader, etc.)
Personal Reference *
Personal Reference
(someone you have known more than 5 years)
Personal Reference Phone *
Personal Reference Phone
Are you willing to serve at camp wherever you're assigned and in multiple roles? *
Are you able to work in team settings? *
Can you attend all staff meetings (PreVive and during camp)? *
Have you ever been arrested? *
Date of Charges (if yes to previous question)
Date of Charges (if yes to previous question)
Have you ever been denied access to a position involving minors, investigated, arrested or convicted of any crime involving a minor? *
What age group do you feel comfortable acting in a leadership role? *
Interested activities *
I agree that the Revive Board has the right to refuse any intern, new staff member or returning staff member application without cause.

I agree my behavior should model Biblical standards and principles.

I agree to work as needed and as assigned by the Revive Board or staff.

I agree to follow all rules set by the Revive Board.

Agreement: The information contained in this application is correct and complete to the best of my knowledge. I authorize any references or organizations listed in this application to provide any information (including opinions) that they may have regarding my character and fitness for working with children at Revive. I give permission for a criminal background check to be conducted on myself. If accepted, I agree to be bound by the by laws and policies of Revive and to refrain from unscriptural conduct in the performance of my services on behalf of the camp. My signature verifies the fact that I have read the parts of this application titled “agreement”, and agree to cooperate with the leadership of Revive. *

If you have any questions, please email us.