• Please complete all fields that apply to you.
• Your application will be considered when all sections have been received

Personal Practices
Name	E-mail
Please briefly describe your personal practices in the following areas:
Tobacco:	Alcohol:	Habit-Forming Drugs:
Dancing:	Gambling:	Movie Theaters:
Have you ever had your driver's license suspended or revoked for any reason?
If yes, please explain:
Have you ever been charged or convicted of a crime involving child abuse, domestic violence, child pornography or attempted sexual molestation of a minor?
If yes, please explain:
Have you ever convicted of any other crime?:
If yes, please explain:
References Three references are required. These should include your pastor, a present or former supervisor, and a person of your choice. Please provide each person with a copy of the form (a pre-addressed envelope usually helps to speed the process) and ask each to return the completed form directly to our office: Solid Rock Bible Camp / Attn: Staff Selection Committee / P.O. Box 489 / Soldotna, AK 99669. BE SURE TO FILL YOUR NAME AND ADDRESS ON EACH REFERENCE FORM. Click here to get reference forms.
Commitment I, affirm do not affirm that the information I have given is true and correct to the best of my knowledge. I authorize any references or churches listed in this application to give Solid Rock Bible Camp any information they may have regarding my character and fitness for children and youth work. I release all such references from liability for any damage that may result from furnishing such evaluations to Solid Rock Bible Camp from any responsibility or liability if he or she is required to or chooses to disclose information contained in this application to others. I, do do not authorize the release of information to Solid Rock Bible Camp.
Should my application be accepted, I, , am willing to abide by the rules of Christian conduct while serving at Solid Rock Bible Camp. I am willing to follow the instruction of those who supervise me. I chose to cooperate fully in every regard and to explore to the maximium every opportunity available for personal spiritual growth. I understand that anyone demonstrating a different attitude or appoor quality of service is, of course, subject to dismissal.
If you agree to the Commitment stated above type, "I agree":		Date: