WCYC STAFF APPLICATION 2010

Many Children Need a Difference.    Come Help Us Make That Difference.

Applicant's Name_____________________________________________________________Date_____/_____/_____

Address_______________________________________________City_____________________State____Zip_________

Birth Date____/____/____Sex____Married?_____Phone #(     )____-________e-mail_____________________________

If you have children who must accompany you to camp, their age and sex are__________________________________

Of what church are you a member?_____________________________________________________________________

church address_________________________________________City_____________________State____Zip_________

Please list names of two active Christians (preacher, elder, teacher, member, etc.) to whom we may write for personal

and Christian recommendations of you.

Name_____________________Address____________________________phone________________e-______________

Name_____________________Address____________________________phone________________e-______________

How long have you been a Christian?_____When?___________Where?______________________________________

List areas of church work in which you have had experience.________________________________________________

_________________________________________________________________________________________________

Have you had experiences in youth camp work?_____What responsibilities did you have?________________________

_________________________________________________________________________________________________

What educational background and or special areas of training do you have?____________________________________

_________________________________________________________________________________________________

Select the camp session at which you wish to volunteer.  Please select first, second and third choices.

Preference will be given to those able to volunteer at both weeks of a session.

Quest                  June 15 - 19     All Ages        Five days____

MIDDLE CAMP    June 20 - July 3         Ages 11-13   Both Weeks____   Week 1____   Week 2____

INTERMEDIATE   July 4 - 17        Ages 13-15   Both Weeks____   Week 1____   Week 2____

SENIOR CAMP    July 18 - 31              Ages 15-18   Both Weeks____   Week 1____   Week 2____

JUNIOR CAMP    Aug 1 - 14         Ages  9-11   Both Weeks____   Week 1____   Week 2____

Circle two or three duties you would like: 

Bible teaching,  counseling in cabin,  kitchen help,  crafts, lifeguard,  nurse,  nature study,  camp improvement,  sports,

conservation,  special activities,  waterfront, campfire preparation,  transportation (have van),  special edu.(have skills).

Yes__ No__ Have you ever been convicted of or are presently being investigated for a sex offense?

If accepted as a counselor you will be called on to help keep Fallhall Glen a Christian environment free of drugs, tobacco, alcohol and promiscuity.  Help us promote spiritual growth through your loving-serving attitude, friendliness, high family values, clean speech and integrity.

Signature____________________________                                                Shirt size______

Please return this completed form to the Director of your selected session:

Junior Camp: Guy Marshall, 2750 Saemann Ave., Sheboygan, WI 53081  920-458-0463

Middle Camp: Gerold Bohm, 10710 Otto Road, Amherst , Wisconsin 54406, 715-824-5868

Intermediate Camp: Jim Coehoorn, 115 North Broad Street, Elkhorn, Wisconsin 53121, 262-723-6297

Senior Camp: Jeff Hill   12290 W. Edgerton Ave. Hales Corners,  WI  53130   414-232-1178

Quest: Jim Frost, 156 West Main, Fontana, Wisconsin 53125, 262-275-1066