Wufoo

Teen Staff Application

Tell us all about you!

Name * First Last
Birthdate MM / DD / YYYY
Age
Current Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Please list your current mailing address
Home Phone ### - ### - ####
Cell Phone ### - ### - ####
Email *

Please list the email that you check the most often
Gender
Male Female
T-shirt Size
How did you hear about Canby Grove?
Type of Service

Which position are you applying for? Please rank choices in order of what position you prefer.
Availability

What dates are you available this summer? Only Day Camp and Family Camps are listed because Juniors and Adventure Camps will be going during Day Camp weeks, and we will assume you are available for thos camps as well.
Check all that you are available for:
June 22-26, Day Camp 1 June 28-July 3, Day Camp 2 July 8-10, Day Camp 3 July 12-17, Family Camp July 20-24, Day Camp 4 July 27-31 Day Camp 5 August 3-7, Day Camp 6 August 10-14, Day Camp 7
Church Information

Please list your church information here.
Current Church

What church are you currently attending?
City

Where is your current church located?
Phone ### - ### - ####
What's the phone number for your current church?
How often do you attend church?
Pastor's Name

What is the name of the pastor at your current church?
Youth Pastor's Name

What is the name of your youth pastor?
Work Phone ### - ### - ####
What is the phone number for your Youth Pastor/College Pastor?
Education Record
School you attend
Highest Grade Completed (e.g. 8th Grade)
Other School
Highest Grade Completed
Work Experience

If you have any camp experience please list that first, then list other recent jobs you have held.
Camp/Employer One

List any camp you have worked for, or your most recent employer
Position, Duties and Dates

Please list the position you held for this employer, your duties, and the dates you were employed.
Supervisor Name and Phone Number

Who was your direct supervisor for this employer?
Employer Two
Position, Duties and Dates

Please list the position you held for this employer, your duties, and the dates you were employed.
Supervisor Name and Phone Number

Who was your direct supervisor for this employer?
Purpose
Describe briefly your reasons for applying to serve at Canby Grove this summer.
What are you looking forward to the most about serving at Canby Grove?
Digging a Little Deeper
What is one of your strengths or something you are very good at AND what is one area where you are trying to improve right now?
What do you enjoy doing in your spare time? What do you enjoy doing with your friends for fun?
Christian Experience
If you have made a personal commitment to Christ, briefly describe when and why you became a Christian.
Who is Jesus Christ to you? Describe your relationship to Him as it stands today.
Christian Life and Ministry
How do you know that you have been growing in your faith in the past year?
What things do you do in order to grow in your relationship with God?
What experience do you have working with children (any age)?
Teen Staff Team Commitment

I understand as a Teen Staff member I agree as follows:
1. I will support in good spirit the ministry of Canby Grove.
2. I will welcome instruction and seek to benefit from it.
3. I will seek to be a good example and a strong Christian witness to all campers and staff.
4. I will be willing to perform ordinary tasks with a servant's heart.
5. I will be willing to go above and beyond the call of duty to the betterment of the camp program and myself.
6.If I commit to help out at a certain camp, I will honor that commitmen.
7. I will seek to be a positive contributing member of the staff team, helping to build unity and support each fellow staff membe.
8. I understand that I am committing to volunteer my time while at Canby Grove.
Please type your name for an online signature: *

Please type your name as a legal online signature attesting that you have read the above commitment.
References

Please have one of your parents or someone close to you that is at least 21 years of age fill out the reference form that you will be emailed once you finish this application.
Reference Name *
Relationship to You *
Phone Number of Reference ### - ### - ####
Do Not Fill This Out
Do Not Fill This Out

Wufoo

Teen Staff Application

Type of Service

Availability

Church Information

Education Record

Work Experience

Purpose

Digging a Little Deeper

Christian Experience

Christian Life and Ministry

Teen Staff Team Commitment

References