Skip to Content

Summer Service

Please complete the following application form and click submit to apply for Summer Service.

Personal Information

First Name: *

Last name: *

Gender: *

Birthdate: *

Ethnicity: *

Cell Phone Number: *

Home/Other Phone Number:

E-mail Address: *

Current Address

Street: *

City: *

State: *

Zip Code: *

How long will you be at this address?:

School Attended (If applicable):

Check all the languages in which you have conversational fluency: *

English

Spanish

French

Other

Please specify if other:

Church/Organization Address

Church/Organization Name: *

Church conference/Denomination:

Pastor Name: *

Street: *

City: *

State: *

Zip Code: *

Service Project Proposal: *

Please upload your community service project proposal here. You may upload a .doc, .pdf, .jpg, .txt, or .png file.