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LaVerne Griffin Camp Summer Mission Staff Application (2022)
Approximate arrival date to camp is June 1st and departure from camp is July 27th.
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Email
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Your email
Name (first and last):
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Your answer
Address:
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Your answer
Preferred Phone Number:
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Your answer
T-Shirt Size (Adult S-5X available):
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S
M
L
XL
XXL
Other:
Date of Birth (Month/Day/Year):
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Your answer
Are you a U.S. Citizen?
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Yes
No
In compliance with LaVerne Griffin Camps' policies and standards, are you willing to refrain from tobacco, alcohol and/or legal marijuana while serving?
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Yes
No
Have you ever been charged, convicted, or accused of a crime involving child abuse, child pornography, domestic violence, or attempted sexual molestation of a minor?
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Yes
No
Have you been charged or convicted of any other crime (other than a minor traffic violation)?
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Yes
No
Emergency Contact Information (Name, Relationship, Phone number):
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Your answer
Medical Information- Any allergies/medical conditions we need to be aware of?
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Your answer
Insurance Carrier and subscriber information:
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Your answer
Do you attend church regularly?
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Yes
No
Church Name and Address:
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Your answer
What is your church involvement?
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Your answer
Pastor's Name, Phone, and Email:
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Your answer
What is your career, profession, or school?
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Your answer
Describe any experience in missions (local, foreign, or both) you've had previously?
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Your answer
Please describe how you became a Christian and your relationship with Christ now:
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Your answer
Why do you want to serve at LaVerne Griffin Camp?
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Your answer
What are your skills and passions and how would they fit in camp ministry?
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Your answer
3 References that are NOT family members (name, relationship, phone, email please)-- NOTE: Please notify references that they should expect a call from LaVerne Griffin Camp.
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Your answer
Thank you for applying and we will review your application. Please enter today's date below:
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A copy of your responses will be emailed to the address you provided.
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