Rocky Mountain Summer Member Application
Navigator Summer Training Program

Program Director
Kyle Nelson
319 551 8066

Registration Coordinator
Robin Klapheke
rockymountainsummer@gmail.com

First Name *
Your answer
Last Name *
Your answer
Are you applying as a Team Member or Leader *
Year in school *
Email *
Your answer
Phone Number *
Your answer
Campus *
If Other, What Campus are you From
Your answer
Permanent Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Gender *
T-Shirt Size *
Emergency Contact *
Your answer
Relationship to Emergency Contact *
Your answer
Phone Number of Emergency Contact *
Your answer
Email Address of Emergency Contact *
Your answer
Will you be at least 18 years old on July 1st, 2018? *
Briefly Describe how you came to faith in Christ. *
Your answer
Briefly Describe you involvement with the Navigators so far. *
Your answer
Name of your Current Campus Leader *
Your answer
Name of Current Navigator Staff Member who knows you best. *
Your answer
What do you hope to gain from this Summer Program? *
Your answer
Briefly Describe your Personal Devotional Life *
Your answer
Briefly Describe your Involvement with Small Group Bible Studies. *
Your answer
Briefly Describe your experience with Scripture Memory *
Your answer
Briefly Describe your Experience with Personal Evangelism *
Your answer
How do your Parents feel about your involvement with this program? *
Your answer
Do you plan to fund raise for this program? *
Do you have any special concerns with fund raising? *
Your answer
Upon Completion of this application, please send your $50 non-refundable application fee to the registration coordinator. Please make your check payable to The Navigators and make sure your name is on the check or in the memo line. *
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