Riverside 2020 Junior Cabin Leader Application
Thank you so much for applying to work at Riverside this summer! You will not be able to close out of this application and return to it at a later time, so be sure that you have 30-40 minutes to complete the application. Otherwise you will have to start over. It is helpful to write your answers to the essay questions in another document, so that way you have them saved in case the internet crashes on you. If you would rather fill out a paper copy of the application, those can be found on our website at https://www.riversidelbc.org/applications-summer-staff. Contact Bailey Comegys at Bailey@RiversideLBC.org with any questions or concerns.
Email address *
First Name *
Your answer
Middle Initial *
Your answer
Last Name *
Your answer
Preferred Name (if different than first name)
Your answer
I am currently a... *
Phone Number *
Please indicate if this is your cell or home phone (i.e. 111-111-1111 Cell)
Your answer
Gender *
I am applying for... *
Required
Dates available to work... *
(i.e. May 31 - August 7) Staff training begins May 31, and our last day of camp is August 7. Junior cabin leaders are required to be at staff training (unless still in school...contact Bailey if this is you) and work at least 5 weeks of the summer, although most junior cabin leaders choose to work 6-7 of the 7 weeks available.
Your answer
Current Address (include City, State, and Zip) *
(i.e. 3001 Riverside Rd. Story City, IA 50248)
Your answer
How long have you lived at this address? *
Your answer
What is your father's name? (First and Last) (Please indicate if deceased) *
Your answer
What is your father's current address? (or just write "same as my home address") *
(i.e. 3001 Riverside Rd. Story City, IA 50248)
Your answer
What is your father's phone number? *
Your answer
What is your father's email address? *
Your answer
What is your mother's name? (First and Last) (Please indicate if deceased) *
Your answer
What is your mother's current address? (or just write "same as my home address") *
(i.e. 3001 Riverside Rd. Story City, IA 50248)
Your answer
What is your mother's phone number? *
Your answer
What is your mother's email address? *
Your answer
What is the name of your home church/congregation? *
Your answer
Where is your home church/congregation located? (City, State) *
Your answer
What is the name of your pastor? *
Your answer
Condition of health *
Your answer
Do you have any medical conditions that we need to be aware of for housing purposes? If yes, please explain. *
Your answer
Do you have any food allergies or dietary restrictions that we should be made aware of? *
Your answer
How did you hear about Riverside? *
Check all that apply
Required
What high school are you currently attending? *
Your answer
Please list any college courses previously taken or currently taking.
Your answer
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