Southridge Camp Counselor Application Form - Clover Sites
5701 – 41 Street, Lloydminster, Alberta T9V 2A4 [email protected] www.southridge.co Phone: 780 875 8929 Fax: 780 875 8920
Southridge Camp Counselor Application Form Thank you so much for your interest in being a counselor at Southridge Camp for the 2017 camping season. Please take a moment to fill out our application form. All applications should be submitted to Leah Vidal and will be kept in strict confidence. Name of Applicant: ______________________________________________________________ Email Address/Phone #: __________________________________________________________ Emergency Contact: _____________________________________________________________ Provincial Health Card # _________________ AB/SK D.O.B. _________________ Environmental Allergies: _________________________________________________________ Do you have any health concerns that we should be aware of?___________________________ Are you on any medications? ______________________________________________________ Do you have any allergies or special dietary requirements?______________________________ Tell us a little bit about how you are currently growing in your relationship with Jesus. ______________________________________________________________________________ ______________________________________________________________________________ Tell us about why you feel God is calling you to volunteer at Southridge Bible Camp and how you will be an asset to our staff team. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Church Currently Attending: ___________________________________________ Duration: __________ Signature of Applicant: ______________________________ Parental signature if Applicant is under 18 years of age: ______________________________ Teen (Gr 7-12) July 2nd – 8th Intermediate Camp (Gr 4-6) July 9th – 14th Primary (Gr 1 – 3) July 16th – 20th
Would you like to receive TUCK at camp? Yes No (Teen camp is pay for the amount you want, Intermediate $7.00 & Primary $5.00)
ALL TUCK MUST BE PAID TO YOUR DIRECTOR OR LEAH NO LATER THAN MAY 31st *All Staff must attend a Camp Staff Training meeting on June 25th, 2017 @12:15pm Lunch Provided* **Please note that all camp volunteers and staff must complete Southridge’s Plan to Protect. **
Southridge Community Church is Affiliated with the Christian and Missionary Alliance of Canada
A Community Making Disciples, Unleashing Compassion
Southridge Community Church Code of Christian Conduct At Southridge Bible Camp we are on mission to share the Gospel with children and youth, as well as disciple believers for living and serving through Southridge Community Church. Our policies and expectations are built on principles taken from Scripture, which should be guiding our faith, actions and organization. We ask that all volunteers (or paid staff) believe and follow both our statement of faith (as signed in our Plan to Protect) and our code of Christian conduct. Code of Christian Conduct: Southridge Community Church is a community of people united by Jesus and our common Christian faith. Because volunteers (and paid staff) serve as highly visible role models and servant leaders within our church, communities, schools etc they are representatives of our shared faith in Jesus Christ in every aspect of their lives and personal ministries. We require that you as a volunteer join in a commitment to believing and living out the Christian faith according to New Testament Biblical standards, in a manner that is consistent with the faith you believe and represent. Consistent with the Christian beliefs of Southridge Community Church, and Southridge Bible Camp I agree---1. Strive to establish spiritual disciplines needed to maintain and promote a deep, intimate relationship with God through Jesus Christ. 2. To consistently attend a local church whose beliefs are consistent with Southridge Community Church’s statement of Faith. 3. To maintain healthy relationships with family and friends 4. To express commitment to the mission of Southridge Community Church (and by extension Southridge Bible Camp) through how I honour and serve – with love, dignity, and respect without reservation or discrimination. 5. To abstain from – and not encourage – behaviour contrary to biblical principles, including but not limit to: a) The use and possession of illicit or non-prescription intoxicating drugs b) The abuse of alcohol c) Reading or viewing pornographic material d) Sexual intimacy outside of the sacred bond of marriage between one man and one women e) Harassment, physical aggression, sexual assault or other abusive behaviour f) Criminal activity
I have read and agree with Southridge Community Church’s Code of Christian Conduct. I acknowledge that failure to adhere to this Christian Conduct is grounds for Southridge’s Leadership to go to the source and possible dismissal.
