Louisiana District Sunday School
S.A.L.T. Application 2008
(PLEASE PRINT CLEARLY & YOU MAY USE A BLANK PIECE OF PAPER TO
Phone Numbers __________________Home ___________________Cell
Age ___________ Birthday____________________ Sex_______________
Are you employed?____________________________________________
If so, by whom?______________________________________________
Education: ___High School ___College ___Bible College ___POA Intern
Pastor’s Name________________________ Phone Number____________
Are you willing to speak in front of a group of kids?___________________
List any experience you have in working with children_________________
Are you willing to abide by the rules of the camp and to obey staff at all
Please enclose $15.00 check or money order payable to LA Dist
UPC to help cover SALT expenses
My signature confirms that I have read all the information enclosed, I
have filled in all information correctly; and I understand it and agree to
abide by all the policies set forth.
Signature: ____________________________ Date: _______________
Student Action Leadership Team
Volunteer Student Worker Application - 2008
The S.A.L.T. program is made up of select individuals (ages 16-25) who volunteer
themselves for one week of ministry to children during the annual LA District Kids
Camp. The camp dates are Monday thru Thursday, June 2-5, 2008. You must be able to
attend training sessions on Sunday, June 1 at 4:00pm and Monday morning, June 2
and stay until Friday afternoon, June 8. You will receive invaluable leadership training
by some of the most qualified instructors among us. Plus, you will have the unique joy of
having touched the lives of children in ways that will impact them for life. This camp is
all about serving kids. We must have a safe and secure campus for all children.
We are looking for “choice” individuals. You will be held to the highest standards of
loyalty, honesty, trust, and true Christianity! You must fill out the enclosed
questionnaires and have your pastor’s recommendation.
As a SALT volunteer, you will be provided a place to stay and meals. There is no other
remuneration than the satisfaction of serving God through ministry to children.
THE PROCESS FOR SELECTION IS AS FOLLOWS:
Complete both applications. One is your general information and the other is
confidential. (To be read only by the coordinator and Sunday School Director).
The application MUST have your signature AND your pastor’s signature.
Attach a recent photo of yourself and a copy of birth certificate or driver’s license.
On a separate sheet of paper, please list 3 references (name, address, phone
number) that are not relatives.
Mail your application to Alan Skluzacek by April 23, 2008. (Only 75 will be
accepted, no late applications will be considered.)
The District Sunday School Department will approve all selections.
If you are chosen, you will be notified.
Cost is $15.00 to cover SALT expenses.
Camp Salt Coordinator: Alan Skluzacek
3020 Madonna Dr.
Alexandria, LA 71301
FAX 318-445-5406 (attn. Al Sklu)
As a caretaker of children, the Louisiana District Sunday School Department has the
responsibility to provide a safe and secure environment for the children who participate
in our programs. The following questions are necessary but are not intended to
embarrass or offend anyone. Answering “yes” to any question does not automatically
disqualify you from this position.
Driver’s License Number____________________________________________________
Have you been arrested?_________________ Been Convicted? ____________________
Plead guilty to a crime?_________________ Explain_____________________________
Have you ever been dismissed from working with children as a paid worker or
If so, explain_____________________________________________________________
Have you had psychotherapy or counseling?____________________________________
Do you use drugs, tobacco, and alcohol, of any kind?_____________________________
Do you have any health problems or handicaps?_________________________________
Do you have infectious diseases?_____________________________________________
Have you suffered abuse or molestation? ______________________________________
Have you been involved in cult or occult activities? (Psychics, horoscopes, etc.)________
As an applicant for SALT, I recognize, understand and adhere to the moral and ethical
standards and mandates of said ministry. I further declare that with regard to my
personal, moral, and ethical character and conduct, as of this date, I am not, nor have
been in the past, engaged in inappropriate conduct. Inappropriate conduct includes
the following: verbal, physical, or sexual abuse as defined by State law, or
homosexuality as defined by Scripture. By affixing my signature, I declare that I
meet the moral and ethical standards of the United Pentecostal Church.
Name: __________________________________________ Date: ____________
As the pastor of ______________, I can recommend him/her for this position. I feel
that this person is of the highest morality and integrity and can be trusted to work
Pastor: _____________________________________________ Date: _______________________