SUMMER S BEST of Irond

SUMMER’S BEST of Irond. SENIOR COUNSELOR APPLICATION ii workwork for the Send To: for the Summer’s Best Lord!Lord! 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? Name: ______Senior Counselor ______Nickname: ______Squad 0 Senior Counselor ______Both ______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?

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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 2013 Required Dates Camp: July 8th-12th 2016 Training: July 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 July 8-12, will be attending the training on July 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)