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2019 Camp Hickory Hill Girls Staff Application
Camp HIckory Hill
2970 Kohler Rd.
Varysburg, NY 14167
Last Name *
Your answer
First Name *
Your answer
Applying as (Please Choose only one) *
*Service Crew or LIT applicants use different applications, NOT this one. Thank you!*
2019 Training
Please indicate if you can participate in the following training events.
Orientation & Certification Weekend *
May 31 - June 2: Orientation and basic training for summer staff, and special area training for certain staff (Rock Wall, High Ropes, Archery, Riflery, etc)
Pre-camp Staff Training *
Aug. 2-4, Required for all Junior Leaders & Collegians
Interested in CPR Training? *
Dates TBA
Interested in Lifeguard Training? *
Dates TBA
Camper Weeks
Please indicate which week(s) you would like to serve.
Aug. 4-9: Session 1 *
Aug 11-16: Session 2 *
Personal Information
Primary Phone *
Your answer
Alternate Phone
Your answer
Email: *
Please make sure you check your email for correspondence from us.
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip/Postal Code: *
Your answer
Date of Birth mm/dd/yy: *
Your answer
Parent's name (required if applicant is under 18 years old)
Your answer
Current Year in School: (JL's or Collegians)
Your answer
College Attending-if applicable:
Your answer
Home Church: *
Your answer
Camper/Counselor Experience:
Do you have any prior experience working at camps? Where and when?
Your answer
Do you play the Trumpet or Bugle?
Certifications
What certifications do you have? (Climbing Wall, Archery, Riflery, RN, ARC: Lifeguard, Standard First Aid, Water Safety Instructor, etc.) Please be as specific as possible and please indicate the date of certification.
Certification #1
Your answer
Date Achieved
Your answer
Certification #2
Your answer
Date Achieved
Your answer
Certification #3
Your answer
Date Achieved
Your answer
Shirt Size *
Staff shirt is provided. Please indicate shirt size.
Comments or Other Information
Is there anything else we should know?
Your answer
Please Read, by submitting your application you agree to the following:
In applying to serve on the staff of Camp Hickory Hill, I am seeking a great responsibility as well as a great opportunity. I realize that while at camp I am subject to camp regulations and will abide by them. My motivation for serving is to please Jesus Christ. I believe that my body is the temple of the Holy Spirit, and will heed God's warning against defilement of my body. I have read and agree with Gal. 5:19-26 & Eph. 4:25-5:2 and will try, with the help of the Holy Spirit, to live by these scriptures. By submitting this form, I authorize Camp Hickory Hill or its representatives to make any and all appropriate inquiries regarding my background, and I release the camp and its representatives from any liability which may result from such actions. The information included in this profile is correct to the best of my knowledge.
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