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Summer Camp Staff Application

This application can be submitted online by advancing through the below form.

We recommend reviewing the PDF version here to be ready to complete each field.

You are also free to complete the PDF version if necessary and return to Sixth Avenue Baptist Church.

Camp Staff Application PDF

*Please note. You will be prompted to upload a copy of your driver’s license and certification documentation (if applicable).

Counselor In Training Program

Step 1 of 4

25%

APPLICANT INFORMATION
CIT (Counselor In Training) Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Tshirt Size*
- Youth L
- Youth XL
- S
- M
- L
- XL
- 2X
- 3X
Please select ONE T-shirt size.
Current Age*
Please enter a number less than or equal to 15.
Date of Birth*
MM slash DD slash YYYY
Social Security Number*
Rising Grade*
Have You Ever Attended Summer At The Sixth?*
- Yes
- No

Parent / Guardian Information
Name*
First Last
Address (if different)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Cell Phone
Work Phone
Email
Parent / Guardian Information
Name
First Last
Address (if different)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Cell Phone
Work Phone
Email
Emergency Contact
Name*
First Last
Relationship to CIT*
Cell Phone
Work Phone
Email
Medical Information
Please list any allergies or medical conditions or concerns.

MOTIVATION AND INTENT
I am applying to the Counselor in Training program because:
- I want to gain/strengthen leadership skills.
- I am completing service hours for my school.
- I plan to apply for a counselor position when I am 16.
- My parents would like for me to participate.
(Check all that apply)
Other motivations
References
Give names and numbers of three, non-relatives (eg. teacher, coach, mentor, principal, etc.) who have knowledge of your character, experiences, work habits, and abilities.
Name*
First Last
Phone*
Relationship To You*
Name*
First Last
Phone*
Relationship To You*
Name*
First Last
Phone*
Relationship To You*

Other Important Information
Have you ever worked with a group of children? If so, please explain.*
What qualities and talents would you bring to the summer camp?*
Describe a time when you took initiative and led others (in your home, school, church, or community).*

Welcome To Sixth Avenue Baptist Church

1101 Martin Luther King Jr. Drive SW
Birmingham, Alabama 35211
Office: 205-251-5173 | Fax: 205-715-0341
Email: rmorris@sixthavebaptist.org

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