AL YOUTH CAMP 2019 STAFF APPLICATION
Please fill out this form and click submit.
Please note that the minimum age requirement for staff is 21
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Church Name
*
Pastor Name
*
Church City
*
Pastor Phone
*
Employer
*
Employer Phone
*
Are you currently under doctor/medical care?
*
Please select one option.
Yes
No
Select Option
Yes
No
Are you currently taking any medications?
*
Please select one option.
Yes
No
Select Option
Yes
No
Please tell us about your experience working with teens/children
*
What would be your first choice for duties at camp?
*
Please select one option.
Registration
Security
Counselor
Recreation
No Preference
Select Option
Registration
Security
Counselor
Recreation
No Preference
What would be your second choice for duties at camp?
*
Please select one option.
Registration
Security
Counselor
Recreation
No Preference
Select Option
Registration
Security
Counselor
Recreation
No Preference
List any other duties you would be interested in performing at camp.
When were you baptized in Jesus Name?
*
When did you receive the Holy Ghost with evidence of speaking in tongues?
*
Are you living a life of holiness to the best of your ability in accordance with the teachings of your pastor and God's Holy Word?
*
Please select one option.
Yes
No
Select Option
Yes
No
Other than traffic violations, have you ever been arrested and or convicted of a crime?
*
Please select one option.
Yes
No
Select Option
Yes
No
Have you ever been arrested or convicted of child abuse?
*
Please select one option.
Yes
No
Select Option
Yes
No
I agree that the information contained in this application is truthful. If I am accepted as a member of the camp staff I will cheerfully follow all policies, procedures, and directives of the Camp Administration. I understand that I am to arrive no later than 9:30 a.m. on Monday and should be prepared to remain until Saturday morning if necessary.
*
Please select one option.
Yes
No
Select Option
Yes
No
By entering your name here, you are digitally signing that you agree to the above statement and that everything in this application is truthful to the best of your knowledge.
*
By entering your pastor's name here, you are digitally signing that your pastor agrees to the above statement and that everything in this application is truthful to the best of your knowledge, and that you have informed them of your request to be on staff at AL Youth Camp 2019.
*
I consent to a federal background check and understand that my pastor will be contacted to verify all information presented in this application. A consumer report is a background check in which information (which may include, but is not limited to, criminal background, driving background, character, general reputation, personal characteristics, and mode of living) about you is gathered and communicated by a consumer reporting agency (“CRA”) to United Pentecostal Church of Alabama and/or its subsidiaries, affiliates, other related entities, successors, and/or assigns (the “AYD”). The AYD may obtain a consumer report on you to be used for volunteer purposes as defined by applicable law (in your case this means for the purpose of evaluating you as a new or existing volunteer).
*
Please select one option.
Yes
No
Select Option
Yes
No
Submit
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