Please read each statement carefully and check the following statements: *

I understand that Summer Day Camp and Young Leadership Camp is a ministry of Lutheran Church of the Holy Spirit, and submission of this application is an opportunity for me to grow in this faith journey.

I understand that I may not necessarily be placed in the group that I have selected.

I authorize the listed references to give information regarding my character and fitness for working at LCHS SDC YLC 2017.

I understand that a sex offender and/or criminal background check will be conducted using my social security number in which I will provide at a later time.

I agree to respect the policies of Lutheran Church of the Holy Spirit and its leadership.

I acknowledge that unscriptural or inappropriate behavior involving children, or others, will not be tolerated and will lead to my dismissal from this ministry.

I HAVE THOROUGHLY READ AND FILLED OUT THIS APPLICATION AND CONFIRM THAT THE INFORMATION IS ACCURATE TO THE BEST OF MY ABILITIES.