Staff App New

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Name

First

Last

Date / Time

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Age

Church you attend and Pastors name.

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.

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

2. do you currently have any criminal action pending?

3. Are you currently on probation or parole?

Please give details for any yes answer.

Note

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