Staff App New

Sponsored by Grace Bible Church, Berean Bible Church, Twin Cities Grace Fellowship, & Friendship Congregational Bible Church

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Name *

First

Last

Date / Time *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Age

Church you attend and Pastors name.

New Staff (2 Years or Newer) Please give a brief testimony of your salvation.

Note

ALL STAFF MEMBERS MUST BE WILLING TO SUBMIT TO A BACKGROUND CHECK, THANK YOU FOR YOUR COOPERATION. WE LOOK FORWARD TO LABORING TOGETHER FOR THE CAUSE OF CHRIST WITH THE YOUTH ATTENDING GRACE BIBLE CAMP.

Have you ever been charged with child neglect or abuse? *

Have you ever been convicted of any crimes against children? *

1. Have you ever been convicted of or plead guilty to a felony? *

3. Are you currently on probation or parole? *

2. do you currently have any criminal action pending? *

Other than the previous; is there any fact or circumstances involving you or your background that would call into question you being entrusted with the supervision, guidance, and care of young people? *

Please give details for any yes answer.

I have read Camp Staff Orientation Information page. *

Staff Signature *

Note

A picture of Staff Member will be taken at camp for Identification purposes and will be placed in staff files.

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