Application – College Age Name (required) Email (required) Phone Age (required) Date of Birth (required) Home Address City State Zip Home Church Pastor College attending (if any) College Address Your College Box Number Desired Position —CounselorOp Staff – KitchenOp Staff – Game set up & GroundsSecretaryPhotography/Videography Would you be available to be at camp from May 29 through July 31, 2018? YesNo If you answered “No” what dates would you not be available? Have you worked at camp before? YesNo Where and when have you worked at camp? Have you ever been accused of, participated in, or been convicted of any sexual abuse? YesNo Please provide any other information that may be helpful. By typing you name, you are signing that the above information is true and accurate. Perhaps you recognize some of the delightful young people that have work at Servant’s Heart in 2017. 2017 Summer Staff If you do not receive a preliminary response within 10 days, please contact us.