Bethlehem Farm – Bethlehem Farm


Summer Servant Online Reapplication
Applications received by January 31st are given highest priority for acceptance, date preference, and duration. Any applications received after January 31st will be filled in to remaining gaps in the schedule, if there is still room.
I) Personal Data
Name: *
Address 1 *
City *
State *
County *
Email *
Phone *
Driver's License Number *
Issuing State *
Gender *
Birth Date *	// (mm/dd/yyyy)
Our preferred length of service is two weeks to three months during May – October.
What are your available dates and 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 $325 (the fee for one group week). It is completely understandable if a Summer Servant raises more or less than this $325 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.
Respond briefly to the following questions.
How did your previous experiences as a summer servant play a role in your desire to return? *
Please list any volunteer experiences since you were a summer servant. Describe both your responsibilities & what you learned from these experiences. *
What are your expectations of the summer servant experience this time around? *
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? *
What has been one of your favorite tasks as a summer servant? One of your least favorite? Please describe in detail. *
What role does prayer or reflection play in your life? Will you be open to sharing your faith & praying in a variety of ways during your time at Bethlehem Farm? How do you feel about leading group prayer during group weeks? *
Describe a meaningful interaction you had during your time at Bethlehem Farm. *
In what ways has being at Bethlehem Farm shaped you? *
---------------------------------------------------------------------------------------------
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 *
---------------------------------------------------------------------------------------------
If you have any questions, please reach out to Joseph by email or calling.
Phone: 304-445-7143
Email: hiring@bethlehemfarm.net

Timeout Warning

Summer Servant Online Reapplication

I) Personal Data

II) Education and Training

III) Employment Experience

IV) Financial

V) Legal

VI) Health

VII) References

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

VIII) Application Questions

Interest Indicator

If you have any questions, please reach out to Joseph by email or calling.