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Junior Counselor/Work Crew Application

SUMMER’S BEST of Irond.

JUNIOR COUNSELOR/

APPLICATIONWORK CREW

 

Send To: 

Summer’s Best

Vineyard Church of Irondequoit

2150 Portland Ave.

Rochester, NY 14617

 

DATE: ______________

Please use your best printing to make application easier to read (you may type it).

Answer all questions to the best of your ability (note there are 5 pages).

 

Home Address (Summer/Rochester area)

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Cell Phone Number: #______________________

Emergency #____________________ Name: ___________________________________

 

Email Address (which you check regularly) _______________________________________

 

Circle year:  9th   10th   11th   12th   GR

Name and address and phone number of your current work place (if applicable)

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May we contact them?   YES or NO

 

Have you ever been convicted of a crime?   If so, what? _____________________________

(Required by state to ask this question)

 

Who introduced you to Summer’s Best? __________________________________________

 

What church do you presently attend? __________________________________________

Are you involved with a Youth Group?  YES   NO    If YES, where? ______________________

 

Youth leaders name and phone number __________________________________________

 

Tell us about any experiences you have working with kids. ____________________________

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Describe your involvement with fellowship, ministries, or bible studies.__________________

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How do you feel about teaching bible study?______________________________________

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What would you consider to be some of your strengths?_____________________________

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What would you consider to be some of your weaknesses?____________________________

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Describe a situation in which you have taken leadership._____________________________

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How and when did you become a Christian and follower of Jesus Christ? _________________

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Age Group you would like to work with:  4/5    6/7    8/9    10/11    Work Crew

(We will try to accommodate your request as best we can but you may serve in a different area than requested)

Activity skill level: “1” can lead,   “2” can assist, “3” interest but no experience

 

Balance beam _____ Tennis___, Tumbling___, Wrestling___, Basketball___, Baseball/Softball___, Football___, Soccer:___, Volleyball:___, Swimming:____,

Canoeing: ____, Track: 50 yd Dash: ____, Broad Jump: ____, Long Jump: ____,

High Jump: ____, Archery: ____, Referee: ____, Nature____, Arts/Crafts_____,

Bible Study____

 

Music experience:  guitar_______, voice________, keyboard__________, other___________________________________________________________________

 

Certification: Do you hold current cards in CPR, First Aid, WSI? If so what are the expiration dates of these cards:  CPR_____________, First Aid _____________ WSI______________,

(Please make a copy of your card and send it in with your application)

Eagle Scout or silver/gold award- date received __________

 

Summer’s Best 2016

Required Dates:

*Training: August 7th 2016

*Camp: August 8th-12th 2016

 

 

 

Applicant signature: _________________________________________

Printed Name: ______________________________________________

Date: _________________     (By signing this I am committing myself to serving at SUMMER’s BEST at the Vineyard Church of Irondequoit from August 8-12, I will be attending the training on August 7, I will follow the rules of SUMMER’s BEST, and take seriously the responsibilities entrusted to me over the children of camp.  I understand that I can be let go if I fail to follow camp rules or endanger the welfare of the children.)

 

*T-SHIRT SIZE:      XS   S  M   L    XL (Youth or Adult)