I am applying for *

New Staff (Must have graduated high school in 2024 or earlier)

Internship Request (Summer camps only-must have graduated high school in 2025)

I am available for dates mentioned below *

Click box to agree

Gulf Coast Winter '25 (PreVive Jan. 16 @ 6:30 PM; Camp Jan. 17-19)

Nashville/Beersheba Winter '25 (PreVive Feb. 20 @ 7:00 PM, Camp Feb. 21-23)

Gulf Coast Summer '25 (Previve June 14 @10:30 am - 16, Camp June 16-21)

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Birthday *

MM

DD

YYYY

Gender *

Female

Male

Marital Status *

Single

Married

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Work/Student Status *

Employed Part Time

Employed Full Time

Currently Not Employed

College Student

Home Church Reference *

First Name

Last Name

Home Church Reference Phone *

(###)

###

####

Personal Reference *

(someone you have known more than 5 years)

First Name

Last Name

Personal Reference Phone *

(###)

###

####

Are you willing to serve at camp wherever you're assigned and in multiple roles? *

Yes

No

Are you able to work in team settings? *

Yes

No

Can you attend PreVive and camp the entire time? *

Staff are required to attend both PreVive and camp. If you check "no", please let us know why in comment section.

Yes

No

Have you ever been arrested? *

No

For a Felony

For a Misdemeanor

Date of Charges (if yes to previous question)

MM

DD

YYYY

Have you ever been denied access to a position involving minors, investigated, arrested or convicted of any crime involving a minor? *

Yes

No

What age group do you feel comfortable acting in a leadership role? *

Middle School

High School

I agree that the Revive Board has the right to refuse any intern, new staff member or returning staff member application without cause.

I agree my behavior should model Biblical standards and principles.

I agree to work as needed and as assigned by the Revive Board or staff.

I agree to follow all rules set by the Revive Board.

Agreement: The information contained in this application is correct and complete to the best of my knowledge. I authorize any references or organizations listed in this application to provide any information (including opinions) that they may have regarding my character and fitness for working with children at Revive. I give permission for a criminal background check to be conducted on myself. If accepted, I agree to be bound by the by laws and policies of Revive and to refrain from unscriptural conduct in the performance of my services on behalf of the camp. My signature verifies the fact that I have read the parts of this application titled “agreement”, and agree to cooperate with the leadership of Revive. *

I agree