<p> 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</p><p>Date: ______</p><p>Please use your best printing to make application easier to read (you may type it). </p><p>Answer all questions to the best of your ability (note there are 5 pages).</p><p>What position are you applying to? Name: ______Senior Counselor ______Nickname: ______Squad 0 Senior Counselor ______Both ______Date of Birth (mm/dd/19yy) ______</p><p>Emergency Contact? Name: ______Relationship: ______Phone number: ______</p><p>Home Address (Summer/Rochester area)</p><p>______</p><p>______</p><p>______</p><p>Phone number at above address: #______</p><p>Cell Phone Number: #______Emergency Number: # ______Name: ______Email Address (which you check regularly) ______</p><p>College Address (if applicable) ______</p><p>______</p><p>______</p><p>______</p><p>When will your semester end/when can you be reached at your Rochester area address? </p><p>______</p><p>Circle Class: FR SO JR SR GR / full time or part time student (College or High School)</p><p>Major or Intended Major: ______</p><p>Name and address and phone number of your current work place </p><p>______</p><p>______</p><p>______</p><p>May we contact them? YES or NO</p><p>Have you ever been convicted of a crime? If so, what? ______</p><p>(Required by state to ask this question)</p><p>Who introduced you to Summer’s Best? ______</p><p>What church do you presently attend? ______</p><p>Tell us about any experiences you have working with kids.______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>Describe your involvement with fellowship, ministries, or bible studies. ______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>How do you feel about teaching bible study?______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>What would you consider to be some of your strengths?______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>What would you consider to be some of your weaknesses?______</p><p>______</p><p>______</p><p>______</p><p>______Describe a situation in which you have taken leadership.______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>How and when did you become a Christian and follower of Jesus Christ?______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>Age Group you would like to work with: 4/5 6/7 8/9 10/11 Doesn’t Matter </p><p>Activity skill level: “1” can lead, “2” can assist, “3” interest but no experience</p><p>Balance beam _____ Tennis___, Tumbling___, Wrestling___, Basketball___, </p><p>Baseball/Softball___, Football___, Soccer:___, Volleyball:___, Swimming:____, </p><p>Canoeing: ____, Track: 50 yd Dash: ____, Broad Jump: ____, Long Jump: ____, </p><p>High Jump: ____, Archery: ____, Referee: ____, Coaching: ____, Nature____, </p><p>Arts/Crafts_____, Drama: ____, Bible Study____ Music experience: guitar______, bugle______, voice______, keyboard______, other______</p><p>Describe your swimming ability: Excellent Good Fair Non-Swimmer</p><p>Certification: Do you hold current cards in CPR, First Aid, WSI, Life Guard, or Archery? </p><p>If so what are the expiration dates of these cards: </p><p>CPR:______, First Aid: ______Life Guard:______, </p><p>WSI:______, Archery:______</p><p>(Please make a copy of your card and send it in with your application)</p><p>Eagle Scout or silver/gold award- date received ______</p><p>Summer’s Best 2013 Required Dates Camp: July 8th-12th 2016 Training: July 7th 2016</p><p>Applicant signature: </p><p>______Print:______</p><p>Date: ______</p><p>(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 </p><p>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)</p>