Summer Missionary Application Summer 2012

Highland Lakes Camp and Conference Center
5902 Pace Bend Rd N * Spicewood, Tx 78669
888-222-3482 * 512-264-1777

www.highlandlakescamp.org

Form Login Account (optional) Recommended

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.

College Students Only

* Name: Last

* Name: First

* Name: Middle

* Sex

Male

Female

* Age

* Date of Birth

* Height

* Weight

* Social Security Number

* Marital Status: (Only never married
applicants will be considered)

Single

Engaged

* Ethnicity

* Citizenship

* Name of University or college you attend

* Address while attending School

* Permanent Address

* I will be at my school address until

* School Phone

* Home Phone

* Cell Phone

* School email address

* Home email address

* Major

Minor

* GPA

* Hours Completed

* Classification at the end
of spring semester

* Date Spring
semester ends

* Date fall
semester begins

* Tentative Vocational
Choice

List School organizations to which you
belong and offices held

* Are you involved in your campus
Baptist Student Ministry?

Yes

List Secular employment experiences:

List Ministry-related or church-related
work experiences, part-time, full-time,
or volunteer

Allergies

Recent serious Injuries or illness

* Do you have a physical disability
or serious illness?

Yes

If yes, specify below

* Are you under any Medications?

Yes

If yes, please list below

* Date of last Tetanus shot

* Have you been convicted of a misdemeanor
or a felony (other than traffic fine)?

Yes

If yes, explain

Family or personal unsurance policy:

Insurance Company

Insurance Co address

0/255 characters

* Policy & group#

* My health is:

Excellent	Good
Fair	Poor

* Check if I use:

Tobacco	Drugs
Alcoholic Beverages	None

* Have surrendered to the ministry?

Yes

* Have previously served
at a Camp?

Yes

* If so, when? where?

Shirt Sizes - fill in sizes for each shirt size below

* T-shirts

* Golf Polo Shirt

* Button up Dress Shirt

Employment History

* 1. Company

* 1. Supervisor

* 1. phone

* 1. Dates

* 1. Position

* 1. Reason for leaving

* 2. Company

* 2. Supervisor

* 2. phone

* 2. Dates

* 2. Position

* 2. Reason for leaving

Church Membership

* Present Church Membership

* Regular Attendee?

Yes

* Church Address

* City

* Sate

* Zip

* Pastors Name

* College Ministers Name

* How long a member there?

* Church Convention Affiliation

Southern Baptist

Other

* List your church involvement and leadership experience

* Church attended in home town

* Regular Attendee?

Yes

* Home town Church Address

* City

* Sate

* Zip

* Pastors Name

* Associate Ministers Name

* How long a member there?

* Church Convention Affiliation

Southern Baptist

Other

Missions

* Have you been on a mission trip?

Yes

If yes, when and where?

* What does "serve wholeheartedly" mean to you?

About your parents ( for emergency purposes only)

* Fathers Name

* Mothers Name

* Fathers address

* Mothers address

* Fathers Occupation

* Mothers Occupation

* Fathers Home Phone

* Mothers Home Phone

* Fathers Work Phone

* Mothers Work Phone

* Fathers Cell Phone

* Mothers Cell Phone

If both parents have the same address and phone numbers answer same in mothers side

Work Area of Interest

Sequentially indicate all areas which you would be interested in serving with a "1" denoting your 1st choice.

Food Service

Maintenance

Media/Production

Health Tech/ Medical

Gift Shop/Consessions

Recreation

Skills

Read the below list of skills and mark all that pertain to you using the following code:
P = Very Proficient E = Some Experience L = Skills You Like to Do
W = Skills You Want to Learn D = Skills You Dislike

Accounting/Finance

Archery

BMX Bike

Boating

Challenge Course

Construction

Cooking

Drama

First Aid Medical Tech

Grounds/Lawn-Care

Guest Services

Photography

Leading Worship

Leading Bible Studies

Maintenance

Preaching

Project Organization

Rifles

Organized Recreation

Sales/Merchandising

Sound Board Operation

Sign Language

VBS

Video Production/Editing

Witnessing

Paintball

Swimming

Journalism

Speak foreign language? Specify

Worship Team

Each SMT will be a member of an Outreach team that will travel to Central Texas communities and serve.
Examples include leading worship at a church, volunteering at a soup kitchen or other non-profit organization, etc.

