CAMO PROJECT APPLICATION
General Information
Name
*
First Name
Last Name
Please upload a recent headshot photograph of yourself:
*
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What college are you most affilated with:
*
Southeast Missouri State University
University of Illinois Springfield
Gender:
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Male
Female
Date of birth:
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
T-Shirt Size
*
Please Select
S
M
L
XL
XXL
Do you have any dietary restrictions? (not preference)
*
None
Gluten Free
Dairy Free
Nut Allergy
Other
If you selected other, please specify:
Church you attend while at school:
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Major & Minor:
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Year in school:
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Freshman
Sophomore
Junior
Senior
Graduate Student
Other
Are you currently enrolled in classes:
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Yes
No
Last semester GPA: (4.0 scale)
*
Overall GPA: (4.0 scale)
*
Anticipated Graduation Month/Year (ex: May 2024)
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Cell Phone
*
Please enter a valid phone number.
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Spirutal Information
Please share how you came to know Jesus Christ personally in a saving relationship. Approximately how long ago did that occur? (Five sentence minimum)
*
How long have you been involved with Campus Movement?
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6 Months or less
6 months - 1 year
1 - 2 years
2+ years
Briefly explain your church background (years attended, type of church, regularity of attendance, etc.)
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What is your understanding of discipleship?
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Are you willing to be trained in intentional evangelism?
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Yes
No
What is your understanding of the baptism of the Holy Spirit and living a Spirit-controlled lifestyle?
*
What staff and/or student(s) involved with Campus Movement are you most connect to on your campus?
*
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Medical Information
Do you have any medical and/or physical condition(s) for which you are currently being treated?
*
Please Select
Yes
No
If yes, please explain:
Are there any treatments and/or medications you will be taking this summer?
*
Please Select
Yes
No
If yes, please explain:
Do you have any known allergies to food or medications such as penicillin, etc?
*
Please Select
Yes
No
If yes, please explain:
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Employment Information
Job #1
*
If you have no employment history, place N/A.
Job #2
Job #3
Have you ever been fired or released from a job?
*
Please Select
Yes
No
If yes, please explain:
Do you have any previous criminal conviction(s)? (This can affect where you will be able to get a job)
*
Please Select
Yes
No
If yes, please explain:
Do you agree to submit to the authority of your employer while attending the CAMO Project for the entire project duration?
*
Please Select
Yes
No
If no, please explain:
Are you willing to work 20-40 hours per week this summer?
*
Please Select
Yes
No
If no, please explain:
Is there anything else we should consider that could influence your employment opportunties on project this summer?
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Personal Information
What do you believe is the purpose of the CAMO Project?
*
List the primary and specific reasons why you believe God is leading you to participate in the CAMO Project:
Reason #1:
*
Reason #2:
*
Reason #3:
Explain further if necessary:
Do you agree to follow the leadership of your disciple leader and team leader on project as they are led by the CAMO staff steam?
*
Please Select
Yes
No
If no, please explain:
Are you willing to live in close quarters with other students of the same sex for 9 weeks on the CAMO Project?
*
Please Select
Yes
No
If no, please explain:
Answer the following as they apply to you. This information will remain confidential to the leadership of the CAMO staff team. Have you ever...
Experienced depression and/or anxiety?
*
Please Select
Yes
No
If yes, please explain fully:
Suffered from Anorexia Nervosa/Bulimia?
*
Please Select
Yes
No
If yes, please explain fully:
Taken addictive or illegal drugs?
*
Please Select
Yes
No
If yes, please explain fully:
Received psychological treatment and/or counseling?
*
Please Select
Yes
No
If yes, please explain this fully:
Additional comments:
Please describe your relationship with your parents:
*
Excellent
Good
Fair
Poor
None
Have you discussed your desire to be a part of the CAMO Project with your parent(s)?
*
Please Select
Yes
No
If yes, what was their response?
Very favorable
They're favorable but have concerns
Are not favorable with me going
What best describes the likelihood of you coming to the CAMO Project at this point?
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I am definitely in
I am strongly considering it
I am open to it
It's a long shot
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SUBMISSION OF APPLICATION
By submitting this form you agree that the above information is accurate and true to the best of your knowledge. In the event that the above information should be found to be untrue, it could result in forfeiting the opportunity to participate in the CAMO Project.
My Products
*
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CAMO PROJECT APPLICATION FEE
CP Application Fee
$
10.00
Submit
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