doulos/staff application 2017
TRANSCRIPT
“Loving Jesus and Sharing His Love”
Doulos/Staff Application 2017
Doulos Sessions � June 11th – June 23rd Please Include a Picture of yourself � June 25th - July 7th Please Call if you have any questions. � July 8th – July 21st Scan and e-mail or Mail to us. � July 22-Aug 4th [email protected]
Over 18? Doulos Staff Dates Available to Serve ___________ to ___________
Name: _________________________________________________ � Male � Female
Address:________________________________________________________________
City/State/Zip: ___________________________ Home Phone: _____-______-_________
Email Address: _____________________________ Cell Phone: _____-______-_________
Date of Birth:_________ Age _____ Grade______
Have you participated in the Doulos Program or Summer Staff before? �Yes � No Dates:_____________________________ � Check here to be placed on our mailing list
Personal Info (Please Print)
1. Name of Church/Fellowship that you attend:
__________________________________________________________________
2. Pastor’s & Youth Pastor’s Names & Phone Numbers:
__________________________________________________________________
3. Personal Reference Name & Phone:
__________________________________________________________________
4. Write out your personal testimony.
After we receive your application, we will contact you by phone. Please e-mail if you have any
questions about the process.
www.ydionline.org 117 Sparrow Lane, Head Waters, VA 24442 540-396-4823
Session Dates Summer 2017
Applicant Info (please print)