Name

Phone Number

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

Address

Gender

Male
Female

T-Shirt Size

Have you ever served on the Horizon staff before?

Staff Position You are applying to serve in?

Tell us why you want to serve at HORIZON?

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

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 Horizon 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

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