Title: CAMP BLUE HAVEN

Camp Blue Haven Application
NEW Counselor

Per Blue Haven policy, all permanent staff must be active members of a Church of Christ.

Print, complete and mail to: Camp Blue Haven, 1020 Austin Ave, Brownwood, TX, 76801
OR  email to: jan@campbluehaven.com (highlight lines, fill in information, save as PDF)

*Must include a current photo

Name __________________________________________________ Cell  Phone _______________
		First		Middle			Last
E-mail address _____________________________________________________________________

Date of Birth __________ Age _______ Sex ______Social Security Number ____________________
							*Required for Background Check
College Name (if applicable): _________________________________________________________
Your Address @ College: ____________________________________________________________			      Street or Box			City		State		Zip

Parents’ Names ________________________________/ ____________________________________
				Father						Mother
Home Address  _________________________________________________________________________________
			Street or Box			City		State	Zip		Phone

Have you been baptized into Christ?_______________ 
How many years have you been a Christian?  __________
Are you faithfully attending a Church of Christ? __________ 
*Per Blue Haven policy, all permanent staff must be active members of a Church of Christ.

Please provide information on the Church of Christ you attend @ HOME:
Name & town _____________________________________________________________________
Preacher's Name __________________________________________Phone____________________
Elder’s Name ____________________________________________ Phone ___________________
Elder’s Name ____________________________________________ Phone ___________________

Please provide information on the Church of Christ you attend @ COLLEGE (if applicable):
Name & town _____________________________________________________________________ Minister who knows you there_______________________________ Phone ___________________
Elder’s Name ____________________________________________ Phone ___________________

Number in order of preference the age group with which you desire to work as a counselor:
________Grades 5/6		________Grades 7/8		_______Grades 9-13

Are you willing to cover any age group as needed/asked?____________________________

Are you currently CPR (basic)/First Aid certified through the end of the summer?_________________
Describe any First-Aid training or experience you have. 

Do you understand this position does NOT allow time for courses online during the summer? _______

This position requires that you are available to work from May 24 - Aug 4th.
                                                                                                                                                              
Can you arrive on the start date? _______   If not, please explain: 

"7th Session" is a time of “debriefing and fellowship” for our permanent staff after 6th session ends.  It begins upon the departure of our last session campers and goes through early Sunday morning worship at Crowe's Roost.  Can you stay through the end date? _____If not, please explain: 

List below any commitments you have that will take you away from camp during a session or staff time:
(include departure and return dates):

													
EDUCATION
High School                Date of Graduation __________________________________________________________________________________

College		Dates Attended		Major 			Degree	Date
__________________________________________________________________________________
__________________________________________________________________________________

Camping Experience - CAMPER 
Name of Camp 					Dates Attended
____________________________________________________________________________________________________________________________________________________________________

Camping Experience - EMPLOYEE
Name of Camp 		Address		Director		Position	Dates 
____________________________________________________________________________________________________________________________________________________________________

Why do you want to be a camp counselor? 

Do you enjoy hiking? _______ What hiking experience have you had?

Do you have any physical condition that might prevent you from hiking long distances?  If so, explain.  

Do you understand that you will be REQUIRED to hike set distances with your campers?__________

Do you understand that you may NOT be considered for this position if you are not physically fit enough to hike the set distances?__________

Do you COMMIT to be in your best physical shape to be able to hike with your campers providing an experience that is so important to this camp and its ministry of showing God and His creation to our campers? _________

List any involvement you have had in Scouts, Boy’s/Girl’s Club, Campfire, YMCA, YWCA, or other similar organizations. 

Describe any experience you have which might be applicable to a camp counselor position such as work with children, service in a local church, or other similar activities. 

Have you ever been arrested or convicted of a crime?  _______  Yes  _______  No
If yes, please explain: 

What are your career goals? 

What are your personal goals for growth in the Lord’s work?  

What do you perceive to be the greatest needs in the church today? 

			

NOTE:  For the following questions, we are not looking for a right or wrong answer, but a Biblical basis for your belief. 

***On a separate sheet of paper, please number your responses accordingly using Scripture to support your beliefs.***

In working with young people, many controversial subjects arise.  It is important that you as a Christian individual and as one in an influential position have such matters resolved in your own life. You should be ready to give an answer to anyone who may challenge your standards, your life principles, or the hope that is in you (I Peter 3:15).  

