SUMMER’S BEST of Irond.

SENIOR COUNSELOR

APPLICATION

 

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).

What position are you applying to?

Senior Counselor ________

Squad 0 Senior Counselor ________

Both _________

 

 

 

Name: __________________________________________

 

Nickname: _______________________________________

 

Date of Birth (mm/dd/19yy) __________________________

 

Emergency Contact?  Name: ________________________

Relationship: ________________________

Phone number: ________________________

 

Home Address (Summer/Rochester area)

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Phone number at above address: #___________________________

Cell Phone Number: #______________________

Emergency Number: # _____________________ Name: ___________________________

 

Email Address (which you check regularly) ______________________________________

 

College Address (if applicable) _______________________________________________

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When will your semester end/when can you be reached at your Rochester area address? _______________________________________________________________________

Circle Class:  FR   SO   JR   SR   GR   / full time or part time student (College or High School)

Major or Intended Major: ___________________________________________________

Name and address and phone number of your current work place

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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? __________________________________________

 

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  Doesn’t Matter

 

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: ____, Coaching: ____, Nature____, Arts/Crafts_____, Drama: ____, Bible Study____

Music experience:  guitar_______, bugle_______, voice________, keyboard_________, other___________________________________________________________________

 

Describe your swimming ability:  Excellent Good    Fair   Non-Swimmer

 

Certification: Do you hold current cards in CPR, First Aid, WSI, Life Guard, or Archery?

If so what are the expiration dates of these cards:

CPR:_____________, First Aid: _____________ Life Guard:______________,   WSI:______________, Archery:_________________

(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

Camp: August 8th-12th 2016
Training:
August 7th 2016

 

Applicant signature: _________________________________Print:___________________

Date: _________________

(By signing this I am committing myself to serving at SUMMER’s BEST at the Vineyard Church of Irondequoit from August 8-12, will be attending the training on August 7, 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)

 

 

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