Riverside 2021 Junior Cabin Leader Application
Thank you so much for applying to work at Riverside this summer! You will not be able to close out of this application and return to it at a later time, so be sure that you have 30-40 minutes to complete the application. Otherwise you will have to start over. It is helpful to write your answers to the essay questions in another document, so that way you have them saved in case the internet crashes on you. If you would rather fill out a paper copy of the application, those can be found on our website at https://www.riversidelbc.org/applications-summer-staff. Contact Lute Olson at Lute@RiversideLBC.org with any questions or concerns.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Middle Initial *
Last Name *
Preferred Name (if different than first name)
I am currently a... *
Phone Number *
Please indicate if this is your cell or home phone (i.e. 111-111-1111 Cell)
Gender *
I am applying for... *
Required
Dates available to work... *
(i.e. June 6 - August 13) Staff training begins June 6, and our last day of camp is August 13. Junior cabin leaders are required to be at staff training (unless still in school...contact Lute if this is you) and work at least 5 weeks of the summer, although most junior cabin leaders choose to work 6-7 of the 7 weeks available.
Current Address (include City, State, and Zip) *
(i.e. 3001 Riverside Rd. Story City, IA 50248)
How long have you lived at this address? *
What is your father's name? (First and Last) (Please indicate if deceased) *
 What is your father's current address? (or just write "same as my home address") *
(i.e. 3001 Riverside Rd. Story City, IA 50248)
What is your father's phone number? *
What is your father's email address? *
What is your mother's name? (First and Last) (Please indicate if deceased) *
 What is your mother's current address? (or just write "same as my home address") *
(i.e. 3001 Riverside Rd. Story City, IA 50248)
What is your mother's phone number? *
What is your mother's email address? *
What is the name of your home church/congregation? *
Where is your home church/congregation located? (City, State) *
What is the name of your pastor? *
Condition of health *
Do you have any medical conditions that we need to be aware of for housing purposes? If yes, please explain. *
Do you have any food allergies or dietary restrictions that we should be made aware of? *
How did you hear about Riverside? *
Check all that apply
Required
What high school are you currently attending? *
Please list any college courses previously taken or currently taking.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Riverside Lutheran Bible Camp. Report Abuse
Google Forms