COUNSELOR APPLICATION for SPECIAL SESSION 2018
REQUIREMENTS TO BE A COUNSELOR:

You must have finished the 10th grade.

You must commit to attend the entire camp session, beginning at 6 PM on the first day of camp and ending after lunch on the final day of camp.

The deadline for counselor applications is May 1st, but counselor positions may be filled prior to this date.

The cost is $200 for the entire week, due by June 1. This amount is refundable until June 9. After June 9 no refunds will be given.

COUNSELORS CAN APPLY TO COME TO BOTH SESSIONS. If you want to attend both sessions, but need financial assistance, please email Lindsey at lmullen@dioala.org


The Episcopal Diocese of Alabama welcomes and affirms all because God welcomes and affirms all, regardless of age, race, ethnicity, religion, culture, ability, financial means, family status,sexual orientation, gender identity, or gender expression. For us, welcome means ensuring that each person’s dignity is honored and affirmation means safeguarding all persons as unconditional and equal members of the body of Christ.

Email address *
Who is filling out this application *
Counselor First Name *
Your answer
Counselor Last Name *
Your answer
Which session are you applying to attend? *
Please mark "both sessions" if you plan to attend both sessions. If you are applying to attend either one session or the other, please check both the Session I and Session II box.
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
School\University
Your answer
Grade\Year in School
Your answer
Email Address *
Your answer
Gender *
Phone Number *
Your answer
Birthdate *
MM
/
DD
/
YYYY
T-Shirt Size *
Name of Parent\Guardian (or an emergency contact if you are over the age of 19) *
Your answer
Guardian Contact Number *
Your answer
Guardian Email Address *
Your answer
Guardian Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
If you are affiliated with a particular church, please write church name and city below:
Your answer
Priest or Youth Minister Name
Your answer
How many years have you been on staff at Special Session? *
Please list a reference (priest, youth minister, work supervisor, teacher): *
Your answer
Reference Phone Number *
Your answer
Reference Email Address: *
Your answer
Please describe any experiences you have working with people with disabilities. *
Your answer
What would you like for us to know about you? (Special interests, talents?) *
Your answer
Do you take any regular medication? *
If yes, please list medication:
Your answer
Do you have any health concerns? This information will be shared only with the nursing staff.
Your answer
Do you have any special circumstances or concerns about coming to camp? (Responses will only be shared with camp director and chaplain. Responses will not determine your eligibility to attend.)
Your answer
If this is your first year attending Special Session, how did you hear about it?
Your answer
If you are attending as part of a youth group that is traveling to Special Session together, please write your group name below:
Your answer
Do you have any special dietary needs?
Payment Information
The 2018 camp session costs $200 per counselor. You will be sent a link to make an online payment along with a confirmation email in March, or within 2 weeks of your application. Payment is due in full by June 1, 2018. If you are unable to make a full payment, please write to Lindsey at lmullen@dioala.org by May 1. No one is turned away from camp because of inability to pay, but it helps us out a lot if you let us know sooner, rather than later, if you need scholarship funds. Thank you!
I am able to make a $200 payment by June 1st, 2018 *
I do hereby release the Episcopal Diocese of Alabama, its employees, agents and volunteers, from any and all liability, claims, demands, causes of action and possible causes of action whatsoever arising out of or related to any loss, damage or injury (including death) that may be sustained while participating in or traveling to and from Special Session activities. I accept the offer of a position on Special Session staff. I understand that, in accepting this role, I am taking part in an important ministry. As a representative of this ministry and of the many people who have come to share in it, I now pledge to uphold the spirit of this worthy endeavor to the very best of my abilities. I also understand that any behavior I exhibit that could bring work of this project into question or jeopardy cannot and will not be tolerated by Special Session Coordinators. I agree to live by the rules and procedures set for this ministry by the covenant of common life. Please type your name below to agree to the above statement. *
Your answer
A copy of your responses will be emailed to the address you provided.
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