Counselor/CCA Application  

Please read the entire application before starting.
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Biographical Information
* First Name
* Last Name
Street Address/P.O.Box
City
State
Zip
Phone
* Email
Gender


Age
Grade in fall?
Birth date   [dd-MMM-yyyy]
Parent/Guardian
First Name
Last Name
Relationship to you?

If you address is changing after June. Please give
us your summer address.

Street Address/P.O. Box
City
State
Zip
Phone
Have you ever been convicted of a felony involving a minor?


Are you in good health?


PLEASE NOTE: SMOKING is not permitted while at Calvin Crest.
Physical Handicaps/Chronic Ailments?
Have you been to Calvin Crest before?


Most recent year?
Indicate number of year(s) as a Camper
Indicate number of year(s) as AIMer
Have you been a counselor before?


When and where have you counseled?
Have you been a CCA before?


When and where have to been a CCA?
Do you know anyone currently on staff?


If "yes", whom?
What other camp or conference experience have you had?
CHURCH AFFILIATON
Name of church you attend
What programs do you attend?
How often do you attend?
Pastor's First Name
Pastor's Last Name
Church Street Address
City
State
Zip
Have you held any form of leadership?


If "yes" please describe

REFERENCES

1. First Name
Last Name
Relationship
* Ref 1 Email
2. First Name
Last Name
Relationship
* Ref 2 Email
In Your Own Words:
Are you a Christian?


Explain the Gospel of Jesus Christ
Why do you want to be counselor/CCA?
What are characteristics of a good counselor/CCA?
What experience do you have working with the age you'll be working with?
How many weeks would you like to counsel?
If you only want to do one week, please give us
your choices below.
First Choice
Second Choice
Third Choice
If you can do multiple weeks, please select






















PLEASE READ CAREFULLY

I UNDERSTAND that as a volunteer at Calvin Crest,
I will be under the direct supervision of the staff
person(s) assigned.

I WILL ACCOMPLISH my particular daily assignment and
and participate in the programmed group Bible studies and
activities, practicing a positive attitude toward my work and
persons with whom I serve.

I HAVE READ AND WILL ABIDE by the guidlines and expectations
set forth in the Volunteer Counselor Manual/CCA Guidelines, and will
cooperate with whom I serve.
I WLL ASSUME responsibility for my personal appearance and
actions and realize that if my work or behavior is unsatisfactory,
I may be separated from the program.
I WILL BE OF SERVICE in any way I can, and in whatever
I do, I will work toward the achievement of the purpose of
Calvin Crest:
"To serve as a witness to the love of Jesus Christ
and to guide persons to Him, so that they may
live and grow as His disiciples through the fellowship
of the Church."
*
Date   [dd-MMM-yyyy]
*
  

 
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