Application for Employment
Lives are changed at camp!

We are an Equal Opportunity Employer

Please enter the requested information (as completely as possible) to apply. After completing, click on the "submit" button at the bottom of this form

Last Name First Name Middle Initial

Email address

Mailing Address:
City, State, Zip:	City State Zip
Contact Phone:
Gender:	(Select One) Male Female
Position or type of work applying for:
Expected Salary
Are you applying for	Full time Part Time Temporary
What days are you available to work?
What date are you available to start work?
Are you at least 18 years old?	Yes No
If hired, can you verify that you have the legal right to work in the United States?	Yes No
How long have you lived at your current address?
Are you currently on layoff or subject to recall for another job?	Yes No
Have you ever served in the Armed Forces?	Yes No What branch?
Do any of your relatives work at Butman Camp?	Yes No If so, who?
Have you applied for work at Butman Camp in the past?	Yes No If so, when?
Have you ever worked for Butman Camp before?	Yes No If so, when?
Do you have any special skills, training or experience which may help you qualify for employment?	Yes No Please explain
Do you have any certificates or licenses which may help you qualify for employment?	Yes No Please list
Have you ever been convicted of a crime or sentenced to deferred adjudication, not including minor traffic offenses?	Yes No Please explain (Note: Convictions will not necessarily disqualify you.)

Educational Background

Type of School	Name and Address	Years Attended	Course or Major	Graduated
High School				Yes No
College				Yes No
College				Yes No
Post Graduate				Yes No
Other				Yes No

Employment Experience
Please start with your most recent job and include all periods of employment,
self-employment, job-related military service, and volunteer work.

Employer's Name/Address/Phone	Job Title Type of Work	Reason For Leaving	Starting Pay	Ending Pay

May we contact the employers listed above? Yes No

Personal References
Please do not list relatives or former employers.

Name and Occupation	Address	Phone

 

Certification and Acknowledgement

I certify that the information provided herein is true and correct to the best of my knowledge. I understand that, if employed, falsified statements on this Application for Employment form will be considered grounds for termination. I authorize Butman Methodist Camp to thoroughly investigate my work experience and any other matters related to my suitablility for employment. I further authorize my former employers to disclose to Butman Methodist Camp any and all information they may have concerning my previous employment. In addition, I hereby release Butman Methodist Camp, my former employers, and all other persons from any and all claims, demands, or liabilities arising out of, or in any way related to, such disclosure. I acknowledge that, prior to or during my employment, Butman Methodist Camp may require any legal testing and/or examination, includig but not limited to, medical, physical, drug and/or alcohol, psychological, and skill and aptitude. I also acknowledge that, if employed, both Butman Methodist Camp and I have the right to terminate the employment relationship at any time, with or without cause or advance notice. this employment at will relationship will remain in effect throughout my employment with Butman Methodist Camp and may not be modified by any oral or implied agreement.

By entering your name in this blank, you are agreeing to all the terms and conditions set forth in the previous paragraphs. Full Name Date (MM/DD/YEAR)

To contact us:
Butman Methodist Camp
158 County Road 674
Merkel, TX 79536
325-846-4212