Before you send your form have you: Leadership in Training Application Form Completed the application in full? Sent reference forms to two references? Mail to: Cypress Hills Camp, Box 786, Maple Creek, SK. S0N 1N0 PERSONAL INFORMATION (please print or type) Name Gender Male Female Current Address City Prov Postal Code Phone ( ) Birthdate / / Age Email School Attending Grade in Fall Notify in an emergency Relationship Address City Prov Postal Code Phone ( ) Are there any reasons why duties would be limited due to physical limitations or disability? If yes, please explain Medications Doctor Phone ( ) Medical Insurance Signature of Parent/Guardian
2 CHURCH INFORMATION Name of Church attending Address City Province Postal Code Phone ( ) Church attendance Regularly attend Occasionally attend Seldom attend Pastor Home Phone ( ) Youth Pastor Home Phone ( ) PURPOSE Why do you want to attend Cypress Hills Bible Camp LIT program? CAMP EXPERIENCE 1. Describe your previous experience as a camper/staff member at camp. (Indicate camp and date attended) 2. Describe any leadership training you have received
3 SKILLS For each activity skill, please indicate what best describes your qualification to organize, teach or perform that activity and your interests in leading it at Cypress Hills Camp. Skill Archery Qualified to lead & very interested Qualified to Lead Able to assist & very interested Able to assist Trampoline Volleyball Field sports Hiking Group games RC Trucks Outdoor cooking Canoeing/Kayaking Swimming Paintballing Drama/Theatre Guitar Piano/Keyboard Singing Creative crafts Geocaching Horsemanship Animal Care Mountain biking Mountain boarding List any other areas that you have been involved in CHRISTIAN EXPERIENCE (Use separate sheets of paper where necessary) 1. Briefly describe when and how you came to faith in Christ
4 2. Who is Jesus Christ to you? Describe your relationship to Him as it stands today. 3. Describe your commitment to the church and to fellowship with other believers. 4. List your current and past involvement in Christian ministries, including dates. Also include volunteer community involvement. 5. What evidence can you point to that shows you are growing in your faith?
5 REFERENCES Please provide the names of two people, at least 20 years of age, who know you well and have agreed to act as your reference. At least one should be a Christian worker (Pastor, Youth Pastor, Christian Group Leader, etc.) Give each reference one Cypress Hills Camp Reference Form (available online). It is your responsibility to make sure they send it directly to the Camp. 1. Name Position Phone ( ) 2. Name Position Phone ( ) It is recommended that each participant in the Cypress Hill Camp LIT program find 5 people who will commit to pray daily for them during their LIT experience. If you are 16 or older, a copy of your current CRIMINAL RECORD check is required every 2 years. Please submit your criminal record check with your application form or mail it separately as soon as possible as we cannot confirm your acceptance until it is received. If you are accepted as an LIT, you are required to attend the 5 day LIT training camp. Upon completion, you will be asked to stay on at camp as part of our junior staff (from 1-5 weeks). COMMITMENT AND PLEDGE I have considered the matter prayerfully, and I am willing to be subject to the jurisdiction of Cypress Hills Camp while I am there, including the days between camps. I choose to cooperate fully and to maximize every opportunity for personal spiritual growth. I understand that anyone demonstrating a poor attitude or a poor quality of service is subject to dismissal. I have read and agree with the CHC Doctrinal Statement. By signing below, I indicate that I have read and agree to abide by the CHC Code of Conduct. Date Applicant s Signature Mail completed form to: Cypress Hills Camp, Box 786, Maple Creek, SK. S0N 1N0
6 CSSM Doctrinal Statement We believe in 1. The Divine inspiration and consequent authority of the Scriptures of the Old and New Testaments. By the term Divine inspiration we mean the truthfulness and authority of both the Old and New Testament Scriptures in their entirety as the only written Word of God, without error in the original manuscripts and the only infallible rule of faith and practice. 2. The doctrine of the Trinity, one God revealed as Father, Son and Holy Spirit, Creator of all things, infinitely perfect. 3. The Deity of our Lord Jesus Christ, His miraculous conception, humanity, miracles, His death and burial, His bodily resurrection, ascension, and return. 4. The personality of the Holy Spirit whose ministry is to glorify the Lord Jesus Christ and during this age to convict men, regenerate the believing sinner, indwell, guide, instruct, and empower the believer for godly living and service. 5. The creation of man in the image of God; that he sinned and thereby incurred not only physical death, but also spiritual death; and that all human beings are born with a sinful nature totally depraved and are incapable of pleasing God, and in the case of those who reach moral responsibility become culpable sinners, utterly lost, and only through being born again through faith in our Lord Jesus Christ, in whom we have redemption through His blood, can salvation and spiritual life be obtained. 6. The resurrection of the body, the eternal life of the saved, the eternal punishment of the lost. After death all men continue in conscious existence, the believers being "absent from the body but present with the Lord," the lost in everlasting conscious torment. 7. The personality of Satan as a created being and an adversary of God.
7 CHC Staff Code of Conduct Because of the permissiveness of our society and the various views on what is acceptable, CHC has set standards for our staff. These standards will reflect the importance of nurturing a wholesome relationship with God, self, and others. Jesus said, Love the Lord your God with all your heart and with all your soul and with all your mind and with all your strength... Love your neighbour as yourself. Mark 12:30-31. 1. Behaviour We recognize that Scripture does not include direct teaching for every social practice or situation. However, we acknowledge Scriptural principles related to avoiding that which could become a temptation to the flesh or cause one s witness to become a stumbling block to unbelievers or to a weaker Christian brother/sister. ~At CHC we do not permit harassment of any form (bullying, initiation rites, pranks) or practical jokes that are demeaning, involve physical and mental harm, or damage to property. ~While a part of the CHC staff we ask every member to abstain from the use of alcoholic beverages, tobacco in any form, profane language or gestures, all forms of dishonest practices including cheating and stealing, involvement in the occult, pornography and non-medicinal drugs or participating in any activity that promotes ungodly behaviour. 2. Appearance Although your style of dress is an expression of your personality, it is important to consider the way that you present yourself to others and represent the Lord. ~In your clothing choices, staff should not reveal underwear, cleavage, or midriff. Short shorts, short skirts, bare backs, spaghetti straps, and clothing with inappropriate slogans or graphics which are demeaning or degrading should not be worn. ~ As we are also setting examples for our campers to follow, ladies please wear only 1 piece swimsuits. ~ Please respect everyone at camp by observing consistent personal hygiene and good grooming habits. 3. Social Relationships God has designed us that personal and spiritual growth takes place best in the context of healthy relationships. In His Word, God has provided principles that lead to healthy relationships with Himself and with others. As we are teachable and obedient to God s Word, we will share mutually in the nurturing of relationships. ~In all your relationships, seek to honour God, guard your testimony, and enhance the lives of others. We ask that no guy/girl relationships begin while at camp.