1. How does your life reflect the Lordship of Christ?  
2. What is your view of scripture? What is your approach to studying God’s Word? 
3. Provide the Biblical view of salvation.
4. Explain your view of salvation in Christ. Include your concept of grace, faith, and works and
    their relationship to one another.
5. Elaborate on your views of leadership in the church. Address the roles of women and men in the Body               of Christ. 
6. What are your thoughts on women taking a leading part in a devotional or public worship service where men are present? 
7. How would you define worship?  How would you talk to those who have a differing view of the meaning of worship and the mechanics of worship? Please include your thoughts on the use of  instruments in worship.
8. Define holiness. What activities in life would you consider unholy?  Why?  Elaborate on how holiness relates to what we do in the body. Address how would you talk to campers about the following topics:
   Drug addiction 
   Sexuality - sexual impurity, fornication, and homosexuality
   Pornography
   Recreational activities such as dancing, rock concerts, movies, etc. 
9. Do you abstain from the use of alcohol, tobacco, and illegal drugs?  What would you teach        concerning the use of these substances?  
10. What is your view of God's design for the family? 
11. What would you teach about dating practices, marriage, and family?  				
12. How would you lead a discussion on issues involving human life such as abortion or war?	
13. What is sin?  How does the Bible define sin?
14. What could this camp do in order to impact campers with Jesus in a more profound way?
15. What skills will you bring to camp in order to accomplish this?

REFERENCES:   Do not include relatives or someone you have already included on this form.
1. Name ________________________________________________ Phone (      )_______________
Address / Email ___________________________________________________________________
________________________________________________________________________________
Street or Box # 					City 			State 		Zip

2. Name ________________________________________________ Phone (      )_______________
Address / Email ___________________________________________________________________
________________________________________________________________________________
Street or Box # 					City 			State 		Zip

3. Name ________________________________________________ Phone (      )_______________
Address / Email ___________________________________________________________________
________________________________________________________________________________
Street or Box # 					City 			State 		Zip

We will be notifying all applicants of hiring/declining a position sometime in the middle of March, around Spring Break.

If hired, you will be expected to obey all camp rules and you will be held to a higher standard of behavior as you will be a visible example of Christian service for our staff and campers.  

I concur by signing below, that while on Blue Haven Youth Camp, Inc. property and/or participating in Blue Haven Youth Camp, Inc. activities, I have received, reviewed, and agree to adhere to:
Code of Conduct https://campbluehaven.com/camprules/
Statement of Faith https://signup.campbluehaven.com/SOF/SOF.pdf 
I hereby certify that the information and responses contained in this application are being submitted with honesty and clear conscience.  I also understand that this application does not constitute a contract for employment, and that it will be filed in the Camp Blue Haven office and kept strictly confidential.

___________________________________________________    ____________________________
SIGNATURE								DATE

				Activity Interest/Skills Questionnaire

Please indicate which of the following activities you believe you are qualified to teach, direct, or supervise at camp.  Each counselor will have responsibility for different areas of recreation and evening programs.  
	Arts and Crafts			Individual Sports				Team Sports
______ Nature Crafts			______ Air Riflery			______ Capture the Flag
______ Tin Sculpting			______ Horseshoes			______ Flag Football
______ Wood Carving			______ Badminton			______ Volleyball
______ Leather Work			______ Ping Pong 			______ Basketball
______ Woodburning			______ Archery				______ Mushball
______ Braiding				______ Fishing				______ Softball
______ Painting				______ Frisbee				______ Soccer
	List Others:				List Others:				List Others:
____________________			____________________			____________________
____________________			____________________			____________________

		Music (Check those that you play)			Special Program
	______ Harmonica					______ Large Group Games
	______ Piano				            	______ Group Fun Songs 
	______ Guitar						______ Scavenger Hunts
	______ Fiddle						______ Outdoor Games 
	______ Banjo						______ Indoor Games
	______ Bugle						______ Skits
		List Others:						List Others:				____________________					____________________				____________________					____________________		

List Names of Games you would be able to teach or supervise at camp:
		Outdoor Games				Indoor Games 
		For Younger Campers 			For Younger Campers 
		______________________			_____________________
		______________________			_____________________
		______________________			_____________________

		For Older Campers 				For Older Campers 
		______________________			_____________________
		______________________			_____________________
		______________________			_____________________