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Returning Summer Staff Application
For more information about Cedine, email us at garry@cedine.org or visit
https://www.cedine.org/
After completing this form, please submit references using these links below:
Christian Character Reference
- (Can be filled out by a friend or ministry leader)
Pastoral Reference
Work Reference
Academic Reference
(For College Students)
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* Indicates required question
Name
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Your answer
Sex
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Male
Female
Date f Birth
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MM
/
DD
/
YYYY
Address
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Your answer
Phone Number
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Your answer
Email
*
Your answer
Marital Status
*
Married
Single
Divorce
Separated
Emergency Contact (Name, number, address, relationship to you)
*
Your answer
Church (Name, address, number, Pastor)
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Your answer
Church you attend (if different from above)
Your answer
What is your main reason for applying to Cedine?
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Your answer
What position do you desire?
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Counselor
Food Service
Activity Instructor
Office
Nurse
Other
Dates Available?
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Your answer
Shirt size?
*
XS
S
M
L
XL
2L
3XL
4XL
Highest level of education completed?
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Your answer
Have you read and do you agree with Cedine’s doctrinal statement? (included in the Counselor’s Manual)
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Yes
No
Are you sure you are saved?
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Yes
No
Could you lose your salvation? If so, under what circumstances?
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Your answer
Do you have a daily Bible reading and prayer time?
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Yes
No
Have you change in any of your beliefs or practices in the last year? If yes, in what areas?
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Your answer
Have you ever been convicted of or pleaded guilty to a crime (Major or minor)? If yes, explain.
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Your answer
List youth work in which you have been involved in the last year. Include the name and address of the church or other organization where the work was performed.
Your answer
*
1
2
3
Archery
Softball
Canoeing
Hiking
Horseback Riding
Riflery
Biking
Crafts
Basketball
Music
Fishing
Water Skiing
Volleyball
Program
1
2
3
Archery
Softball
Canoeing
Hiking
Horseback Riding
Riflery
Biking
Crafts
Basketball
Music
Fishing
Water Skiing
Volleyball
Program
Please list any certifications, talents or skills God has given you.
*
Your answer
Because this is a mission program the camp fees are set to cover only food, lodging and other benefits, but no salaries. Summer staff over 18 years old serving all summer who are in need of assistance may receive money from the summer staff fund as available. This fund is made up of gifts from churches and individuals interested in this ministry.
Are you willing and able to serve as a summer missionary with no promised pay?
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Yes
No
If applying for the entire summer how much financial help will you need?
*
Your answer
Pastor or full-time Christian worker reference -
Name, Address, Phone, Email
*
Your answer
Christian Worker or Teacher reference -
Name, Address, Phone, Email
*
Your answer
Employer (past or present) or current Professor or Teacher reference - Name, Address, Phone, Email
*
Your answer
Personal friend reference - Name, Address, Phone, Email
*
Your answer
The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give Cedine Bible Camp any information (including opinions) that they may have regarding my character and fitness for my responsibilities at CBC. In consideration of the receipt and evaluation of this application by CBC I hereby release any individual or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by in this application.
I have read the Staff Manual and heartily agree with Cedine's doctrinal statement. I understand the position, policies and guidelines and will follow them to the best of my ability.
Please enter your full name and date below.
*
Your answer
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