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Apply Soon!

June 9 – August 14, 2024

Youth Rush Application

Step 1 of 4

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First & Last Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Home Phone
Cell Phone
Date of Birth*
Month
Day
Year
Relationship Status*
Gender*

If hired, would you be able to provide evidence of authorization to work in the U.S.?*
Section Break
School Currently Attending*
Current Grade/Year in School
Which school do you plan to attend next year?
How long have you been a Seventh-day Adventist?*
Why do you desire to canvass this summer with the Youth Rush program?*

What are your hobbies?*
What type of music do you enjoy?*
Do you speak Spanish?*
How did you hear about Youth Rush?*
Would you be interested in SOULS WEST?*
For more information about SOULS WEST visit www.soulswest.org
Are you a baptized member of the Seventh-day Adventist Church?*
If yes, where does your church membership reside?*

REFERENCE: Pastor's Name*
First Last
Pastor's Phone*
REFERENCE: Non-Relative*
First Last
Non-Relative Address
Street Address City State ZIP Code
Non-Relative Phone*
The following parent/guardian information is useful for us, and is required for students under 18.
Parent/Guardian Name*
First Last
Additional Parent/Guardian Name
First Last
Parent/Guardian's E-mail*
Additional Parent/Guardian's E-mail
Parent/Guardian Address*
Street Address City State ZIP Code
Parent/Guardian Phone*
Additional Parent/Guardian Phone*
Have you ever been disciplined for actions which violate Seventh-day Adventist standards/principles, or for anything illegal? If yes, please explain.*
I understand that the employer will thoroughly investigate my work and personal history and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named therein to provide any information requested about me, and I release them from all liability for damage in providing this information. I understand that withholding information or falsifying information requested on this application is grounds for immediate termination.*
Any Comments?
What time of day would you be free for a 45 minute Zoom interview? (Please select all available times)*
- Mornings (9AM-12PN)
- Afternoons (12PM-5PM)
- Evenings (5PM-9PM)
What day in the next week would you be free for a Zoom interview? (Please select all available days)*
- Select All
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Email
This field is for validation purposes and should be left unchanged.

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