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2012 Kids & Youth Camp 2012 Coach Application

Dear Coach Applicant,

We thank you for taking the time and having an interest 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 Monday, June 18 through Friday, June 22. The second camp is for kids going into grades 3-5. It is scheduled for Monday, June 25 through Friday, June 29. We are looking for coaches to work one-on-one with the campers and provide a positive 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 submit it to Randy Phillips at the address listed. All applications 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 [Please use the back of this form or securely attach another page to it for additional information, if necessary.]

(Application due by Tuesday, May 29, 2012) Personal information:

Spiritual information:

Name ______________________________________

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

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 25 - June 29) Camp is ____ Youth Camp GREAT! (grades 6-8) (June 18 - June 22) ____ 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 ____________________________ _____________________________________________ _____________________________________________ _____________________________________________ ____________________________________________.

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 History 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, including 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!


Pittsburgh Conference Kids' & Youth Camp Coach application form 2012