Pathfinder Staff Application ('22-'23)

PMC Evergreens Pathfinder STAFF Application

We're so excited that you want to be help out with our Pioneer Evergreens Pathfinder Club! Read the following instructions carefully before you begin registration.

Please fill out this form if you are interested in:

serving as a regular staff member.
helping at a specific Pathfinder event
becoming a Master Guide

Completion of this form is not a guarantee that you will be accepted as Pathfinder Staff. In addition, you will be required to complete an online training course about recognizing and responding to child abuse and authorize a background check. You will be sent information about that course separately.

* Parent/Guardian First Name

* Parent/Guardian Last Name

Parent/Guardian Gender

* Parent/Guardian Address

* Parent/Guardian Mobile Phone

Parent/Guardian Home Phone

Parent/Guardian Work Phone

* Parent/Guardian Email

* What Pathfinder role are you applying for?

* T-Shirt Size

* Last Pathfinder Investiture Class Completed

* Are you a baptized Seventh-day Adventist?

* Parent/Guardian Church Attends

* Church membership in the last 5 years (other than current church)

Consent to Treat/Health Insurance Information

- Please download and complete a Consent to Treat/Health Insurance Information form for each child you are registering. When you complete registration, a link to the form will be emailed to you immediately.

* Parent/Guardian Allergies & Medications

* Describe any physical restrictions.

* Other Health Condition

* Please tell us about any dietary restrictions your family has.

* Date of most recent tetanus shot

* Permission to administer tetanus booster in an emergency?

* Physician's Name

* Physician's phone number

* Present health insurance company

* Health insurance policy number

* Primary insured person

* Parent/Guardian Marital Status

If you are married, please share information about your spouse.

- Please click the green Add button to enter spouse information, otherwise click the blue Continue button to complete this Connection Card.

Spouse's Full Name and Contact Information

* Parent/Guardian Emergency contact name

* Emergency contact mobile phone:

Age/Education Information

- Age/Education Information

* Parent/Guardian Birth Date

* Are you 21 or older? (Adults must be 21 or older for certain positions within the club. If you are turning 21 during this Pathfinder year, please fill this form out with your current age and let us know when you have turned 21.)

* Highest level of education completed?

* Other relevant certifications or licenses held?

* Church offices held, other relevant training or any additional information you think relevant

References

- Please list 3 individuals (other than family members) who could recommend you for this ministry. At least one must be a pastor or chaplain.

* Recommending Pastor's name, title/church

* Recommending Pastor's contact information

* Reference #2 name/title

* Reference #2 contact information

* How long have you known this reference?

* Reference #3 name/title

* Reference #3 contact information

* How long have you known this reference?

Transportation Information

- Transportation Information

* Do you have a driver's license valid in the United States?

* Do you have current automobile insurance?

* Are you currently on the Andrews University Approved Driver list?

* Pathfinder areas of expertise and willingness to serve

Consent to Treat/Health Insurance Information

If you are married, please share information about your spouse.

Age/Education Information

References

Transportation Information

Processing registration ...