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 Home > Elrod Center

 

APPLICATION FOR SPRING BREAK ENRICHMENT CAMP

Please fill out the form below and them push the "submit" button to have the information submitted to the Elrod Center via e-mail.  If you would rather fill out a paper copy, you may pick one up from the Elrod Center.

Name:
OBU Box:
OBU Phone:
Classification:
Major(s):
Minor(s):
Social Security Number:
GPA (must be 2.0 or higher):
E-mail address:

List previous experience you've had with children
(mission trips, tutoring, volunteer work of any kind).

 

Please tell us the main reasons why you are applying for this opportunity.

 

Do you use tobacco?
Do you drink alcohol?
Have you every been convicted of or pleaded guilty to a crime?
Are you on regular medication?

Once you submit this form, you will be mailed 3 reference forms for you to have a faculty member, a peer, and a person of your choice fill out.  You will also be sent a health form and a release of liability form.  When you return these forms, please also submit a photo of yourself.

Thank you very much!

 

 
 

Ouachita Baptist University • Ben M. Elrod Center for Family & Community 
410 Ouachita St. • OBU Box 3783 • Arkadelphia, AR 71998
Phone (870) 245-5320 • Fax (870) 245-5325