Central Iowa Teens Encounter Christ

Central Iowa Teens Encounter Christ

Adult Application
TEC #82

November 16-19, 2023

Location:

First Reformed Church

807 3rd St.

Sully, IA 50251

Applications are due on

October 1, 2023

Prior to the weekend, there will be THREE Team Meetings and one leadership meeting.

October 15 from 2:00-4:30 p.m. (Leadership)

October 29 from 2:00-4:30 p.m.

November 5 from 2:00-4:30 p.m.

November 12 From 2:00-4:30 p.m.

You MUST attend 2 of the meetings in order to serve at the weekend.

Questions? Contact Centraliowatec@gmail.com

Applications can be filled out and submitted below or may be printed off this site and mailed to:

Melissa Poppen

807 Nash St

Aplington, IA 50604

centraliowatec@gmail.com

As a TEAM member, you are EXPECTED to be present for the ENTIRE weekend (Thursday set up @ 5:00 p.m.-Sunday when clean up is complete).

Team acceptance letters and all communications will be done via email.
Last Name*
First Name*
Gender*

MaleFemale
Address*
City*
State*
Zip*
Email*
example@example.com
Cell Phone*

Area CodePhone Number
Home Phone

Area CodePhone Number
Church Affiliation
Shirt Size*

SmallMediumLargeExtra Large2XL3XL
Adult Team Positions

(Please prioritize your preference 1-High, 5-low)

(First time adult workers only)
Adult Table Leader: Involves facilitating small group discussion, listening to, sharing with and caring for students.
Support Team: Involves assisting in physical/equipment set-up, organization, and clean up.
Kitchen Team: Involves guiding and assisting students in preparation of meals throughout the weekend.
Wheat Team: Involves assisting students in prayer and aiding/directing skits and dramatizations.
Worship/TECh Team: Involves assisting students in leading singing and worship (familiarity with Contemporary worship music is important).
All Adults are required to pass a background check
Have you ever been accused or convicted of sexual abuse or misconduct?

YESNO
References

Please list THREE character references (if you have not worked before). C.I.T.E.C. may contact them. Include name, relationship, email address, and phone.
Reference 1*
Reference 2*
Reference 3*
Medical Insurance Company*
Policy Number*
Emergency Contact
Phone Number

Area CodePhone Number
Payment Information

$50 Payment is due at or before the 1st TEAM Meeting, If you decide not to work after the first meeting, your money will not be refunded.
Payment
prevnext( X )
(Paypal or Credit Card)Registration Fee+Processing Fee$50.00

Send a Check (No Processing Fee) $ Free

My church pays for my registration (Please confirm with church and make arrangements to bring the payment to one of the meetings $ Free

Venmo @CITEC $ Free

Total $0.00
Should be Empty:

Central Iowa Teens Encounter Christ

Payment Information