Age
Birthdate
School Mailing Address
School Phone
Cell Phone
Where do you go to school?
What is your major?
What do you want to do after graduation?
What jobs have you worked in the past?
What talents & skills do you have (i.e. lifesaving, music, drama, sports, etc.)? Please don't be modest.
What campus groups do you participate in?
Why would you like to participate in a summer family ministry program like SummerShine?
What is the name of your home church (church involvement, etc.)?
Pastor's Name
Pastor's Phone
What are your top three priorities in life?
Priority 1
Priority 2
Priority 3
Please share with us a few paragraphs summarizing your Christian walk and how you feel SummerShine will help you grow in your faith.
What is the earliest date you can arrive? (please be specific)
What is the latest date you can stay and work?
Please list any health limitations
Please provide two references with phone numbers (including area code). These individuals should not be related to you.
Reference 1
Reference 2
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.
Where are you interested in serving?(please check at least three or check "Any Location")
Hatteras, NC KOA
Cherokee, NC KOA
Mount Rushmore, SD KOA
Myrtle Beach, SC KOA
Mystic, CT KOA
Santa Cruz, CA KOA
Williamsburg, VA KOA
Virginia Beach, VA KOA
Monroe County/Toledo North, MI KOA
Watkins Glen, NY KOA
Any Location
Please fill in the text as it appears