Read the below list of skills and talents. Use the appropriate code to indicate your self-evaluation of each skill or talent. State where you gained experience.
B = Beginner I = Intermediate A = Advanced

Song Leading

Beginner

Intermediate

Advanced

Song Leading evaluation

0/255 characters

Singing

Beginner

Intermediate

Advanced

Singing evaluation

0/255 characters

Playing Guitar for leading Worship

Beginner

Intermediate

Advanced

Playing Guitar for leading worship evaluation

0/255 characters

Playing Piano for leading Worship

Beginner

Intermediate

Advanced

Playing Piano for leading worship evaluation

0/255 characters

Other Musical Instrument

Beginner

Intermediate

Advanced

Other Musical Instrument evaluation

0/255 characters

Preaching

Beginner

Intermediate

Advanced

Preaching evaluation

0/255 characters

Special Certifications

Are you certified in any of the following categories? If so, specify certification, expiration date, and previous experience. If certifed in the past, please put a "P" in the blank with year of expiration date -- example P 1999

Lifeguard

Lifeguard info

Lakefront Safety

Lakefront Safety info

Ropes/Challenge Course

Ropes/Challenge Course info

First Aid

First Aid info

Is there any other experiences you would like to tell us about?

Testimony

In no more that 1,000 words, please give a brief autobiographical sketch: including the following information: you can fill it out here or email it to christa@highlandlakescamp.org - without this your application will not be complete
1. Your Name and Address
2. Tell how and when you became a Christian and about your personal growth in your relationship with Christ.
3. What is God teaching you right now about where you need to be and what you need to be doing within the next year?
4. Explain how and why you feel God is calling you to be a part of the HLC&CC Summer Missionary Team ministry.
5. What is your concept of missions and why do you want to serve in this capacity?

* Testimony - insert "email" in box if you are not going to answer this part here

0/1000 words

Personal References

NO APPLICANT WILL BE CONSIDERED FOR APPROVAL UNLESS MANDATORY PERSONAL REFERENCE REQUIREMENTS ARE MET. Please fill-in
the contact information for three (3) references. In relation to the ministry, choose two (2) from the following list: pastor, associate staff member, Sunday school teacher, church leader (elder, deacon, etc.), or BSM Director/Director of campus ministry you are actively involved in. In relation to your personal life, choose one (1) from the following list: older adult friend, employer, work supervisor, or professor. Please select people who have known you for at least three (3) years.
Direct your references to the link or page on our web site under ministry oportunities and click on SMT Recommendation Form to fill out online.

Ministry Related

* 1. Name

* Address

* Home Phone

* Work Phone

* email address

* Relation to you

* 2. Name

* Address

* Home Phone

* Work Phone

* email address

* Relation to you

Personal

* 1. Name

* Address

* Home Phone

* Work Phone

* email address

* Relation to you

Each Applicant must:

Possess a lifestyle that demonstrates a genuine love for and faith in Jesus Christ as Lord and Savior.
Be at least 18 years old (by the summer) and have completed 12 hours of college credit, or be at least 18 years old and have completed 120 hours of service at HLC&CC.
Be actively involved in a Baptist church, Baptist College, or a college student ministry program.
Possess a passion to share the gospel with individuals in need of salvation.
Possess a willingness to use your God-given gifts to serve as part of an evangelism team.
Be in good physical and emotion health, able to withstand the rigors of nonstop Christian service.
Complete the application process by the April 1 deadline. Qualified applicants are accepted on a first received, first approved basis.

I guarantee that to the best of my knowledge all the above information requested has been entered accurately and truthfully.

* Electronic Signature of Applicant

* Indicates Response Required

Asthma	Seizures	Diabetes
Heart Trouble	Tuberculosis	Stomach Trouble
Migraine Headaches	Nervous Disorder	Mononucleosis
Psychiatric Counsel	Severe Allergies (List below)	Recent Serious Injury or Surgery (Describe below)
None