Apply Now for FUEL Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAge *Date of Birth *Email *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeFather's Name & OccupationMother's Name & OccupationParent/Guardian Phone NumberAre you a U.S. Citizen?YesNoWhat school are you attending?ClassificationFreshmanSophomoreJuniorSeniorSummarize you involvement in extra-curricular activities and work responsibilities:How would you describe your health? ExcellentGoodFairPoorDo you have any physical disabilities or special health needs/allergies? Are you currently taking any medications? (The nursing staff administers medications during Camp Joy Summer programs)Attended Camp Joy as a camper?YesNoRegular in DevotionsYesNoKnow a foreign language, which?Play a musical instrument, which?Why are you interested in attending FUEL?Your Salvation TestimoneyWhat has been a recent lesson God has taught you?What is one thing you would like to grow in?What is your home church?Church Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeChurch PhoneChurch EmailPastor's NamePastor's EmailYouth Pastor's NameYouth Pastor's EmailChurch Ministry InvolvementPlease give Camp Joy 2 references (not your pastor: suggested - deacon, sunday school teacher, trusted church member, employer , family friend, etc.)Reference *FirstLastPhoneEmail *Reference *FirstLastPhoneEmail *Have you ever been convicted of or entered a plea of guilty or "no contest" to any misdemeanors or felonies (other than traffic violations)? YesNoIf yes, please explainHave you ever participated in, been accused of, pleaded guilty/"no contest" to, or been convicted of abuse or any sexual misconduct?YesNoIf yes, please explainSignature Clear Signature I understand that as a part of the application process, I consent to a criminal background check. I also realize that any false or misleading answer to any question on this application could result in my dismissal from employment. Submit
