Camp Blue Haven Application
Volunteer

*Must include a current photo

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)

Please Check one: ____ Pot Washer (age 16 and older)  If camping, which session? ____________
		         
**Adults, please note: This position does not allow under camper age children to attend unless 
spouse is teaching.  Child care is provided only during bible class time.

Mark the session you desire to attend. If you are interested in more than one session, number your preferences in order of interest.
	(   ) 1st June 7-13              	 (   ) 2nd June 14-26          	(   ) 3rd June 28-July 4	
	(   ) 4th July 5-17	 	 (   ) 5th July 19-25	    	(   ) 6th July 27-Aug 7

*Application MUST include a current photo.

Name ___________________________________________________________________________
Date of Birth ________________    Sex: M___ F___     Cell Phone __________________________
E-mail Address ___________________________________________________________________
Address _________________________________________________________________________
		Street					City		State		Zip

Have you been baptized into Christ?_______________ 
How many years have you been a Christian?  __________
Are you faithfully attending a Church of Christ? __________ 

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

TEENS & COLLEGE AGE:
Parent name:_______________________________________  Parent Cell Phone ________________
Permanent Address___________________________________________________________________
			Street or Box			City		State	Zip		Phone
Name of University/College attending  __________________________________________________
Name of Congregation attending while in College & Town___________________________________
Minister who knows you there_______________________________ Phone ____________________
													
ADULTS:  From whom did you hear about Camp Blue Haven?______________________________ 
Occupation ________________________________ Present Employer_________________________  
Contact Person /Phone ______________________________________________________________

Marital Status________________   Spouse Name _________________________________________
	Will your spouse be attending camp with you? (   ) Yes     (   ) No
	Has he/she filled out an application?	              (   ) Yes     (   ) No
Children Name(s)
	•	A camp application must be submitted and registration fees sent for each child that will be a camper.  Do not wait until you arrive at camp to do this.  Please be prompt.
	•	This position does not allow under camper age children to attend unless spouse is teaching.  Child care is provided only during bible class time.
	•	List name & age at camp time of your children who will accompany you to camp.  
As Campers (List Fall Grade)				Below Camper Age (List Age at camp time)
___________________________________		_________________________________
___________________________________		_________________________________
___________________________________		_________________________________

Housing is limited.  If you are married and your spouse is not able to attend, would you be willing to come alone and share a room with other volunteers of the same gender? __________

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.

											
	——————————————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