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Personal Information
Personal History
Are you physically able to perform the essential functions of the position you are applying for?
If No, please explain below.
Have you ever been denied the opportunity to work with children in any capacity?
If yes, please explain below.
Do you have any prior experience related to abuse, neglect, or abandonment?
If Yes, please explain below.
Have you ever been arrested for a criminal offense, sexual misconduct, or taking non-prescription drugs?
If Yes, please explain below.
Do you have any training/background with abused, neglected, or abandoned children?
Have you ever attended or visited Covenant Cedars?
Which of the following have you obtained?
If you have not completed your education yet simply put today's date as your completion date
This could include, but is not limited to; church youth leader, coach, student teacher, previous camp employment, dorm resident assistant, Scouts, Awana, etc.
Please include name of organization, position you served, dates of service, age of group served, supervisor, supervisor phone # and your basic responsibilities
This could include, First Aid, CPR, Lifeguard, or any other certification you may think would be helpful in a camp setting
Personal Testimony
Is Jesus Christ your Lord and Savior?
References and Preferences

We require two references from your choice of the following categories: Employer, Teacher, Pastor, and a Christian Worker. (Please include their name, their e-mail address, and their phone number.)

Reference #1
Reference #2
Position Preferences
First Preference
Second Preferance
Counselor Training Weekend

You must attend only ONE of the following training weekends.

First Preference
Second Preference
Check all dates that you plan to volunteer:

Volunteer counselors must be of the following age minimums to counsel:  

15 for Pathfinder, 16 for Trailblazer, 17 for Explorer, 18 for Junior High, and 18+ for Senior High.

Additional Information
Please Select your T-Shirt size
Summer Staff t-shirts tend to shrink. Sizes listed are adult sizes.
Commitment of Honesty
By clicking yes, I hereby signify the above information is true and accurate to the best of my knowledge. I also agree to participate in any and all training provided by Covenant Cedars.