Children's Mission Camp Staff Application

NOTE: You must have completed your Freshman year of college to apply.

Personal Information

Name*

First Middle Last

Date of Birth*

Permanent Home Address*

Street Address City State ZIP Code

Cell Phone*

Email*

Marital Status*

Single, Never Married

Married

Engaged

Wedding Date

School Mailing Address

Street Address City State ZIP Code

Last Day of School

Family Information

In case of emergency, please notify:

Name*

First Last

Address*

Street Address City State ZIP Code

When you discussed your desire for this summer ministry with your parents, they were:*

In Favor

Opposed

Indifferent

Church Information

Church Affiliation MUST be Southern Baptist in order to apply.

Present Church Membership (Church Name)*

Church Location*

City State

How long have you been a member?*

Pastor's Name*

First Last

Are you currently attending a different church?*

Yes

Name of Church

Church Location

City State

Do you attend church on a regular basis?*

References

Please give name and complete mailing address for each requested reference. Please let these references know that I will be contacting them. (DO NOT LIST FAMILY MEMBERS)

Reference 1

Pastor, College Pastor, Person on Staff

Reference 1 Name*

First Last

Reference 1 Church Name*

Reference 1 Church Address*

Street Address City State ZIP Code

Reference 1 Phone*

Reference 1 Email*

Reference 2

Sunday School Teacher or Church Leader

Reference 2 Name*

First Last

Reference 2 Church Name*

Reference 2 Address*

Street Address City State ZIP Code

Reference 2 Phone*

Reference 2 Email*

Reference 3

BCM Director or Church Leader

Reference 3 Name*

First Last

Reference 3 Address*

Street Address City State ZIP Code

Reference 3 Phone*

Reference 3 Email*

Reference 4

College Professor/High School Teacher

Reference 4 Name*

First Last

Reference 4 Address*

Street Address City State ZIP Code

Reference 4 Phone*

Reference 4 Email*

Children’s Mission Camp Staff Application

Children’s Mission Camp Staff Application

Personal Information

Family Information

Education

Church Information

Experience

Indicate Experience in Each Category:

Language/Proficiency

References

Reference 1

Reference 2

Reference 3

Reference 4

Personal Sketch

Details for Background Check

Newsletter

Newsletter