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Summer Staff
LIT
Volunteer Counselors
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P E R S O N A L I N F O
Full Name (Required)
Gender
Male
Female
Address (Line 1) (Required)
City (Required)
State (Required)
Zip (Required)
Phone (Required)
Email (Required)
Shirt Size
S
M
L
XL
2XL
3XL
Birthdate
Month
January
February
March
April
May
June
July
August
September
October
November
December
Month
/
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
/
Year
Marital Status (Required)
Marital Status (Required)
-----
Select...
Single
Married
Divorced
Parent/Guardian Name
Parent/Guardian Phone (Required)
Are you authorized to work in the U.S.?
Yes
No
If no, what certification do you have to work in the U.S.?
P E R S O N A L H I S T O R Y
Are there any limitations to your physical ability that we need to be made aware?
Yes
No
Do you have any prior experience related to abuse, neglect or abandonment?
Yes
No
If yes, please explain:
Have you ever been denied the opportunity to work with children in any capacity?
Yes
No
If yes, please explain:
Have you ever been arrested for or charged with any criminal offense including but not limited to sexual crimes, violent crimes, or a drug and alcohol related crimes?
Yes
No
If yes, please explain:
Which of the following have you obtained?
High School Diploma
General Education Development
None
Name of High School (Required)
Graduation
Month
January
February
March
April
May
June
July
August
September
October
November
December
Month
/
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
/
Year
When did you start/finish college?
Start Date
–
End Date
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Names of colleges, universities, technical schools
Field(s) of Study
Degree(s) Received
List Certifications (First Aid, CPR, Lifeguard, AED, etc.)
C H R I S T I A N F O R M A T I O N
Fill out responses in Word before submitting; answers may not be saved if the page times out
Is Jesus Christ your Lord and Savior?
Yes
No
1. How did you come to know Christ? How has that affected your life? (Required)
2. How would you share the gospel with a camper? (Required)
3. What ministries are you involved in? What are you doing to depend your relationship with Christ? (Required)
4. What makes you excited to work at camp again? What would you like to see change? (Required)
5. How do you want to see yourself grow? What makes you a good fit? (Required)
E X P E R I E N C E
Church Name
How long have you attended this church?
R E F E R E N C E
Full Name (Required)
Please provide one new reference from the past year.
Phone (Required)
Email Address (Required)
I N T E R E S T E D P O S I T I O N S
First Preference (Required)
First Preference (Required)
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Activities Crew
Activities Crew Lead
Facilities Crew
Food Service Assistant
Game Coordinator
Guest Service Assistant
Maintenance
Media Coordinator
Summer Program Lead
Second Preference (Required)
Second Preference (Required)
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Activities Crew
Activities Crew Lead
Facilities Crew
Food Service Assistant
Game Coordinator
Guest Service Assistant
Maintenance
Media Coordinator
Summer Program Lead
Third Preference (Required)
Third Preference (Required)
-----
Activities Crew
Activities Crew Lead
Facilities Crew
Food Service Assistant
Game Coordinator
Guest Service Assistant
Maintenance
Media Coordinator
Summer Program Lead
Dates of Availabilty
Summer begins on May 17, 2025, and summer ends on August 3, 2025
Start Date
–
End Date
Commitment of Honesty
I signify the above information is true and accurate to the best of my knowledge