2018 Camp Hickory Hill Girls LIT Application
Camp HIckory Hill
2970 Kohler Rd.
Varysburg, NY 14167
Last Name *
Your answer
First Name *
Your answer
Training Information
The following are required for all LITs and are a critical part of the LIT program. Please indicate that you are able to commit the following:
Prior to arrival at camp on July 26 *
You will be sent a packet of information, including a Bible study and memorizations to be completed before your arrival. Will you commit to completing them?
July 26-29 *
LIT Camping Trip (required training)
Aug. 3-5: Precamp Staff Training (required training) *
Camper Weeks
Please indicate which weeks you can serve. LITs are required to serve both weeks unless otherwise approved.
Aug 5-10: Session 1 *
Aug. 12-17: 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
Your answer
College Attending-if applicable:
Your answer
Camper Experience:
Have you attended camp in the past (CHH or elsewhere)? Where and when?
Your answer
Do you play the Trumpet or Bugle?
Questions
Please answer each question below openly and honestly. This information gives us an opportunity to get a picture of who you are and what your strengths and weaknesses are.
Why do you want to participate in Camp Hickory Hill's LIT Program? *
Your answer
Are you a Christian? *
Your answer
When did you become a Christian? *
Your answer
How do you know you are saved? *
Your answer
If someone asked you how they could become a Christian, what would you tell them? *
Your answer
What churches (home and/or college) have you been attending this past year? Describe your involvement at these churches including areas you serve in, programs you attend, etc. *
Your answer
Do you have any health issues or physical restrictions that might limit your ability to participate in outdoor or rigorous activities? *
Your answer
Have you ever been convicted of a crime? (if yes, please explain) *
Your answer
References
Please list the names and phone numbers of the three ADULT NON-RELATIVES that will be filling out reference questionnaires, and the name and phone number of the pastor that knows you best at your church. (You should be sending the reference link to all 4 of these people)
Ref. 1 Name *
First and Last Name of your Reference
Your answer
Ref. 1 Phone # *
Your answer
Ref. 1 Email Address *
Your answer
Ref. 2 Name *
First and Last Name of your Reference
Your answer
Ref. 2 Phone # *
Your answer
Ref. 2 Email Address *
Your answer
Ref. 3 Name *
First and Last Name of your Reference
Your answer
Ref. 3 Phone # *
Your answer
Ref. 3 Email Address *
Your answer
Pastor's Name *
First and Last Name of your Pastor
Your answer
Pastor's Phone # *
Your answer
Pastor's Email Address *
Your answer
Certifications
Do you have any special training? (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 *
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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