Appventist

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Apply to Our program

Legal name

First Name

Last Name(s)

Address

Street Address

Street Address Line 2

City

State

Postal Code

Country

Date Of Birth

Month

Day

Year

General Information

Password

Home Phone

Cell Phone

Best Way to be Reached?

iMessage

Regular SMS

Marital Status

Earliest Date Available

Upload a Picture of Yourself (required)

Do You Have an US Social Security Number?

Are you baptized?

What's your primary Language?

Are you bilingual?

Yes

Have you canvassed before?

Yes, with Florida Youth Summit

Yes, with another Conference

Do You know Anybody That Has Canvass With Us In The Past or is Currently Canvassing With Us?

Yes

Which program are you applying?

Summer

Winter

Forest Lake Academy

AdventHealth University

School Degree / Level of study

WORK Supervisor

or someone that be your reference

Name 1 (Work supervisor)

Lastname

Phone number

Health Insurance

Information

PARENT/GUARDIAN AGREEMENT

(if student is under age 18)

I hereby agree to give permission for my son/daughter to canvass this summer.

Yes

I'm over 18s

IMPORTANT: In case of an emergency or illness, I hereby give my permission to the physician selected by MagaMinistry directors to hospitalize, secure proper treatment, and to order injection, anesthesia, or surgery for my child. I realize I am responsible for payment of illness. Accidents, only while workering, are covered by Worker's Compensation.

Yes

I'm over 18

PARENT(S) OR GUARDIAN

Mother information

Mother's Name

Last Name(s)

Address

Street Address

Street Address Line 2

City

State

Postal Code

Country

Mother's Work Phone

Mother's Phone Number

Father Information

Father Name

Last Name(s)

Address

Street Address

Street Address Line 2

City

State

Postal Code

Country

Father's Work Phone

Father's Phone Number

TERMS & CONDITIONS

Upon acceptance, the program finances your traveling ticket, allowing for repayment at the end of the program. However, if by any means there is a cancellation of the flight purchased, you are held financially responsible for the full price of the ticket.

Checking that you agree to terms & conditions

Apply to Our program

Legal name

Address

Date Of Birth

General Information

Best Way to be Reached?

Marital Status

Upload a Picture of Yourself (required)

Do You Have an US Social Security Number?

Upload a Picture of your passport

Upload a Picture of your visa

Are you baptized?

What's your primary Language?

Are you bilingual?

Have you canvassed before?

Do You know Anybody That Has Canvass With Us In The Past or is Currently Canvassing With Us?

Which program are you applying?

WORK Supervisor

Health Insurance

Are you covered under a Health Insurance plan?

Do we need to provide you insurance for the duration of the program?

Are you taking any medication?

Medicine Allergies?

Food Allergies?

Do you have any pre-existing medical conditions?

PARENT/GUARDIAN AGREEMENT

I hereby agree to give permission for my son/daughter to canvass this summer.

PARENT(S) OR GUARDIAN

Mother information

Address

Father Information

Address

TERMS & CONDITIONS