Summer Staff Application

Summer Staff Application

For volunteers or those desiring to serve alongside ministry staff for a specific program.
Today's Date*

MonthDayYear
Program or event you are applying to volunteer for*
Starting Date

MonthDayYear
Date
Ending Date

MonthDayYear
Date
Upload a recent photo*

Upload a File

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Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email or Facebook*
Cell Phone*

Area CodePhone Number
College/University
Present Level of Education
Home Church*
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mentor/Pastor*

First NameLast Name
Phone*

Area CodePhone Number
Email*
example@example.com
How did you hear about us?*

Emergency Contact Information
First Contact*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Second Contact*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Primary Health Insurance*
Policy Number
Insured's Name

First NameLast Name
Covenant

While serving as a summer staff / staff assistant during a program at The Inn, I agree to adhere to the highest moral standards in conduct and dress and to submit to the oversight of The Inn Staff. I agree there should be NO use of alcohol, tobacco, or illegal drugs. As the variety of classes, activities, and chores present themselves, I am willing to do any tasks assigned.

I understand that in addition to assigned duties, I may be asked to participate specialized Heroes of Today training activities. I agree to participate in these activites if requested of me.
Electronic Signature*

First NameMiddle NameLast Name
Date*

MonthDayYear
Signature of Participant*

First NameLast Name

Please write a brief testimony concerning your Christian faith.*
Please write a summary of any ministries or extra curricular activities you have participated in.*
What do you believe are your strengths in regards to volunteering or assisting the staff?*
What areas personally do you feel you need to grow in most at this time in your life?*
Describe your current relationship with the Lord and why you feel He is leading you to serve at CTCI.*

References
Please list three references (NOT including family members or peers) whom you feel know you well.
Reference #1*

First NameLast Name
Position/Relationship*
Phone Number*

Area CodePhone Number
E-mail or Facebook*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference #2*

First NameLast Name
Position/Relationship*
Phone Number*

Area CodePhone Number
E-mail or Facebook*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Reference #3*

First NameLast Name
Position/Relationship*
Phone Number*

Area CodePhone Number
E-mail or Facebook*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Should be Empty:

Health Information