AKONGA APPLICATION 2.0

AKONGA APPLICATION

Kauaeranga Valley Christian Camp
My INFORMATION:
Name*

First NameLast Name
Boy/Girl*

BOYGIRL
Birth Date*

MonthDayYear
Medical/Dietry Concerns, Medications
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone

Area CodePhone Number
Mobile*

Area CodePhone Number
E-mail*
example@example.com
Do you have any medical issues that could prohibit your time here?*
Do you understand you need a police vetting to be at KVCC?*

yesno
Do you have any criminal record that would prohibit you working with Children?*

YESNO
Any comments on that?
Internationals: Upload a local police vetting/clearance from your area. If you dont have one, please look into aquiring one.

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Please list any Christian Camp, Outdoor experiences, Ministry experiences, Youth Expereiences, Work experiences etc.*
Give us an understanding of yourself. What makes you, you?*
How would your best friend describe you as?*
How would you describe your weaknesses? How about your strengths? Explain.*
Tell us how you came to Know Jesus Christ?*
What does your walk with God look like? Who is he revealing himself to you as? ie healer, saviour, king etc*
What are the character traits you admire about people? *
Why would you want to give up a year to serve and grow in this place as a AKONGA?*
References

Please ask for someone to be your character reference. They should be someone who knows your character, work habits, personality and how you interact with others. They will be sent a online form to fill out. If any questions arise from the reference form, I will contact them personally.
Reference #1

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Reference #2

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Please upload any letters of reference you may have.

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I understand that this is a Christian Camp which speaks from biblical values, principles, and persectives.

I agree that I will abide by the camp rules and that the camp reserves the right to send them home if a health or disciplinary problem
arises – no refund will be given.

I agree to pay for any damages incurred by myself.

I agree that Kauaeranga Valley Christian Camp will be free from all liability for any injury or loss which my child may sustain to person or
property whilst attending camp.

I give permission for photos or videos taken during camp to be
used for publicity purposes. I will inform the Managers if there are any safety issues regarding publicity that they need to be aware of.

I have read and understand the Terms and Conditions:
Signature of Applicant:*

Clear
Date of Signature

MonthDayYear
Date
Photo of yourself*

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Any other questions thoughts or concerns to ask the AKONGA director:
Should be Empty:

AKONGA APPLICATION

My INFORMATION:

References