Nebraska Youth Camp Staff Application 2018
* By Board policy, Bible teachers, counselors and any others who have a direct impact on the spiritual life of the camp session are to be baptized believers and members in good standing of their local church of Christ.
* Please be aware that the Board considers staff-camper romantic relationships to be inappropriate at camp.
Last Name
Your answer
First Name
Your answer
Session and Position Selection
Please check the boxes below to indicate the positions you would like to serve in at the session you desire to serve.
All dates given are the actual session dates. Staff are usually needed at the camp grounds one day prior.
Beginner 1 - June 18-20
Beginner 2 - June 21-23
Junior 1 - June 24-30
Junior 2 - July 1-7
Intermediate 1 - July 8-14
Intermediate 2 - July 15-21
Senior 1 - July 22-28
Senior 2 - July 29-August 4
Girls' Camp - June 3-6
What is your grade for the 2017-2018 school year?
What is your birth date?
MM
/
DD
/
YYYY
What is your gender?
Mailing address
Your answer
City
Your answer
State
Your answer
Zip code
Your answer
Phone number
Please include dividers ex. (555)123-4567
Your answer
E-mail
Your answer
Congregation where you attend
Your answer
Church address
Your answer
Church phone number
please include dividers ex. (555)123-4567
Your answer
Are you a baptized believer?
How long have you been a Christian?
Your answer
Reference from your congregation
Please ask them before you list them.
Your answer
Congregational Reference's phone number
please include dividers ex. (555)123-4567
Your answer
General (can also be from your congregation) Reference
Please ask them before you list them.
Your answer
General Reference's phone number
please include dividers ex. (555)123-4567
Your answer
If you are camper age, please list the sessions you plan to attend as a camper.
(You may only serve at sessions for which you are not camper age.)
Your answer
List any dependants who will need to come with you.
Please list name, age, and gender. Staff housing is limited and apartments are shared. *Any children with you who could be registered for the session(s) you work, must be registered as campers. Please register them early to ensure their place.
Your answer
Briefly list past service and experience which will aid in your service at camp.
Your answer
I understand that NYC is a non-profit organization that seeks to provide Christian study and recreation. As a staff member, I am expected to set a good example to fellow staff and to campers. I understand that all staff 18 and older are required to submit to a background check through the camp’s designated provider. (Go to www.nebraskayouthcamp.com/staff.html for link. If you have applied for a background check with NYC in a previous year you do not need to resubmit your information.) I donate my time and effort and understand that NYC will furnish my room and board at the campground during the session(s) I work. In the event of illness or injury to me, my medical insurance will be used first and, if necessary, the camp’s insurance will be secondary.
Please type your name below to acknowledge that you have read and understand this statement.
Your answer
Shirt Size needed
Which of the two staff training dates to you plan to attend?
Attendance at a staff training event is required for all cabin counselors and staff under 18. It is recommended for all staff.
Please check here when you are finished. *
This is a required "question" so we don't get as many half finished forms that submit when you press the wrong button :).
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