Please complete the following and submit to Brett Rogers, Summer Camp Director Name:
Birth Date:
E-mail:
Permanent Address: Street City: State: Zip:
School Address: Street City: State: Zip:
Gender: Male Female Cell phone #:
What are your passions? List some things you love doing:
What are your talents and strengths? The following are my strongest abilities
What are some areas you'd like to improve? The following are some non-strengths:
Self Portrait This is how I see myself:
Around others I am more: reserved outgoing
My decisions are based more on: facts/thinking feeling
In relationships I tend to be more: dependent independent
My use of time is more: scheduled spontaneous
Education
Name of College/University:
Major or Degree:
Years completed of college: Name of High School:
College GPA: High School GPA: Years completed of high school:
Networking:
Social Networking sites: (MySpace, Facebook etc.):
May we contact you using these sites? Yes No
Lifestyle Questions:
Have you ever been convicted of a crime(s)?:
Do you currently use alcohol or illegal drugs?: Yes No
If yes, what drug or alcohol? Frequency of use?
Certifications: I hold current certification, or am licensed in:
CPR Wilderness First Aid Wilderness First Responder EMT Lifeguard Archery Ropes Course Facilitation Registered Nurse: What State? Other
Do you have a Commercial Drivers License? Yes No Can you drive a manual transmission? Yes No Skills and Activities: How competent are you at LEADING the following activities? (1 being "I've Never Heard Of This" 5 being "Rock Solid") Climbing Wall: Archery: Low Ropes Course: Mountain Biking: Soccer: Dodgeball: Geocaching:
If TRAINED, I would feel confident LEADING the following: (Use the same scale as above)
Climbing Wall: Archery: Low Ropes Course: Mountain Biking: Geocaching:
What Positions?
After reading job descriptions for the following job descriptions, please check those you'd like to be considered for
Tell Us About Yourself:
Previous Work Experience
How did you hear about Sonlight Christian Camp?
Website Web Search Engine Friend Former Camper
I agree I do not agree