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Summer Staff
LIT
Volunteer Counselors
Internships
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
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Day
/
Year
Marital Status (Required)
Marital Status (Required)
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Select...
Single
Married
Divorced
Parent/Guardian Name
P E R S O N A L H I S T O R Y
Are you physically able to perform the essential functions of the position you are applying for?
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:
Do you have any prior experience related to abuse, neglect, or abandonment?
Yes
No
If yes, please explain:
Have you ever been arrested for a criminal offense, sexual misconduct, or taking non-prescription drugs?
Yes
No
If yes, please explain:
Do you have any training/background with abused, neglected, or abandoned children?
Yes
No
If yes, please explain:
Have you ever attended or visited Covenant Cedars Bible Camp?
Yes
No
If yes, please explain:
Which of the following have you obtained?
High School Diploma
General Education Development
None
Name of High School
High school graduation
Month
January
February
March
April
May
June
July
August
September
October
November
December
Month
/
Day
1
2
3
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5
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Day
/
Year
When did you start/finish college?
Start Date
–
End Date
Names of Colleges, Universities, Technical Schools
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Field(s) of Study
Degree(s) Received
Camp and Ministry Experience
List most recent involvement first: Experience #1: (Name of Organization) (Dates of Service) (Supervisor Name) (Supervisor Phone Number) (Basic Responsibilities) Experience #2: (Name of Organization) (Dates of Service) (Supervisor Name) (Supervisor Phone Number) (Basic Responsibilities) Experience #3: (Name of Organization) (Dates of Service) (Supervisor Name) (Supervisor Phone Number) (Basic Responsibilities)
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. Give a brief testimony of how you came to know Christ (Required)
2. How would you describe the gospel to a camper? (Required)
3. What is your theology of scripture? How does this inform your faith and life? (Required)
4. How do you carry out the whole mission of the Church inside and outside of camp? (Required)
5. What does it mean to live by a conscious dependence of the Holy Spirit? (Required)
6. How would you describe freedom in Christ? (Required)
7. Describe your theological perspective on gender. (Required)
8. Describe your theological perspective on human sexuality. (Required)
9. What are you doing to deepen you relationship with Christ? (Required)
10. What makes a good camp counselor? (Required)
11. Who has been a good mentor to you? What makes them special? (Required)
12. In what areas do you see yourself becoming more like Christ? (Required)
13. In what areas do you see yourself struggle to be more like Christ? (Required)
14. How will you make a good camp experience/cabin environment for your campers? (Required)
R E F E R E N C E S
Pastor Name (Required)
Phone (Required)
E-mail Address (Required)
Employer or Supervisor Name (Required)
Phone (Required)
E-mail Address (Required)
T R A I N I N G D A T E S
Please pick one (Required)
Attendance at ONE training is mandatory for all counselors:
Please pick one (Required)
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Saturday, March 8 - First Covenant Church / Salina, KS
Saturday, April 5 - First Covenant Church / Omaha, NE
Saturday, April 12 - Covenant Cedars Bible Camp / Hordville, NE
C A M P D A T E S
Check all dates that you plan to volunteer:
Pathfinder (1st-2nd): June 14-15, 2025
Trailblazer (3rd-4th): June 22-25, 2025
Explorer (5th-6th): June 15-20, 2025
Jr. High (7th-8th): June 29-July 4, 2025
Sr. High (9th-12th): July 6-July 11, 2025
Age Requirement: Pathfinder - 15 yrs, Trailblazer - 16 yrs, Explorer - 17 yrs, Jr. & Sr. High - 18 yrs+
Commitment of Honesty
I signify the above information is true and accurate to my knowledge