Printed Name
Signature
Date
Southridge Camp Counselor Application Form Thank you so much for your interest in being a counselor at Southridge Camp for the 2017 camping season. Please take a moment to fill out our application form. All applications should be submitted to Leah Vidal and will be kept in strict confidence. Name of Applicant: ______________________________________________________________ Email Address/Phone #: __________________________________________________________ Emergency Contact: _____________________________________________________________ Provincial Health Card # _________________ AB/SK D.O.B. _________________ Environmental Allergies: _________________________________________________________ Do you have any health concerns that we should be aware of?___________________________ Are you on any medications? ______________________________________________________ Do you have any allergies or special dietary requirements?______________________________ Tell us a little bit about how you are currently growing in your relationship with Jesus. ______________________________________________________________________________ ______________________________________________________________________________ Tell us about why you feel God is calling you to volunteer at Southridge Bible Camp and how you will be an asset to our staff team. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Church Currently Attending: ___________________________________________ Duration: __________ Signature of Applicant: ______________________________ Parental signature if Applicant is under 18 years of age: ______________________________ Teen (Gr 7-12) July 2nd – 8th Intermediate Camp (Gr 4-6) July 9th – 14th Primary (Gr 1 – 3) July 16th – 20th
Would you like to receive TUCK at camp? Yes No (Teen camp is pay for the amount you want, Intermediate $7.00 & Primary $5.00)
ALL TUCK MUST BE PAID TO YOUR DIRECTOR OR LEAH NO LATER THAN MAY 31st *All Staff must attend a Camp Staff Training meeting on June 25th, 2017 @12:15pm Lunch Provided* **Please note that all camp volunteers and staff must complete Southridge’s Plan to Protect. **
Southridge Community Church is Affiliated with the Christian and Missionary Alliance of Canada
A Community Making Disciples, Unleashing Compassion
Southridge Community Church Code of Christian Conduct At Southridge Bible Camp we are on mission to share the Gospel with children and youth, as well as disciple believers for living and serving through Southridge Community Church. Our policies and expectations are built on principles taken from Scripture, which should be guiding our faith, actions and organization. We ask that all volunteers (or paid staff) believe and follow both our statement of faith (as signed in our Plan to Protect) and our code of Christian conduct. Code of Christian Conduct: Southridge Community Church is a community of people united by Jesus and our common Christian faith. Because volunteers (and paid staff) serve as highly visible role models and servant leaders within our church, communities, schools etc they are representatives of our shared faith in Jesus Christ in every aspect of their lives and personal ministries. We require that you as a volunteer join in a commitment to believing and living out the Christian faith according to New Testament Biblical standards, in a manner that is consistent with the faith you believe and represent. Consistent with the Christian beliefs of Southridge Community Church, and Southridge Bible Camp I agree---1. Strive to establish spiritual disciplines needed to maintain and promote a deep, intimate relationship with God through Jesus Christ. 2. To consistently attend a local church whose beliefs are consistent with Southridge Community Church’s statement of Faith. 3. To maintain healthy relationships with family and friends 4. To express commitment to the mission of Southridge Community Church (and by extension Southridge Bible Camp) through how I honour and serve – with love, dignity, and respect without reservation or discrimination. 5. To abstain from – and not encourage – behaviour contrary to biblical principles, including but not limit to: a) The use and possession of illicit or non-prescription intoxicating drugs b) The abuse of alcohol c) Reading or viewing pornographic material d) Sexual intimacy outside of the sacred bond of marriage between one man and one women e) Harassment, physical aggression, sexual assault or other abusive behaviour f) Criminal activity
I have read and agree with Southridge Community Church’s Code of Christian Conduct. I acknowledge that failure to adhere to this Christian Conduct is grounds for Southridge’s Leadership to go to the source and possible dismissal.
Printed Name
Signature
Date
