Counselor Application

 

On-line Counselor Application Form Please complete every field.

 

  * required fields
(Name as written on Driver’s License)              
*First Name: *Last Name:
*Grade:     *Age *Birthdate:
*Street Address:
*City : *State: *Postal Code
*Phone            
*E-mail address
Parent/guardian (if you are a minor):    
*Home church:

Personal Reference

   
Persons who could respond to your qualifications as a camp counselor and leader of young people. Please indicate their name, address, and telephone number.
1.* Minister: *Phone:
2. *Christian worker: *Phone:
3. *Other *Phone:

Camp Choice
*Please list the camp(s) you would like to be a counselor for:
Have you attended Tall Timber Ranch before?



   
Please indicate year: Staff:: Counselor Camper:

Activities, Skills, and Interests
On the following list, put a number 1 before those areas that you can lead or organize, and the number 2 before those that you can help with.
 
  COUNSELING   CAMPING
Bible Study Swimming
Group Speaking Outdoor skills
Worship Guitar
Camper
Discipline 		Song leading
Small Groups Crafts
Seminars Games
Counseling First aid

 
*List any information about the above skills

 

1. *In the space below, list church activities you have been involved in and any leadership positions you have held.
2. *Please describe any activities or leadership positions you have had which are related to youth work and/or camp counseling.
3. *Write a brief statement about why you would like to be a counselor at Tall Timber.
4. *Please share about your Christian experience. How you got to know Christ and how you are different today because of that commitment.
5. Have you been convicted of any offence other than a minor trafic violation?



If yes describe in full. (Each counselor will be asked to sign a Child Abuse Disclosure Form and will receive a Criminal background check with the Washington Highway Patrol.)
Describe any physical injuries, limitations, medications, allergies, etc. which could affect or limit you work.
Date of last tetanus shot: Regular Medication: Allergies:
If under the age of 18 your parent or guardian must also fill out the the consent and release form. It can be printed by clicking here. You will also be required to complete the Child Abuse Disclaimer Form. You can print one by clicking here.