2011Kids & Youth Camp 2011

Coach ApplicationKids &

Youth

Camp 2011

Dear Coach Applicant, We thank you for taking the time and having an in-terest in working with our summer camp program. We are pleased to offer two different camps again this year. In doing so, we can accommodate more children and expand the ages.

The first camp will be for youth going into grades 6-8. It is scheduled for Mon-day, June 20 through Friday, June 24. The second camp is for kids going into grades 3-5. It is scheduled for Monday, June 27 through Friday, July 1.

We are looking for coaches to work one-on-one with the kids and provide a posi-tive role model for them. Coaches must at least be going into the 10th grade to qualify and adults are always welcome. All applicants should be mature believers in Jesus, know how to lead a child to Christ and live a life that is pleasing to God in words, attitudes and deeds.

If you are interested in participating, please fill out the attached form and sub-mit it to Randy Phillips at the address listed. The application is a little different this year. Even if you have submitted one before, please do so again. All applica-tions will be reviewed by the Camp Committee and you will be notified if you are accepted.

Thank you for your willingness to be part of this great adventure. May God bless you as you seek to serve Him in this way!

Yours and His for the Kids,

Carol Forsythe,Camp Director

Kids’ & Youth Camp Coach Application Form

Personal information:

Name ______________________________________

Address ____________________________________

City ________________________________________

State ______________ Zip code _______________

Phone number ______________________________

Email _______________________________________

Church _____________________________________

Pastor’s name ______________________________

Do you attend church on a regular basis____ Y ____ N

If you are in high school or college, what grade or year will you be entering into this fall____________ high school ___________ college

Have you ever been a coach (counselor) before____ Y ____ N

If yes, what was your experience like? Please explain _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________.

I am willing to be a coach for ____ Kids’ Camp (grades 3-5) (June 27 - July 1) ____ Youth Camp (grades 6-8) (June 20 - June 24) ____ both camps

Circle shirt size for a FREE t-shirt: Adult S, M, L, XL, XXL, XXXL

Please explain why you are interested in being a coach this year _______________________________________________________________________________________________________________________________________________________________________________________________________________.

Camp is GREAT!

Spiritual information:

Have you had a personal encounter with God? When did you ask Him to come into your life and take control? ______________________________________________________________________________________________________________________________________________________________________________________________________________________________.

What kind of ministry opportunities have you had in your church, community, school, etc. Please explain _________________________________________________________________________________________________________________________________________________________________________________________________________________.

If a child asked you, “what do I have to do to go to Heaven?” what would your answer be? _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.

• NOTE: If you are over 18 years old, you MUST fill out and include the ACT 33 (Child Abuse His-tory Clearance) and ACT 34 (Criminal Record Check) forms or equivalent depending on the state in which you live. You may obtain these forms by calling Camp Director, Carol Forsythe at 330-382-1086 or by calling the Pittsburgh Conference office at 724-437-1686.

• In addition, please have your Pastor and two other adults send a written reference, includ-ing their phone numbers, to: Randy Phillips, 1347 1st Avenue, Conway, PA 15027.

• More detailed information will be sent to you upon application approval. If you have any questions, please contact Randy by emailing him at randy722@iwon.com or by calling him at 724-869-0693. Thank you for your interest. We hope to see you in June!

[Please use the back of this form or securely attach another page to it for additional information, if necessary.]

(Application due by Tuesday, June 7, 2011)