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Application Form
  1. This form is for new applicants to SummerShine. Please take a few minutes to fill in the information and tell us a little bit about yourself. If you have already been a SummerShiner, please visit our "Re-Application" form located in our forms menu.

  2. Your Name(*)
    Please let us know your name.
  3. Date
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  4. Home Address(*)
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  5. City(*)
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  6. State(*)
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  7. Zipcode(*)
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  8. Home Phone(*)
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  9. Your Email(*)
    Please let us know your email address.
  1. Age(*)
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  2. Birthdate(*)
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  3. School Mailing Address
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  4. Cell Phone
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  5. Where do you go to school?(*)
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  6. What is your major?
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  7. What do you want to do after graduation?
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  8. What jobs have you worked in the past?
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  9. What talents & skills do you have (i.e. lifesaving, music, drama, sports, etc.)? Please don't be modest.
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  10. What campus groups do you participate in?
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  11. Why would you like to participate in a summer family ministry program like SummerShine?
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  1. What is the name of your home church (church involvement, etc.)?
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  2. Pastor's Name
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  3. Pastor's Phone
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  4. What are your top three priorities in life?

  5. Priority 1
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  6. Priority 2
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  7. Priority 3
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  8. Please share with us a few paragraphs summarizing your Christian walk and how you feel SummerShine will help you grow in your faith.
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  1. What is the earliest date you can arrive? (please be specific)(*)
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  2. What is the latest date you can stay and work?
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  3. Please list any health limitations
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  4. Please provide two references with phone numbers (including area code). These individuals should not be related to you.

  5. Reference 1(*)
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  6. Reference 2(*)
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  7. Additionally, please direct one of your references to the SummerShine homepage and have them fill out the Character Reference Form in the listed Forms section of the Top Navigation Bar.

  8. Where are you interested in serving? (please check at least three or check "Any Location")













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  9. Please download and read our pdfStatement of Faith and pdfSummerShine Code of Conduct documents.

  10. Please read and respond(*)
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  11. Please fill in the text as it appears(*)
    Please fill in the text as it appears
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  • "Therefore, there is now no condemnation for those who are in Christ Jesus, because through Christ Jesus the law of the Spirit of life set me free from the law of sin and death."

    ROMANS 8:12
  • "Do your work willingly, as if you were serving the Lord himself. "

    COLOSSIANS 3:23 CEV
  • "Let us not become weary in doing good, for at the proper time we will reap a harvest if we do not give up. Therefore, as we have opportunity, let us do good to all people, especially to those who belong to the family of believers."

    GALATIANS 6:9-10
  • "Therefore, I urge you, brothers, in view of God's mercy, to offer your bodies as living sacrifices, holy and pleasing to God—this is your spiritual act of worship. Do not conform any longer to the pattern of this world, but be transformed by the renewing of your mind. Then you will be able to test and approve what God's will is—his good, pleasing and perfect will."

    ROMANS 12:1-2
  • "Then he said to them, "Whoever welcomes this little child in my name welcomes me; and whoever welcomes me welcomes the one who sent me. For he who is least among you all—he is the greatest."

    LUKE 9:48
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