YOUTH SUMMIT † Apply

About Us Program Info Why Canvass? Frequently Asked Q's Resources Apply Contact Us

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"I can't do anything without God. I need His elp. Now I can really feel God with me everyday, everywhere."

Kazue Sashida

Ready to apply?

When you're ready to apply, simply fill out the application below and we'll get back to you shortly!

Note: All fields are required unless you don't meet a stated conditional (such as being over 18 and not needing parental approval).

If you have any trouble filling out this form, please email webmaster@youthsummit.info

Where you want to work

Conference

About You

Name
Date of Birth (mm/dd/yyyy)
Marital Status
Gender
Home Address
E-mail Address
Home Phone Number
School
School Address
School Phone Number
School Major
Where do you plan to attend school next year?
How long have you been an SDA?
Why do you desire to canvass this summer?
Earliest date available (mm/dd/yyyy)
Your favorite hobbies
Your favorite music groups

References

Name 1 (Work Supervisor)
Address
Phone Number
Name 2
Address
Phone Number

Car Information

Do you have a car for your ministry?
Manufacturer
Model
Year
Insurance Company Name
Policy Number
Expiration Date (mm/dd/yyyy)

Allergies and Medications

Are you taking any medications? Yes No

If yes, please list

Medicine Allergies? Yes No

If yes, please list

Food Allergies? Yes No

If yes, please list

Parent(s) or Guardian

Father's Name
Mother's Name
Parent/Guardian Address
Work Phone Number
Evening Phone Number

Parent/Guardian Agreement (If student under age 18)

I hereby agree to give permission for my son/daughter to canvass this summer.

Yes No (to be selected by parent only)

Important
In case of an emergency or illness, I hereby give my permission to the physician selected by MagaMinistry directors to hospitalize, secure proper treatment, and to order injection, anesthesia, or surgery for my child. I realize I am responsible for payment of illness. Accidents, only while workering, are covered by Worker's Compensation.

Yes No (to be selected by parent only)

Upon receiving this application a call will be made for verification of this agreement.

Important
Make sure you have filled out all required fields before submitting your application!

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