Wakon'Da-Ho - Counselor Interest & Application

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Thank you for volunteering your time to our Disciples youth and children in Kentucky. Volunteer counselors are the strength of our camping program and that support enables the Christian Church in Kentucky to offer Outdoor Ministry programming.

Being a counselor is a great experience for an adult. A counselor has responsibility for caring for the physical, emotional, and spiritual well-being of a group of young people. Our counselors ensure that children, youth, and other adults who volunteer their time are all protected and that our camp is a safe space. To this end, the Christian Church in Kentucky utilizes this Counselor Application as a screening method and protective tool for everyone involved with the Outdoor Ministry program. To serve as a counselor at WKDH, each adult must complete this form which will be kept on file in the Regional Office. We keep a counselor list for camp directors to use when seeking counselors for our many camp experiences. Completing this form does not mean that you will be asked to be a counselor this summer. It indicates your desire to volunteer your time to the children and youth in Kentucky and adds your name to the list of adults that our volunteer Directors use to recruit and create a staff.

Please review the list of camps carefully and be sure you are volunteering for the appropriate camp. By policy, the region has minimum age restrictions for counselors:

· For CYF and Eighters’ camp, counselors must be a minimum of 21 years old and four years out of high school

· For Chi Rho camp, counselors must a minimum of 20 years old and two years out of high school

· For Camp 101, Mini, and Junior camps, counselors must be a minimum of 18 years old and one year out of high school

For first-time counselors, three references are required. Please list full names and email addresses so that we are able to contact them on your behalf. We must have all paperwork in the regional office two weeks prior to the camp beginning if you are asked to be a counselor.

Thank you for taking the time to complete this form and volunteering your time, talent, and life experience to children and youth here in Kentucky.

If you have any questions, feel free to contact:

Christian Church in Kentucky

P.O. Box 910503

Lexington, KY 40591

Email *

The Christian Church in Kentucky is required by policy to obtain an application and references for each counselor who works in our outdoor ministry program. Completing this form does not guarantee that you will be asked to be a counselor at the camp(s) of your choice. Complete this entire form and return it to the regional office to be considered for a counseling position.
*

I understand that completing this form does not guarantee my being asked to be a counselor.

First Time Counselor? *

Yes

If you are a RETURNING COUNSELOR, when was your year last counseled? If NEW COUNSELOR - leave blank.

First Name *

Middle Initial *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number #1 (Preferred Number) *

Phone Number #2 *

Current Occupation *

Email Address *

Social Security Number (for background check), You may call the CCINKY office if you prefer not to share electronically. (859) 233-1391

Date of Birth *

YYYY

Gender *

Male

Female

Prefer not to say

T-Shirt Size *

XXL

XXXL

Home church or church currently attend *

Name of minister at church you listed above *

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