Please copy everything below this point, paste it to your email, fill it out, and send it to andy@sambica.com

It is our policy to provide equal employment opportunities to all qualified persons without regard to race, color, sex, national origin, or disability. SAMBICA is an Equal Opportunity Employer. Our application is designed to obtain information regarding an applicant's skills, knowledge, and abilities based on specific job requirements.

PERSONAL DATA

Full Name:

Birthdate:

Permanent address with City, State, and Zip:

Current address with City, State, Zip:

Home phone:

Cell phone:

Gender:

Email:

Earliest possible arrival date at camp:

Latest possible departure date from camp:

What other jobs or ministries are you considering?

Current church Pastor's name:

Are you a member?

EMPLOYMENT HISTORY

List present and past employment (either paid or volunteer), beginning with your most recent, include

Organization, Position and Dates

(1)

(2)

(3)

(4)

EDUCATION & CERTIFICATIONS

Please list any additional schooling (courses, training, certifications that are current through the end of August such as, Standard First Aid, Standard CPR, Basic Life Guard, Waterfront Life Guard, Food Handler's Permit, First Responder SCUBA (Open Water), and EMT:

Potential conflicts during summer working dates?

Graduated High School? Yes, This Year, or No:

College

Year

Major

JOB OPPORTUNITIES

Indicate the top 4 jobs you are most interested in (in order) and believe you are most qualified for. For more information about positions visit www.sambica.com.

ESSAY QUESTIONS

Please list any activities that you could organize and teach. (125 words max)

Why does serving at SAMBICA interest you? (150 words max)

List and describe any experience relevant to the positions for which you are applying? (150 words max)

How would you explain to someone how to become a Christian? (200 words max)

Explain some beliefs that you feel strongly about. (200 words max)

What are your views on "the Bible as truth", "Jesus' claim to being the ONLY way to God" and "Homosexuality and the Church?" (300 words max)

Briefly describe the circumstances of your personal conversion to knowing Jesus Christ and your current personal daily relationship with God, as well as what it means to be a

Christian. (500 words max)

(Includes the Child and Adult Abuse Information Act Form and a Release Authorization Formthat allows us to conduct a manditory background check on you.)

Don't have the appropiate forms? Get the forms you need at www.sambica.com, or contact our main office (425) 746-9110.

PLEASE READ THE STATEMENT BELOW CAREFULLY AND SIGN TO ACKNOWLEDGE YOUR AGREEMENT

If offered a position, I will be able to verify that I am legally permitted to be employed in the United States. I understand that if upon employment any information provided by this application or during my interview is found to be false, my employment with be terminated immediately. I also understand that I will then only be paid through the date of my release. I authorize SAMBICA to contact all prior employers and reference in regard to my character and past work performance. I have read the mission statement and faith statement of SAMBICA and affirm my support of each. I understand that if employed by SAMBICA, I am expected to abide by all policies for summer employees. I futher understand that if my actions or attitudes contradict SAMBICA policies, my employment may be terminated and I will only be paid through the date of my release. I affirm that all of the statements provided within are true and complete to the best of my knowledge.

PLEASE TYPE YOUR NAME OR INITIALS TO CONFIRM YOU HAVE READ AND AGREE

___________________________________________________________

REFERENCES

For best consideration we prefer to recieve references from the following types of people: youth pastor, teacher, employer, coach, mentor, or an adult family friend. Please do not send forms to personal family members or peer level friends. The reference form is available to fill out online. You can simply email the link to your references. If you choose to mail your reference forms to your references, it is customary to provide preaddressed stamped envelopes to SAMBICA.

Who are your References? Include Name, Position, and phone number:

Reference (1)

Reference (2)

Reference (3)

Have you given reference forms (or emailed link from website) to three appropriate persons? Y/N

A FEW LAST THINGS

Have you completed, signed and mailed us the legal forms from our website? (Includes the Child and Adult Abuse Information Act Form and a Release Authorization Form

that allows us to conduct a manditory background check on you.)Y/N

Have you given reference forms (or emailed link from website) to three appropriate persons? Y/N

If mailing, please send to: SAMBICA Attn: Summer Employment 4114 West Lake Sammamish Pkwy SE Bellevue, WA 98008 Fax: (425)746-7082