Staff Application Form Name * First Last Date Submitting * Date of Birth * Age * Phone * Email * Street Address * City * State and Zipcode * 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? Yes No 2. do you currently have any criminal action pending? Yes No 3. Are you currently on probation or parole? Yes No 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. Submit Staff Application
