International Program Application
 Send check for $65 to:
Signature Services Corp.
P.O.Box 2751
Waxahachie, TX 75168
PERSONAL INFORMATION  * - required
Surname*: First Name*:
Street Address*: City/Town*:
State*: Country*:
Postcode*: Phone*:
Email*:
Parents' Telephone: Date of Birth
(Mont/Day/Year):
Age*:   Birthplace*:  
Gender: Male  Female Height:
Weight:   Passport No.
Driver's License:    
Are you married? Yes  No  If yes, is your husband
or wife applying?		 Yes  No 
What is your earliest date of departure?* Date due home*:
EDUCATION AND EMPLOYMENT INFORMATION      
Are you currently a student? Yes No Course/Subject:
Are you employed full-tiime? Yes No Occupation:
Do you have experience on an
international cultural exchange program?		 Yes No If yes, where and in what position?
Do you have previous experience with American summer camps? Yes No If yes, where and in what position?
CAMP TYPES          
Will you work at a camp with religious emphasis? Yes No    
Do you have a personal religious commitment? Yes No    
Are you willing to participate in bible studies and devotions? Yes No    
Do you attend church
services regularly?		 Yes No If yes, what church?
Do you have experience pioneering, scouting or guides? Yes No If yes, please describe below:
     
SKILLS – Please check skills as they apply:    
  WILLING EXPERIENCED WILLING EXPERIENCED
Cooking Dishwashing
Dining Hall Service Food Preparation
Dining Hall Manager Assistant Cook
      Baking
Please fully describe your involvement with the skills you have detailed on this application. Describe your work experience - positions held, length of time, specific duties and responsibilities.
BACKGROUND        
What qualities do you possess that will make you an excellent candidate for a position with Signature Services? What experience do you have that demonstrates your ability to work long hours and to live in a community with strict rules (i.e. no smoking, no drinking)?
How well do you work as a member of a team?
Give an example.
Give examples of your ability to adapt to
new and different situations?		 If English is not your first language, how confident are you in your ability to work effectively using the English language and why?
Have you ever been away from home for an extended peiod of time? Yes No If yes, please specifiy:
ADDITIONAL INFORMATION       
Nondisclosure of any medical/criminal history will result in cancellation from the program and forfeiture of all payments made to Signature Services. All participants are required to be in good physical and mental health.
1. Do you smoke? Yes No  
2. Do you have any visible body tattoos and/or piercings? Yes No  
3. Do you have any dietary restrictions? Yes No  
4. Do you have any health problems? Yes No  
5. Are you presently on any medication? Yes No  
6. Do you have any allergies or require special medical treatment? Yes No  
7. Do you have any physical disabilities? Yes No  
8. Have you ever been a victim of sexual abuse? Yes No  
9. Have you ever been a victim of physical abuse? Yes No  
If you answered yes to questions 8 or 9,
you must supply all details.
10. Have you ever suffered from a nervous breakdown, depression or mental disorder? Yes No  
11. Have you ever had an eating disorder (ex. anorexia)? Yes No  
As you will be working with children, we require that you give details of all convictions since the age of 16, including dates and judgements and any convictions that may normally be regarded as “spent”. These will be subject to official investigation. Persons with drug, violence, or child abuse convictions may not apply.
12. Have you ever been convicted for any offense or crime? Yes No  
13. Are you currently subject to a police investigation? Yes No  
14. Have you ever been charged with a criminal offense? Yes No  
If yes to any, please specify:
EMERGENCY DETAILS      
Doctor's Name: Doctor's Phone:
Emergency contact (friend or family) name:
Address: Emergency Phone:
AGREEMENT  
The facts set forth in my application for employment are true and complete. I understand that if employed, any false statements on this application may result in my dismissal. I further understand that this application is not and is not intended to be a contract of employment, nor does this application oblige the employer in any way if the employer decides to employ me. I also understand that I will have to adhere to camp policies and procedures such as curfew, no smoking, no drinking, and agree to abide by these policies.
I Agree, (name of applicant):    
     
If you do not receive a response from us within 7 days,
please call us at 214-466-2043.
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