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Children’s Mission Camp Staff Application
Children’s Mission Camp Staff Application
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Children’s Mission Camp Staff Application
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*
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Step
1
of
8
12%
NOTE: You must have completed your Freshman year of college to apply.
Personal Information
Name
*
First
Middle
Last
Date of Birth
*
MM slash DD slash YYYY
Permanent Home Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell Phone
*
Email
*
Marital Status
*
Single, Never Married
Married
Engaged
Wedding Date
MM slash DD slash YYYY
School Mailing Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Last Day of School
MM slash DD slash YYYY
Family Information
In case of emergency, please notify:
Name
*
First
Last
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
When you discussed your desire for this summer ministry with your parents, they were:
*
In Favor
Opposed
Indifferent
Education
Name of School Attending
*
Please do not use initials
Classification
*
Freshman
Sophomore
Junior
Senior
Graduate Student
Already Graduated
Expected Graduation Date
*
Fall, 2019
Spring, 2020
Fall, 2020
Spring, 2021
Fall, 2021
Spring, 2022
Fall, 2022
Spring, 2023
Fall, 2023
Spring, 2024
Fall, 2024
After 2024
Major
*
Minor
Grade Point Average
*
Vocational Choice
*
Other colleges/seminaries attended?
*
Yes
No
Name
Number of hours/degree?
Church Information
Church Affiliation MUST be Southern Baptist in order to apply.
Present Church Membership (Church Name)
*
Church Location
*
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
How long have you been a member?
*
Pastor's Name
*
First
Last
Are you currently attending a different church?
*
Yes
No
Name of Church
Church Location
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Do you attend church on a regular basis?
*
Yes
No
Experience
List ministries you are currently involved in through your church or campus ministry
*
Have you ever taught children?
*
Yes
No
Please describe the extent and type of class
*
Have you served in Summer Missions before?
*
Yes
No
Place
Year
Organization
International Mission Board
North American Mission Board
BCM
Other
Indicate Experience in Each Category:
Language/Proficiency
Other than English, including American Sign Language
Language 1
Language 1 Proficiency
Read
Write
Speak Some
Fluent
Language 2
Language 2 Proficiency
Read
Write
Speak Some
Fluent
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Reference 4 Phone
*
Reference 4 Email
*
Personal Sketch
Share with us your salvation testimony and an autobiography to introduce yourself. Write in first person, essay form, using complete sentences. Carefully check spelling and punctuation. Please cover the following areas:
1) Facts about yourself and your family background
2) How you have trusted Christ as your Lord and Savior and year of salvation and baptism
3) How you have matured spiritually this year
4) Explain what you would say to a child when leading him/her to trust Christ as their personal Lord and Savior
5) Your calling and your sense of leadership toward mission service
6) Why you are submitting this application
7) Your plans after graduation
Salvation Testimony
*
Autobiography
*
Word Doc Upload
Accepted file types: doc, docx, Max. file size: 64 MB.
If you already have an autobiography written, please upload the file here. Make sure it is single spaced, one-to-two pages.
Photo Upload
*
Accepted file types: jpg, png, pdf, Max. file size: 64 MB.
Upload a recent photo of your self.
(This is strictly for us to put a face with a name)
Details for Background Check
Name
*
First
Middle
Last
Other Names Used (if Applicable)
Date of Birth
*
MM slash DD slash YYYY
Email
*
Social Security Number
*
This website is secured with 2048bit rated encryption SSL encryption.
Ethnicity
*
Phone
*
Address
*
Please list addresses for the last 10 years
Date Range
Address
City
State
Zip Code
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Remove
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