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Summer 2020 Application Deadline: April 15th, 2020

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Youth Excel Application

Step 1 of 4

25%

Date
First & Last Name*
First Last
Email*
Enter Email Confirm Email
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone*
Date of Birth*
MM
DD
YYYY
Marital Status*
Gender*

If hired, would you be able to provide evidence of authorization to work in the U.S.?*
If hired, would you be able to complete the whole 10 week program?*
If no, please explain why.
Section Break
School Currently Attending*
Current Grade/Year in School
Which school do you plan to attend next year?
Why do you desire to attend the Youth Excel program?*

What are your hobbies?*
What type of music do you enjoy?*
Do you speak another language besides English? If yes, please specify.
List any experience with canvassing or any that may relate to canvassing. ( i.e-sales, door-to-door, outreach, bible work) If not, type "No Experience".*
Have you ever been employed with South Central Conference? Yes /No*
Please indicate when and in what capacity?*
Or write N/A if not applicable
Have you ever been convicted of a felony?*
Please Explain*
Or write N/A if not applicable
Are you a baptized member of the Seventh-day Adventist Church?*
How long have you been a Seventh-day Adventist?
How did you hear about us?
- Website
- Facebook/Instagram
- Oakwood University
- Friend/Family
If a family or friend, who were you referred by?

REFERENCE: Pastor's Name*
First Last
Pastor's Address
Street Address City State ZIP Code
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
Email
Parent/Guardian Address
Street Address City State ZIP Code
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?
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Phone
This field is for validation purposes and should be left unchanged.

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Youth Excel Application

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Experience God like Never Before!

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