Question Title

* 1. Name

Question Title

* 2. Age

Question Title

* 3. Birthday

Question Title

* 4. Email Address

Question Title

* 5. Home Address

Question Title

* 6. Cell #

Question Title

* 7. What's your best form of contact?

Question Title

* 8. Please describe any allergies/medications

Question Title

* 9. If this is for a school internship, please list school name and give your advisor's contact information

Question Title

* 10. Do you have a valid Driver's License?

Question Title

* 11. Are your parents/guardians in favor of you being a Summer Staff member?

Question Title

* 12. If no, please explain

Question Title

* 13. What Summer Staff role are you interested in?

Question Title

* 14. Church Name

Question Title

* 15. Church Address

Question Title

* 16. Main/Senior Pastor's Name

Question Title

* 17. Please mark the items you are involved in at church

Question Title

* 18. High School Name

Question Title

* 19. High School Address

Question Title

* 20. What activities are/were you involved in during High School?

Question Title

* 21. Are you attending a college or trade school?

Question Title

* 22. If No, are you employed? If you are, provide your employers name

Question Title

* 23. College/Trade School Name

Question Title

* 24. College/Trade School Address

Question Title

* 25. What's your major/focus of your studies?

Question Title

* 26. What year are you currently in?

Question Title

* 27. State briefly the reason(s) you desire to be a Summer Staff member

Question Title

* 28. Do you have any certifications?

Question Title

* 29. Please list your past employment Company Name

Question Title

* 30. What position did you hold?

Question Title

* 31. What duties did you perform?

Question Title

* 32. Personal & Spiritual Items

Question Title

* 33. Describe the importance Christ has had in your life to the present

Question Title

* 34. Describe your spiritual devotional life/times with God

Question Title

* 35. Have you taken part in helping someone at their point of accepting Christ as their Savior? If so, describe the situation

Question Title

* 36. With what other Christian ministries have you been involved, and what was your involvement? (other than local church – i.e. Campus Life, Inter Varsity, Fellowship of Christian Athletes, Navigators, etc.)

Question Title

* 37. What are some Scripture passages you have memorized lately?

Question Title

* 38. What has God taught you lately?

Question Title

* 39. What one word would you use to best describe yourself?

Question Title

* 40. List any experiences you have had in serving others

Question Title

* 41. When is it difficult for you to submit to authority and how do you respond?

Question Title

* 42. List three of your strengths

Question Title

* 43. List three of your weaknesses

Question Title

* 44. What 3 things do you hope will be the result of your Summer Staff experience?

Question Title

* 45. Have you read and do you agree with the Christian Endeavor Mid-Atlantic’s Statement of Faith, Unity Statement and Principles (read them here and here)? If no, please explain.

Question Title

* 46. What is your Christian Journey/Testimony?

How do you rate yourself in the following? Use this scale: A - you're well versed and shouldn't need any help, B - you are okay, but sometimes will need help, C - you have basic knowledge, D - you have no knowledge

Question Title

* 51. You are required to be at all of the following: (1) Summer Staff Training, (2) Set up & four weeks C.E. Mission Weeks, (3) Unloading supplies & debriefing. Are you able to make a commitment to participate the entire time?

Question Title

* 52. Your Youth Pastor's Information

T