Camp Blue Haven Application
RETURNING Counselor
*Must include a current photo

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)

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

Date of Birth __________ Age _____ Sex:M__ F__ 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 take any age group you are assigned throughout the summer?__________________

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 29 - Aug 9rd.
                                                                                                                                                              
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 return to Camp Blue Haven as a counselor?  

What do you consider to be your strong points as a counselor?  

What has been your greatest weakness as a counselor?  

What could you do to overcome this weakness?  

What did you find to be the most challenging part of this job?

How could permanent adult staff provide better support for you?

What do you like the best about the Blue Haven program?  

What would you change about the program and why?  

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? 

Have your views on any of the following changed since you last worked for Blue Haven?
Salvation___			Grace___
Worship___	                        Baptism____		
If so, please explain:

	——————————————Signature Page ——————————————

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.  

By signing below, I concur that I have received, reviewed and while on Blue Haven Youth Camp, Inc. property and/or participating in Blue Haven Youth Camp, Inc. activities agree to adhere to the following Blue Haven Youth Camp, Inc.'s policies:

Code of Conduct  
Statement of Faith - Marriage & Human Sexuality
Statement of Faith - Abortion
Statement of Religious Authority  

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

*Application must include a current photo