Returning Summer Staff
On-Line Application
Summer Positions Only

Note:  Please review form before starting to ensure you have all needed
information to complete application; form can not be saved.

Personal Information - Section 1

  
  First Name:  
  Last Name:  
  Middle Name:  
  Email:  
 

Present Address

    
  Address:  
  City:  
  State:  
  Zip:  
  Phone:  
Cell Phone:
 

Permanent Address

    
  Address:  
  City:  
  State:  
  Zip:  
  Phone:  
     
  Age:  
  T-Shirt Size:  
   
Do  you have a Criminal Record?    
  If yes, Explain:  
  Do you have any traffic violations on your driving record ?    
  If yes, Explain:  
Have you ever been denied the opportunity to work with children?    
  If yes, Explain:  
   
Parent or Guardian:  
  Phone:  
     
Education - Section 2  
School Currently Attending  
  Field of Study:  
  Status:  
     
       
Christian Experience - Section 3  
Is Jesus Christ Your Lord and Savior?  
       
 

Please answer the following questions as
honestly and concisely as possible.

  
       
  Why are you reapplying to serve at Covenant Heights?  
   
     
 

Please give a statement of your personal faith.

  
 

 
     
 

Describe your walk with Christ since last summer?

  
   
     
  How would you describe the plan of salvation to a camper?  
   
       
  What would you do differently if you were rehired?  
   
       
       
Work & Ministry Experience - Section 4
  Employment Record - List a current employer, if you have one.
 

Employer Name:
 

Position:
 

Dates:

 to
     
  Leadership/Ministry Experience - List an experience you are currently involved in.
 

Organization Name:
 

Position:
 

Dates:

 to
         
  Certifications - Check off any and all certifications that you currently hold.
  First Aid CPR CPR-Professional  
  Lifeguard WSI CDL  
  EMT WFR WFA  
  RN LPN Other:
           
Skills & Experience - Section 5    
 

Rate your experience and/or interest in any of the areas listed below.
“L” = Leader (I have had experience and am able to lead this activity with little or no guidance)
“E” = Experience (I have some experience with this activity)
“I” = Interest (I do not have experience, but am interested in learning more about this activity)

  
           
  Ropes Course Archery Cooking Worship Leading  
  Rock Climbing Swimming Housekeeping Singing  
  Mountain  Biking Crafts Maintenance Guitar  
  Survival Boating Photography Piano
  Orienteering Fishing Video Production Drama
  Hiking Team Sports Teaching Youth Work
  Nature Campfire Programs Administration  
  Other Specific Interests or Skills:
         
Position Preference - Section 6
 

Please list your first three job preferences.

  
1st Job Preference:  
2nd Job Preference:  
3rd Job Preference:  
 

 

  
Available Dates - Section 7  
  I am able to begin work on:  
  I must leave work on:  

Any applicant who knowingly or willfully makes a false statement of any material fact or
thing in the application is guilty of perjury in the second degree as defined in section
18-8-503, C.R.S, and, upon conviction thereof, shall be punished accordingly.

By clicking "Submit" applicant states that all above
information is correct to the best of their knowledge.