Name
*
First Name
Last Name
Gender
*
Male
Female
Street/Box
*
Town
*
Province
*
Postal Code
*
Email
*
Phone
*
Age
*
Church You Attend
*
Marital Status
*
Single
Married
Grade Completed
*
College/University Attending
Years Completed
Other Education
Are you a Christian? What does it mean to be a Christian?
*
Tell me about your walk with God this past year. (Hardships and Growth)
*
Please explain why you want to serve the Lord at FBBC this Summer
*
What church do you currently attend? How often do you attend?
*
What has been your involvement in Christian service up to now? What experience do you have working with children?
*
Are there any major concerns from your life from this past year that I should know about? (drugs, sexual immorality, criminal activity, ect.)
*
If a camper asked you why we need to follow the God of the Bible, what would you say?
*
Medical Number
*
Personal Number
Do you presently have any physical or mental disabilities or health problems which would affect your ability to carry out your responsibilities?
*
Yes
No
If yes, please describe
Do you have any health problems (asthma, epilepsy, etc.) that we should be aware of?
Are you currently taking any medication?
*
Yes
No
If yes, please describe
Do we have permission to authorize medical treatment in case of emergency?
*
Yes
No
Reference #1
*
Name, phone number, relationship
Reference #2
*
Name, phone number, relationship
Reference #3
*
Name, phone number, relationship
Please check all the weeks that you are available for
*
Position you are applying for
*
Basketball
*
L
H
W
N
Swimming
*
L
H
W
N
Archery
*
L
H
W
N
Riflery
*
L
H
W
N
Kayaking
*
L
H
W
N
Canoeing
*
L
H
W
N
Crafts
*
L
H
W
N
Paintball
*
L
H
W
N
Airsoft
*
L
H
W
N
Singing
*
L
H
W
N
Guitar
*
L
H
W
N
Piano
*
L
H
W
N
Drums
*
L
H
W
N
Bass Guitar
*
L
H
W
N
Other Activities
Date Completed
*
Accepted
*
I accept
I decline
What is 4 + 4?
*