Summer Studio Staff Application/Onboarding Form Step 1 of 5 - Personal Info 20% Name* First Last Email* Phone*Citizenship* Permanent Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Birthdate* Month Day Year SSN* Drivers License Number* Gender* Male Female Marital Status Position of Interest*Summer Studio Program StaffSummer Studio Construction Management StaffSummer Studio VideographerDesired Date of Arrival* MM slash DD slash YYYY Official Start Date is 06/13/22Attach Recent Photograph*Max. file size: 8 MB.T-Shirt size:* Are you interested in a Vision and Call Position?* Yes No Unsure This would give you the opportunity to attend the Vision and Call retreat (October 7-9th, 2022).What excites you about joining the Summer Studio team?*What are some challenges you foresee in joining the Summer Studio team, if any?*In what ways do you see your calling and vocation combined?*How do you anticipate this internship experience helping you consider your long-term vocational direction?*How do you anticipate this internship experience helping you determine your graduate study or immediate career path?*AttachmentsResume*Max. file size: 10 MB.Portfolio/Work ExamplesMax. file size: 10 MB.10MB MaximumCover LetterMax. file size: 10 MB.GPA* ReferencesName of Pastor/Mentor* Relationship to applicant* Email* Phone* Name of Employer/Professor* Relationship to applicant* Email* Phone* Church BackgroundChurch Denomination/Affiliation* Name of Pastor/Priest* Church Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please briefly describe your faith journey:100 Fold Studio Statement of Faith 1. We believe the Bible to be the inspired and authoritative Word of God. (II Timothy 3:16) 2. We believe that there is one God, the creator of the universe, eternally existent in three persons: Father, Son, and Holy Spirit. (I John 5:6-8) 3. We believe in the deity of our Lord Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection, in His ascension to the right hand of the Father, and in His imminent and personal return in power and glory. (John 3:16; I Corinthians 15:3-4; I Peter 2:18-24) 4. We believe the Holy Spirit is a gift from God as promised by the Lord Jesus Christ to those who believe. The Holy Spirit brings about the conviction of sin and the new birth, bears witness of our adoption, and is the power behind Christian growth and ministry. (Matthew 3:11; John 14:16-17; John 16:5-15; Acts 1:8; Acts 2:4, 38-39; Acts 19:1-7; I Corinthians 12:7-11) 5. We believe that all people are lost and guilty of sin. Jesus Christ is the only mediator between God and people. Salvation is brought about, not by works, but by faith in the work of Jesus Christ on the cross as a sacrifice for the sins of the world. (Romans 3:21-30; Galatians 4:4-7; Ephesians 2:8-9; I Thessalonians 4:13-18; Revelation 22:20) 6. We believe in the resurrection of everyone, both the saved and the lost; the saved unto the resurrection of life, and the lost unto eternal judgment. (John 5:24, 28, 29) 7. We believe the Church is at the very center of God's cosmic purpose and represents the Body of Christ on earth. We believe all Christians should participate in a local church. (Matthew 28:19,20; Acts 1:8; Ephesians 3:9-11; I Corinthians 12:27) 8. We believe that God wonderfully creates each person male or female and that these two distinct, complementary genders together reflect the image and nature of God and are God’s unique plan to help multiply and fill the earth. (Psalm 139, Genesis 1:27-28) 9. We believe marriage is a reflection of Christ and the church and that marriage is between a man and a woman. We believe that God intended all sexual relations to be exclusively in the context of marriage. (Ephesians 5:31-32) 10. We believe all Christians should endeavor to fulfill the Great Commission. The Lord Jesus Christ commanded all believers to proclaim the gospel throughout the world and to disciple people from every nation. (Matthew 28)I have read and agreed to comply and exemplify 100 Fold Studio's Statement of Faith in my life and work as a employee of 100 Fold Studio. Yes No If no, please describe why so that we can discuss with you:* Medical InformationDocumentation of TB Skin TestMax. file size: 8 MB.Immunization RecordMax. file size: 8 MB.Do you require any special diet considerations?* Yes No Please list:*Do you have medical insurance?* Yes No Name of Insurance Company* Are you insured under a parent or guardian's plan?* Yes No Check if you have had any of the following:* Skin Condition Head Injury Fainting Spells Paralysis Hay Fever Low Blood Pressure Tumor/Cancer Stomach/Duodenal Ulcers Hepatitis Diabetes Anemia Eye Trouble Recurrent Headaches Mental/Nervous Disorders Insomnia Venereal Disease Rheumatism/Arthritis Dislocation of Joints Gall bladder Problem Intestinal Troubles Heart Disease Asthma Ear Touble Epilepsy Weakness Shortness of Breath High Blood Pressure Back Problems Broken Bones Jaundice Recurrent Diarrhea Kidney Disease Irregular Periods Severe Cramps Excessive Flow Currently Pregnant Previous Pregnancies None of the Above Please list any allergies you have:*Have you been tested for HIV?* Yes No Results of HIV test:* Positive Negative Please list past surgeries, if any: (type of surgery, date, and outcome/long-term effects)*Please list conditions that you are currently under a doctor's care for, if any:*Please list any prescription medications you are currently taking, if any:*Do you have any physical handicaps?* Yes No Please describe:*Do you have an eating disorder/history of an eating disorder?* Yes No Please describe:*Name of Emergency Contact: Relation to Emergency Contact: Phone Number of Emergency Contact: Liability ReleaseI hereby release 100 Fold Studio, Youth With A Mission, its agents, employees, and volunteer assistants from any liability whatsoever arising out of any injury, damage, or loss which might be sustained by said person during the course of involvement with 100 Fold Studio and/or Youth With A Mission.AuthorizationI hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law. Background Check ConsentI hereby authorize 100 Fold Studio to obtain a state criminal history background check. This information will be used for the purpose of determining eligibility to serve with 100 Fold Studio. I understand that an offer to serve with 100 Fold Studio may be determined based on the results of the background check. I understand that I have the right to contest and correct any information on the criminal background check that is inaccurate. I understand that any revocation of this authorization may result in my ineligibility to serve with 100 Fold Studio. I have carefully read and understand this Background Check Disclosure and Authorization and, by signing below. I authorize 100 Fold Studio to perform background checks. Sign Below: By signing here, I confirm that I have read and agree to the above statements. I am also confirming that the contents of this application are correct to the best of my knowledge. Δ