Summer Serve Application

Name *
Name
Address *
Address
Phone *
Phone
Birthdate *
Birthdate
(XXX-XX-XXXX)
Best Friend *
Best Friend
Best Friends Phone Number
Who should we contact in case of emergency? *
Who should we contact in case of emergency?
Relationship
*
Phone Number
If we can not reach the person above who should we contact? *
If we can not reach the person above who should we contact?
Relationship
*
Phone Number
Are you available from July 13 - 23, 2016 *
Are you currently in school? *
Where?
Your Title/Position:
Duties/Responsibilities:
Date Started:
Date Ended:
*
Employer's Name:
*
Employer's Phone Number:
How long have you attended here?
How often do you attend?
Have you ever been arrested and/or convicted of a misdemeanor or felony? *
Have you ever been under a doctor’s care for any mental illness such as depression, anxiety, etc.? *
If you answered yes to any of the above questions, have you had professional counseling or rehabilitation? *
If this does not apply to you please put "N/A"
Section Two
Please be concise and direct but do not exceed 400 words.
Section 3
Please rank the following reasons (Strongly Disagree to Strongly Agree) in order for why you’re applying to participate in the Summer Serve program. *
Please rank the following reasons (Strongly Disagree to Strongly Agree) in order for why you’re applying to participate in the Summer Serve program.
Please use each answer only once (one will not be used).
I love Crossroads and spending a summer at camp would be fun.
I want to build relationships with fellow staff members.
I desire to grow in my relationship with Jesus while serving others.
I don’t have any other plans and this sparked my interest.
Reference Forms
We desire to have mature, servant hearted Christians represent our Lord in serving as Summer Serve. Please answer all questions with honesty and detail. We would much rather be aware of noteworthy issues beforehand so we can accommodate to their needs and encourage them to grow in their relationships with Christ. With this in mind, we ask that you fill out the form for the applicant and seal it in an envelope signing your name on the seal to ensure confidentiality. All replies will be held in strictest confidence.
Reference #1 *
Reference #1
Phone
Relationship to Applicant
Reference #2 *
Reference #2
Phone
Relationship to Applicant
Reference #3 *
Reference #3
Phone
Relationship to Applicant

 © Clayton King Ministries