References

Please provide us with 3 references which we may contact. Please make sure we have a valid email and phone number for each

Reference 1 Name

Reference 1 Email

Reference 1 Phone

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Reference 2 Name

Reference 2 Email

Reference 2 Phone

Reference 3 Name

Reference 3 Email

Reference 3 Phone

Your Home Church

Your Grade Level

Your age

Are you working as a summer ministry intern

If yes to intern -- who are you working for?

I understand that staff orientation is required for participation and I must be present on Saturday for orientation before each session begins

PLEASE NOTE THAT STAFF ORIENTATION ATTENDANCE IS REQUIRED (NOT OPTIONAL) FOR HORIZON ON A SATURDAY EVENING BEFORE CAMP. DO NOT APPLY IF YOU ARE NOT AVAILABLE TO ATTEND ORIENTATION.

Have you ever been convicted of a felony?

Special Certifications/Qualifications

Date of Birth

Agreement - READ CAREFULLY

I understand that applying to HORIZON is a servant role and to the best of my ability if approved will serve the students (campers) of HORIZON in a manner that reflects the teaching of Jesus Christ and holds up the Bible as God's Word. I choose to be a Godly role model to the students. I also understand that my application can be denied or revoked without explanation to me.

All approved applications must undergo a Criminal background check. I give permission and the information on this form to be used by HORIZON &/or its's agents to conduct such a background check. I also give permission to HORIZON &/or it's agents to contact my references.

I, the undersigned, agree to the terms above.

Please provide the following information for Background Check:

If you are serving as a Youth Intern or on staff at a church, please submit a background check done in the previous 6 months via email to us which will serve as meeting this requirement. If you are not on a church staff, we will need the following information to conduct the background check. Email information to [email protected]

Full Name

SS # (for background check)

State of Residence

Your Birth Date

This page is secured with 256 bit encryption

Event Registration Software by RegFox