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2019 Camp Hickory Hill Guys 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: Get basic training and team building with our summer team, along with potential special area training (Rock Wall, High Ropes, Archery, Riflery, etc)
Pre-Camp Staff Training *
July 6-8, Required for all Junior Leaders & Collegians. Senior Leaders are welcome.
Interested in CPR Training? *
Dates TBA
Interested in Lifeguard Training? *
Dates TBA
Camper Weeks
Please indicate which weeks you would like to serve. Collegians and JLs must serve at least 3 of the 4 sessions.
July 9-12: Session 1 *
July 14-19: Session 2 *
July 21-26: Session 3 *
July 28-Aug. 2: Session 4 *
Girls Alive Weeks
Check if you are interested in helping during Girls Alive. Only a few guys are needed and will be chosen.
Aug 4-9
Aug 11-16
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
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 size. Men's sizes S - 3XL.
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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