Powette Girls Camp Staff Application

"*" indicates required fields

Step 1 of 4

25%

Personal Information

First Name*

Last Name*

Date of Birth*

MM slash DD slash YYYY

Age*

Gender

Marital Status*

Address*

City*

State*

Zip*

Phone*

Email*

Church*

Church City*

Pastors Name*

Pastors Email*

Pastors Number*

Please answer the questions below

Have you accepted Christ as your Savior?*

When did you accept Christ?*

Are you baptized in the Holy Spirit?*

When did you get baptized in the Spirit?*

Do you use tobacco?*

Drink alcoholic beverages?*

Use nonprescription drugs?*

Do you have any physical handicap or condition preventing you from performing certain types of activities?*

Handicap Explain

Have you ever been convicted of a criminal offense (excluding minor traffic violations)?*

Crime Explain

Camp experience and commitment

Do you have any medical training?*

Medical Explain

Application Statement

Are you willing to abide by the camp rules, be given any position or assignment, and if need be, go beyond the duties of your assigned position?*

The information I have provided in this application is correct to the best of my knowledge. I have carefully read all the information provided in the application form. I authorize any references or churches listed in this application to give you any information they may have regarding my character and fitness for Powette Girls Camp, and I release all such references from liability for any damages that may result from furnishing such evaluations to you.*

Digital Signature*

Today's Date*

MM slash DD slash YYYY

Phone

This field is for validation purposes and should be left unchanged.