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Camp JYC Counselor In Training Application
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First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
What grade will you have completed by June 30?
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Choose
10
11
Birthdate
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MM
/
DD
/
YYYY
Personal Cell Phone
*
(type "none" if not applicable)
Your answer
Can we text you at this number?
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Yes
No
Required
Home Phone (if applicable)
(with area code)
Your answer
Email Address
*
Your answer
Home Church
*
Your answer
Which best describes you:
*
I am a member of the above church.
I am a regular attender of the above church.
I am an occasional attender of the above church.
Required
Have you ever received Christ Jesus as your Personal Savior?
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Yes
No
Not Sure
Required
If yes, at what age?
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Choose
1
2
3
4
5
6
7
8
9
10
11
12
13
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16
17
18
Name of Reference
*
(To be interviewed for a position, we must first receive a completed reference from a Spiritual Leader.)
Your answer
Relationship to Reference
*
(must be one of the following)
Pastor/Church Leader
Spiritual Mentor
Youth Group Leader
Sunday School Teacher
Required
If you require a special diet, please indicate below so we are aware.
*
If not, please type "none"
Your answer
Please list any allergies or medical problems you currently have.
*
If you have nothing to list, please type "none"
Your answer
Right now, in the best way you know how, are you trusting in what Jesus has done on the cross for you as being all you will ever need to take away your sins and get you to heaven?
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Yes
No
Required
Are you growing in your relationship with Jesus Christ?
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Yes
No
Required
Describe what your regular Bible reading and prayer time looks like:
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Your answer
Describe your involvement at church:
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Your answer
Describe the things you do for entertainment (music, movies, TV, etc):
*
Your answer
Describe any ongoing involvement in habitual sin:
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(for example: homosexuality, pornography, sexual immorality, disobedience to parents, alcohol abuse, drug abuse, gossip, lying, cheating, etc)
Your answer
If someone asked you to help them be sure they would go to heaven, what would you do/say?
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Your answer
Please truthfully choose which option best describes yourself:
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Even though I know I shouldn't, I often use profanity.
My use of profanity varies greatly depending upon who I'm with.
I use profanity very infrequently, typically only when I get very upset.
I never use profanity.
Other:
Would you describe yourself as self-controlled?
*
(Can you keep especially strong and impulsive feelings in check?)
Yes
No
Required
If no, please explain:
Your answer
Do you struggle with being quick-tempered?
*
(Do you lose your temper easily and/or harbor resentment?)
Yes
No
If yes, please explain:
Your answer
Do you struggle with being self-willed?
*
(Do you always like to get your own way?)
Yes
No
Required
If yes, please explain:
Your answer
Are you a peacemaker?
*
(Do you strive to create unity, instead of purposely taking the opposite view from others?)
Yes
No
Required
If no, please explain:
Your answer
Are you responsible?
*
(Are you willing to oversee elementary school-aged children? Would you know where they are at all times? Can you keep track of the daily schedule? Can you effectively correct unacceptable behavior?)
Yes
No
Required
If no, please explain:
Your answer
Describe any experience you've had that would assist you in your role as CIT.
*
Examples: extra-curricular, church, or community activities; Bible study leadership positions, or other church/school activities.
Your answer
Do you have a Facebook account?
*
Yes
No
Required
If yes, please list your username below:
Your answer
Do you have an Instagram account?
*
Yes
No
Required
If yes, please list your username below:
Your answer
Do you have a Twitter account?
*
Yes
No
Required
If yes, please list your username below:
Your answer
Do you have a TikTok account?
*
Yes
No
Required
If yes, please list your username below:
Your answer
Do you have a Snapchat account?
*
Yes
No
Required
If yes, please list your username below:
Your answer
Please list any other social media accounts and usernames below: (If none, type "none".)
*
Your answer
All Camp JYC staff are required to follow the same lifestyle rules as the campers. Every staff member will refrain from the use of profanity, tobacco and alcohol, and will not carry any weapons. Physical contact with the opposite sex is not allowed. Only Christian media may be played. Cell phones are to be used for emergency purposes only (unless you are on a break and out of the view of the campers).
*
I have read and agree to abide by these rules. I understand that if hired, my employment could be terminated at any time if I violate these rules.
Required
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