Mission Trip Application - Clarkston

Fill out the form below if you would like to apply for a trip to Clarkston, GA.

Missions Application - CIBC

Special application specifically for CIBC - Camp Encounter
  • Salem Bible - Clarkston Application

  • Date Format: MM slash DD slash YYYY
  • Trip Experience and Expectations

  • Certification

    I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and or fitness for employment by employers, schools, and other individuals to Push The Rock staff for employment purposes. I also consent to give Push The Rock permission to add my contact information to its database for marketing materials. This consent shall continue to be effective during my employment if I am hired. I certify that to the best of my ability and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith. By submitting this application, I am acknowledging that I have read and am in agreement with Push The Rock's vision, mission and core values.
  • Date Format: MM slash DD slash YYYY

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