CANOE COVE CHRISTIAN CAMP
VOLUNTEER COUNSELLOR APPLICATION

Please read application form carefully.

Applicant's Name: ____________________________________ Birth Date: _________________

Mailing Address: _______________________________________________________________

________________________________________________________________________________

Telephone #: (Home) ________________________ (Work)________________________

Applicant must be at least 14 years of age.
If under age 18, the following must be completed:

"I do hereby grant permission for ______________________________ to submit this application for a staff position at Canoe Cove Christian Camp and, if accepted, to serve during the camp dates noted in this application".

Print name of Parent/Guardian: _____________________________ Telephone #: ________________

Signature of Parent/Guardian: ______________________________ Telephone #: ________________

APPLICANT MUST BE AN IMMERSED BELIEVER

Reference/Endorsement by Church Leadership

Church applicant attends: _________________________________________________________

Church Address: ________________________________________________________________

________________________________________________________________________________

Minister/Elder: ______________________________________ Telephone #: __________

"The applicant ______________________________ is known to attend services in our congregation and is of commendable Christian character, suitable to serve at Canoe Cove Christian Camp with the blessing and encouragement of the Leadership of this Church."

Signature of Church Leader:____________________________________________

(Minister/Elder)

Please indicate the dates and grade levels of camp(s) you would like to be considered for:

Date: __________________________________ Grade level: _______________

List your specific skills, experience and/or interests that you feel would benefit the camp program:

______________________________________________________________________________

Please include three work/character references:

Name	Relationship	Phone Number
_____________________________	________________________	________________________
_____________________________	________________________	________________________
_____________________________	________________________	________________________

Spiritual Profile

Are you a Christian? No ___ Yes ___ If "Yes", for how long? ________________________

Do you attend church regularly? No ____ Yes ____ How often? ______________________

Do you have a personal devotional time? No ____ Yes ____

If "Yes", tell how often and describe it: __________________________________________

___________________________________________________________________________

Do you participate in a leadership position at your church? No ____ Yes ____

If "Yes", in what capacity? ____________________________________________________

If asked, could you explain your relationship with Christ? No ____ Yes ____

In your own words, how would you define a "Christian"? (You may attach a separate sheet.)

_________________________________________________________________________________

"I have read and do hereby understand and agree to abide by all the conditions set forth in this form and by all the camp's rules and regulations if accepted to serve at the camp."

Applicant's Signature: __________________________________ Date: _______________

Please send application before May 1^st to:

CANOE COVE CHRISTIAN CAMP

Staffing & Programming

P. O. Box 661

Charlottetown, PE C1A 7L3

(902) 675-3039

Remuneration policy: Your service may count toward your own camp registration fees, on a "Day-For-Day" basis, or toward your application for the Provincial Community Service Bursary. Please contact the Camp Manager for further details.