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:  
  Gender:  
  Marital Status:  
  T-Shirt Size:  

Are you a U.S. Citizen?

  
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  
 

High School

  
   H.S. Name:  
   H.S. State:  
  Year of Graduation:  
 

Colleges / Universities / Technical Schools: list most recent first

  
 

School 1

  
  Name of School:  
  Field of Study:  
  Status:  
 

School 2

  
  Name of School:  
  Field of Study:  
  Status:  
     
     
       
Christian Experience - Section 3  
Is Jesus Christ Your Lord and Savior?  

What church do you attend?

  
How long at this Church? Years  
Pastors Name:  
Pastors Phone:  
       
 

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

  
       
 

Please give a statement of your personal faith.

  
 

 
     
  What are you currently doing to grow as a follower of Christ?  
   
     
 

In what ways do you attempt to share Christ with others?

  
   
       
  How would you describe the plan of salvation to a camper?  
   
       
  Why do you want to serve at Covenant Heights?  
   
       
Work & Ministry Experience - Section 4
  Employment Experience - List most recent first, do not list camp employment here.
  Employer 1  
 

Employer Name:
 

Position:
 

Dates:

 to
  Employer 2  
 

Employer Name:
 

Position:
 

Dates:

 to
     
  Leadership/Ministry Experience - List most recent first, do not list camp employment here.
  Organization 1  
 

Organization Name:
 

Position:
 

Dates:

 to
  Organization 2  
 

Organization Name:
 

Position:
 

Dates:

 to
     
  Camp Experience - List most recent first.
  Camp 1  
 

Camp Name:
 

Position:
 

Dates:

 to
  Camp 2  
 

Camp Name:
 

Position:
 

Dates:

 to
     
  Age Group Experience - Rate your experience with the following age groups.
 

Elementary:
  Jr. High:
  Sr. High:
  College:
  Adult:
         
  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.