Counselor Application

First Name

Last Name

Phone

How old are you right now?

Birthdate

Choose Which Camps you plan on serving with. (Dates on Summer Camp Page)

Counselor Training

Primary Camp

Intermediate Camp

High School Camp

Why do you want to serve at Bethany Farm Camp?

Is Jesus Christ your Lord and Savior? Tell us how that happened?:

How do you explain the Gospel?

What does your time with God look like?

Do you attend a church, youth group, or Bible study? If so, where?

Do you have any talents or skills (carpentry, musical, lifeguarding, drama, etc.) that might benefit the ministry at Bethany this summer?

Have you been convicted or pleaded guilty of a crime (misdemeanor or felony)?

Is there anything else you would like to tell us about you?

Dietary Needs/ Restrictions

Please provide at least one personal reference not related to you - a pastor, youth pastor, or leader who knows you personally. (Please provide a phone number and e-mail for each person listed.)

Your Signature (not req but requested)

Thanks for applying to be a counselor at Bethany Farm Camp.  Someone from our staff will contact you soon!