Enter Date*

(YYYY-MM-DD format)

First Name*

Last Name*

Preferred Name

Address*

City*

State*

---AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming

Zip Code*

Your Email*

Is email a reliable way to contact you?

---YesNo

We will primarily use email to correspond with you. Plase make sure we are on your safe senders list. All our correspondence will come from the following e-mail address: fuller@dfocus.org

Current Phone*

Permanent Address

Permanent City

Permanent State

---AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming

Permanent Zip Code

Permanent Phone

Other Email

Home City

Home State

---AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming

Age

Birthdate

(YYYY-MM-DD format)

Gender

---MaleFemale

Date Graduated from High School

(YYYY-MM-DD format)

College

Class Next Year

---FreshmanSophomoreJuniorSeniorGraduate SchoolNot in School (Graduated)Not in School (Have Not Graduated)

Major

Career Leading

Shirt Size

---Youth LAdult SAdult MAdult LAdult XLAdult XXLAdult XXXL

Preferred Location

---TennesseeMissouriEither

Why This Location?

1. Please tell us in detail about the following things:

a. How your year has been both spiritually and otherwise.

b. Any areas in which you are currently struggling.

c. Why you want to return.

d. What your expectations and goals for the summer are.

2. Do you think you might bring a car?

---YesNo

3. Did you send in a rehire letter?

---YesNo

If you did and want to return to your previous job, please call your lead or manager and tell them approximately when you will arrive. If you are returning to Silver Dollar City, sent in a rehire letter and wish to transfer, please call Silver Dollar City's Human Resources at (417) 338-8122 . Tell them you will be returning, approximately when, and that you would like to transfer. (Leave a message on answering machine.) If you are returning to Dollywood, please call or email Shanna Fuller ( 865-428-4011 , fuller@dfocus.org) and tell her you would like to transfer. If you did not send in a rehire letter, please call Silver Dollar City's Human Resources or Shanna Fuller as listed above. Let them know you are coming but did not send a rehire letter, when you will arrive, and that you would either like to return to your job if possible or that you would like to transfer. (Leave a message on answering machine.)

4. Do you have any Young Life camp assignments or other commitments you must keep during the program period?

5. Room Cleanliness (We can't guarantee anything!)

---Like Neat RoomLike Messy RoomDon't Care

6. Do you agree to keep the commitments asked for?

---YesNo

I am willing to keep the following commitments:

a) I will stay for the entire length of the program, unless I prearrange a short leave for school or Young Life reasons. If I have to miss any of the program, I will keep up with the required study.

b) I will attend and be on time to all required meetings, and other functions.

c) I will submit to the program leadership and those in authority at work.

d) I will read the chapter(s) assigned each week, write out answers to the questions, and come prepared to small group discussion meetings.

e) I will spend regular one-on-one time with the leadership.

f) I will work willingly, cheerfully, and to the best of my ability at whatever job I am assigned. I will be at work each scheduled day, unless legitimately sick, be on time, and submit to the authority and regulations of leads and supervisors.

g) I will make every effort to develop closeness and unity with my cabinmates, be open and available to friendships with the entire community, include others in activities and avoid "cliques".

h) I will refrain from the use of tobacco, alcohol, and drugs, the entire time you are living at either property-before, during, or after program.

i) I will be "non-exclusive" and "non-physical" in relationships, both within and outside the program, as outlined in the commitments section.

j) I will be in my own cabin and in my own bunk by the designated curfew times.

Signed* (note, this qualifies as a digital signature):

Please leave this field empty.