Applying for SUMMER 2023

Full Name *

First & Last

Email Address *

myname@example.com

Cell Phone *

000-000-0000

Home Phone *

000-000-0000

Street Address *

City, State & Zip Code *

If hired, will you be able to provide documents to establish your eligibility to work in the U.S.? *

Yes

No

How old will you be on June 11, 2023? *

Younger than 16

16-17

18-21

22 or older

How did you hear about Youth Rush? *

What school do you attend? *

What day do you finish school this year? *

mm/dd/yyyy

School's Address *

Street Address, City, State, Zip

School's Phone Number *

000-000-0000

What school do you plan to attend in the Fall? *

When does school begin at this school next year? *

mm/dd/yyyy

How long have you been a Seventh-day Adventist? *

What are your hobbies? *

What is your favorite kind of music? *

Why do you want to do Literature Evangelism? *

Do you speak another language besides English? If yes, please specify. *

Have you ever been employed by the Southern California Conference of SDA ? *

Yes

No

If the above answer is "yes, please indicate when and in what capacity: *

Have you ever been convicted of a felony? *

Yes

No

If the above answer is "Yes", please explain:

Reference 1 Name (Not a family member) *

First & Last Name

How do you know Reference 1? *

Pastor

Bible Teacher

Reference 1 Phone Number *

000-000-0000

Reference 2 Name (Not a family member) *

How do you know Reference 2? *

Teacher

Work Supervisor

Reference 2 Phone Number *

000-000-0000

Do you have any relatives who are employed by the Southern California Conference of SDA? *

Yes

No

If the above answer is "Yes", please provide their name:

I accept the applicant's statement as written below, and verify that all information contained within this application to be true. I understand the employer follows an "employment at will" policy, in that I or the employer may terminate my employment at any time for any reason consistent with applicable state of federal law; this "employment at will" policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the Southern California Conference Executive Committee. I understand that this application is not a contract of employment. I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof will result in denial of employment. I understand this application will be active for a period of six months; after that time, if I wish to be considered for employment, I must submit a new application. 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 certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment. *

Yes

No

Applicant's Acceptance of below statements regarding church membership, adherence to Adventist values, and acceptance of SCC policies: I recognize that the mission of the Southern California Conference of Seventh-day Adventists is: "to proclaim, to continue, and to finish the work that Jesus started, with special responsibility for reaching each person in the Southern California Conference. "I further understand and accept that the philosophy of the Southern California Conference of Seventh-day Adventists is embodied in the following statement: "God might have committed the message of the gospel, and all the work of living ministry, to the heavenly angels. He might have employed other means to accomplish His purpose. But in his infinite love He chose to make us co-workers with Himself, with Christ and the angels that we might share the blessings, the joy, and the spiritual uplifting, which results from the unselfish ministry." Steps to Christ, p. 79. Therefore I commit myself to this philosophy. I accept the responsibility of properly representing the Seventh-day Adventist Church in attitude, philosophy and conduct. As evidence of this commitment and acceptance, I submit the following information and accept and acknowledge the following: CHURCH MEMBERSHIP: I am a member in regular standing of the Seventh-day Adventist church. My membership is at the local church indicated below and I authorize the Southern California Conference of Seventh-day Adventists to contact my church to verify my membership standing. ADHERENCE TO ADVENTIST VALUES: I understand that my offer of employment is conditional upon my adherence to the practices, standards, and beliefs and precepts held by the Seventh-day Adventist Church. ACCEPTANCE OF SCC POLICIES: In order for the Southern California Conference of Seventh-day Adventists to function efficiently and effectively, I agree to follow the official policies of the conference. *

Yes

No

Please provide church name, city, state, and conference to which you are a member: *

IMPORTANT INFORMATION: Participants earn 50% of the donations they receive if they fulfill their commitment to the program fully (10 weeks unless otherwise arranged). Participants must work the entire period noted at the top of this application with the Southern California Conference student program to receive a full scholarship. The student will be paid through the regular bi-weekly conference payroll. Any funds to be sent to the school for matching scholarship should be indicated on the Youth Rush payroll deduction form, and Scholarship moneys are only deducted from the payroll at the participant's request. PROGRAM ENTRANCE FEE: Youth Rush participants must pay a $120 program entrance fee. These funds are used to help in a small way with program's expenses (i.e. food, housing, transportation, etc.) *

Ok

Signature *

Type your name (Applicant will sign upon arrival to the summer program)

Website/URL

Number