Summer Servant Online Application

Applications received by January 29th are given highest priority for acceptance, date preference, and duration. Any applications received after January 29th will be filled in to remaining gaps in the schedule, if there is still room.

I) Personal Information

Name: *

Phone *

Email *

Address 1 *

City *

State *

County *

Driver's License Number *

Issuing State *

Birth Date *

// (mm/dd/yyyy)

Gender *

Our preferred length of service is two weeks (three if possible) to three months during May – October.

What dates are you available for summer service? *

What is your desired length of summer service?

Please list when you have visited, volunteered, or served as a Summer Servant. *

--------------------------------------------------

II) Education and Training

Please complete the categories that apply to you.

High School Attended

Year of High School Graduation

College Attended

Year of College Graduation

Trade School Attended

Year of Trade School Graduation

Academic Major or Emphasis

Other areas of training or expertise:

--------------------------------------------------------------

III) Employment Experience

List most recent first, please.

Employer #1

Employer Name (#1)

Dates employed (#1)

Position (#1)

Duties (#1)

Reason for leaving (#1)

Employer #2

Employer Name (#2)

Dates employed (#2)

Position (#2)

Duties (#2)

Reason for leaving (#2)

Employer #3

Employer Name (#3)

Dates employed (#3)

Position (#3)

Duties (#3)

Reason for leaving (#3)

------------------------------------------------------------------

IV) Financial

Summer Servants serving less than 6 weeks receive ROOM and BOARD. Travel costs, health insurance, and any incidental expenses are not covered by Bethlehem Farm.

• Can you live within these means for your committed time at the Farm? *

Summer Servants serving 6 weeks or more will also receive a LIVING STIPEND of $125/mo upon departure (equivalent to the living stipend of a beginning Caretaker) to help mitigate the costs of an extended stay. For example, a 6-week Summer Servant will receive a stipend of ~$187.50, and a 2-month Summer Servant will receive a stipend of $250.

Summer Servants are asked to raise donations for Bethlehem Farm in preparation for their time at the Farm. The suggested donation is $400 (the fee for one group week). It is completely understandable if a Summer Servant raises more or less than this $400 goal and acceptance will not be based on failure or success in meeting this goal. You are encouraged to ask for help from family and friends, so they can assist with this donation and also support you emotionally and spiritually while you are here. We will provide tools and ideas to help with fundraising.

• Are you willing and able to fundraise this amount? *

------------------------------------------------------------------

V) Legal

Bethlehem Farm will run a background check prior to final hire, is there anything on your record that you would like to share now or explain further? *

If yes, please explain.

*Please note, prior to your time at the Farm you must complete the “Protecting God’s Children” training (VIRTUS or another) in your local diocese and produce a certificate of completion for our files. We will also run a background check, which is a diocesan requirement for everyone who works with minors.

------------------------------------------------------------------------------

VI) Health

Health insurance is recommended for all summer servants. Will your policy cover you while you are at the Farm? *

A position as a Summer Servant often requires physical exertion, such as working in the garden on your knees for extended periods, working on ladders up to 30 feet tall, lifting 50-lb bags of animal feed, working long days, etc.

Are you able to perform these tasks and other essential functions of this job? *

-----------------------------------------------------------------------

VII) References

Please provide the following information for three people who we can call for references. References should NOT be family members.

Reference #1

Name (#1) *

Phone Number (#1) *

Email Address (#1) *

Relationship to you (#1) *

Reference #2

Name (#2) *

Phone Number (#2) *

Email Address (#2) *

Relationship to you (#2) *

Reference #3

Name (#3) *

Phone Number (#3) *

Email Address (#3) *

Relationship to you (#3) *

Do you authorize Bethlehem Farm to contact the above three references? *

Please sign here by typing your name to confirm your authorization. *

Date *

-----------------------------------------------------------------------

Everything stated in this application is true and verifiable to the best of my knowledge.

Signature: *

Date: *

-------------------------------------------------

VIII) Application Questions

Bethlehem Farm is a faith-based community rooted in the Catholic tradition. Each person's spirituality is respected.

Please respond briefly to the following questions. The limits to our website prevent responses of more than 1000 characters and only show a maximum of 40 characters at a time. We recommend you type your answers in another program and copy them into the answer boxes below.

How did you hear about Bethlehem Farm and why are you interested in volunteering here? *

Please list any prior volunteer experiences. Describe both your responsibilities & what you learned from these experiences. *

What are your expectations of the Summer Servant experience? If you have been to Bethlehem Farm, Nazareth Farm, Jerusalem Farm, or Emmaus Farm before please include how you expect being a Summer Servant will be different from your previous experience. *

What characteristics, gifts, & talents do you have to offer to the Bethlehem Farm community? *

At Bethlehem Farm, Summer Servants live in community with one another and the caretakers, so the conflict & stressful situations inherent in community life can be experienced on the job. How do you handle conflict and stress? *

As a Summer Servant, you will often find yourself working in the garden, washing dishes, & doing manual labor. How do you feel about committing to this kind of work? *

What role does personal reflection play in your life? Will you be open to sharing your beliefs and experiences in a variety of ways during your time at Bethlehem Farm? *

How would living as a Summer Servant at Bethlehem Farm reflect who you are and who you see yourself becoming? *

The Welcome Home Spirit of Bethlehem Farm

Bethlehem Farm values a spirit of “Welcome Home” among the members of this community as an integral part of our Christian witness, specifically the gospel cornerstones of prayer, simplicity, community, and service. We value the uniqueness of all persons as God’s creatures. We welcome all people, regardless of age, race, color, ethnicity, nationality, gender, religion, political affiliation, income, marital status, familial status, physical ability, sexual orientation, gender identity or expression, & military status, for example, precisely because of Christ’s calling to treat others as we desire to be treated. We value vulnerable or minority members of this community as we value all members of this community. We condemn harassment of any kind, and our policies prohibit any such acts. We intentionally create an environment of mutual respect, hospitality and warmth in which none are strangers and all may flourish.

Take some time to reflect on “The ‘Welcome Home’ Spirit of Bethlehem Farm.” What resonates with or challenges you in this statement as you consider living in a community that provides a warm “welcome home” to everyone? *

---------------------------------------------------------------------------------------------

Interest Indicator

Everyone at Bethlehem Farm takes part in each of these activities, but we are interested in knowing what type of service excites you the most. Please select the number indicating your level of interest in the following activities.

5 = passionately excited to serve in this area.

1 = willing to serve in this area, but not excited.

Leading Chores *

Garden Work *

Construction *

Painting *

Washing Dishes *

Cooking *

Leading Prayer *

Wake Up / Lights Out *

Providing Kid Care *

Cleaning/Organizing *

Animal Care *