Todays Date

MM

DD

YYYY

Name *

First Name

Last Name

Date of Birth

MM

DD

YYYY

Phone *

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Camps Desiring to Help

What Day Camps or Events do you desire to help? Check all that apply. You must be on campus working from Sunday pm-Friday pm in order to be paid for the week.

Summer Blast Day Camp/ Ages 6-8/ July 7-10

Family Camp July 17-21

Personal Reference Phone Number *

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Name of a work/volunteer reference you can provide.

A Supervisor— not a peer

First Name

Last Name

Phone of work/volunteer reference

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Name of Pastoral reference *

This needs to be someone who can speak to your spiritual life. This does not have to be an official pastor.

First Name

Last Name

Phone of Pastoral Reference

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