Super Summer Collegiate Staff Application
Email address *
Name *
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Current Mailing Address *
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Facebook URL
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Cell Phone *
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Additional Phone #
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Permanent Mailing Address *
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Age *
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Year of High School Graduation *
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Gender *
Status *
Social Security # *
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Shirt Size *
College/University You Currently Attend *
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Name of Parents/Guardians *
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Parents Phone # *
Your answer
Are you parents supportive of your desire to serve at Super Summer *
Have you attended KS/NE Super Summer before? *
When were you saved? *
Your answer
When were you baptized? *
Your answer
List two personal strengths *
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List two personal weaknesses *
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What skills do you possess that would be useful to this position? *
Required
What teams have you led and what were your responsibilities? *
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Who, if anyone, encouraged you to apply for this position?
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List reasons you want to serve on the Collegiate Staff *
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Most Recent Employer *
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Employer Address and Phone # *
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May we contact your present employer as a reference? *
Describe your job with this employer: *
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Have you ever been disciplined or fired by an employer? *
If yes, briefly explain the circumstances, including the employer name, date of occurrence, and the reason:
Your answer
What is the hardest, physically demanding job you have ever done? *
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How long did you work at this job? *
Your answer
Are you part of a Southern Baptist Church? *
Where do you currently attend church? *
Your answer
List the pastor's name and church phone #: *
Your answer
How are you involved at your church currently? *
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What are you currently doing to strengthen your relationship with Christ? *
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What activities are you involved in on your college campus? *
Your answer
Describe your typical Quiet Time for this past week: *
Your answer
When was the last time you shared Christ with someone? *
With whom are you currently attempting to share Christ? *
Your answer
What was the last book you read that was not part of a school assignment? *
Your answer
Reason for reading this book: *
Your answer
What's your favorite movie? *
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What's your favorite TV show? *
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What do you enjoy doing in your free time? *
Your answer
Lifestyle Issues
Please answer the following questions truthfully
Have you ever been charged with a felony or misdemeanor? *
Have you ever been convicted of a felony or misdemeanor? *
Have you ever been diagnosed or treated for an emotional disorder? *
Have you been anorexic or bulimic with the last 12 months? *
Have you ever been involved in a homosexual relationship? *
Have you been involved in a sexual relationship within the last 12 months? *
Have you viewed pornographic material within the last 12 months? *
Have you consumed alcohol in the last 12 months? *
Have you used any tobacco products in the last 12 months? *
Have you been a victim of sexual, physical, or emotional abuse as a child or adolescent? *
Have you used illegal drugs in the last 12 months? *
If yes, what type and when:
Your answer
Is there anything in your life, if made known, would hinder your witness or be an embarrassment to your ministry or the agency or group you represent? *
If yes, please explain:
Your answer
Theological Questions
1. Do you believe there is one true God? *
2. Do you believe that this God is the source of all life? *
3. Do you believe that this God reigns with sovereignty over all things? *
4. Do you believe God is the creator of all things, including human life? *
5. Do you believe men who were divinely inspired by God wrote the Holy Bible? *
6. Do you believe the Holy Bible is the record of God's revelation of Himself to man? *
7. Do you believe the Holy Bible is trustworthy and applicable to daily life? *
8. Do you believe salvation involves the redemption of the whole person and is offered by God's grace to all who accept Jesus Christ as Savior and Lord by faith? *
9. Do you believe baptism by immersion is a command to be obeyed by all Christians? *
10. Do you believe baptism is required for salvation? *
11. Do you believe baptism is an evidence that one is a saved Christ-follower? *
12. Do you believe the mission of the Church is to make disciples of all people groups by calling individuals to a personal relationship and fellowship with Christ through repentance, baptism, and discipleship? *
13. Do you believe it is the privilege of every Christ-follower to be faithful in the use of his/her time, talents, and resources for the things of God? *
14. Do you believe in evolution? *
If you answered "no" to any of these theological questions (#1-14), please explain why. (Write the question # followed by your response):
Your answer
Do you have any personal responsibilities or other commitments that may prevent you from meeting the ministry schedule for this position? *
If yes, please explain:
Your answer
Super Summer Collegiate Staff Covenant
I understand that if selected, I will be required to abide by all current and future policies, standards and regulations of KNCSB and Super Summer. (see Job Description and Staff Guidelines documents)

I authorize KNCSB to contact all prior pastors, employers and references listed in order to verify information provided, to obtain character references, and to obtain information about past work performance. I release all pastors, employers and references from any liability for information provided in good faith.

I affirm I have neither been convicted of, nor am I the subject of pending charges for, any offense involving actual or attempted child abuse or sexual molestation in any jurisdiction.

If selected, I pledge to be:
Faithful to my Savior and Lord Jesus Christ.
Faithful and supportive of my fellow staff members
Faithful and supportive of the Super Summer Leadership Team
Faithful to complete the tasks assigned to me
Faithfully serve the entire term of service, June 16-August 4, 2018 inclusive.

I have added Joe Stiles, Danny Payne and Cheryl Cooke as friends on Facebook *
Signature *
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Date *
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