Canal Lake Bible Camp Middle/High School Counselor | House of Prayer Church Blairsville GA

Name (Required)

Email Address (Required)

Your Phone Number XXX-XXX-XXXX (Required)

What is your T-Shirt Size? (Required)

S

M

L

XL

2XL

3XL

4XL

Birthday including Year (Required)

What week will you be serving? (Required)

(Check all that Apply)

Elementary Day Camp (7:30 - 5:00) Week #1: (June 15 - 19) - must be 15 years old as of June 1, 2026

Elementary Day Camp (7:30 - 5:00) Week #2: (June 22 - 26) - must be 15 years old as of June 1, 2026

High School Overnight Week (July 13 - 17) - must be at least 19 years old as of July 1, 2026

Middle School Overnight Week (July 20 - 24) - must be at least 16 years old as of July 1, 2026

This is a full time position. Please let us know in advance of any availability limitations (doctor appointments, etc.). (Required)

Certificataions (Required)

Lifeguard

CPR

None

I acknowledge that there will be a mandatory Counselor Training for high school applicants, college aged applicants, and all first time applicants, to be announced in the near future. (Required)

I Understand

Safety and Legality

CLBC is alcohol, tobacco, and vape free. Have you been treated for any chemical dependency?

If you answer yes, please explain

All high school and college applicants will keep their medications with the nurse during camp.

I will comply

Have you been convicted of or are you currently under investigation for any crime? Is there ANY OTHER legal situation in which you are presently involved or have been involved

If you answered yes, please explain

Do you agree to the CLBC standards of conduct and expectations? Canal Lake Bible Camp does not permit its staff to use tobacco, vape, drugs, or consume alcoholic beverages. Theft, vandalism, physical injury to others, deception, and any such misconduct is

YES

Do you agree to the following statement of Faith? CLBC STATEMENT OF FAITH: we believe the Bible is the only inspired, authoritative, and infallible word of God and that it is useful for teaching, for reproof, for correction, and for training in righteousne

YES

I understand if I am 16 or older I must fill out a Volunteer Screening Form if I have not already done so at the CLBC website under the staff tab

YES

I understand if I am 18 or older I must fill out a Criminal History Consent for Background Check form on the CLBC website under the STAFF tab

YES

Please type your name as a signature that all information in this form is true to the best of your knowledge.

Interview Questions

This section is for: A. All High School Applicants B. All College Aged Applicants C. All First Time Applicants D. All who are not a weekly attenders of House of Prayer If you do not fit any of the above criteria, just leave the rest of the answers blank a

UNDERSTOOD

How often do you attend church?

Twice a week

Once a week

Every two weeks

About once a month

Rarely

If you do not attend House of Prayer: 1. What is the name of your church? 2. What is the name of your youth pastor/pastor?

Reference (Pastor / Youth Pastor / Small Group Leader preferred) 1. Name 2. Relation 3. Phone

How often do you pray and what was a recent answer to prayer for you?

How often do you read God’s Word and what have you been learning lately?

Regarding ministry, how have you served in the past and how have you been serving the Lord lately?

Who is currently encouraging and challenging you to walk with Jesus and how often do you meet? What is something he or she has encouraged or challenged you with lately?

What does being engaged in the church look like for you? If you are not engaged in a local church, what obstacles exist to prevent you from being plugged into a local church?

First Time Applicants, who referred you to be a counselor?

First Time Applicants, please describe how you became a follower of Jesus.

First Time Applicants only: 1. Why are you interested in serving at CLBC this summer? 2. What do you hope to see come about from serving in this role?

First Time Applicants only, please tell us the strengths (gifts, abilities, experience, etc.) you possess that you believe will benefit camp

First Time Applicants only, what are your weaknesses / in what areas do you need to grow?

CLBC counselors under the age of 18 must have attended CLBC before. Have you attended CLBC?

YES

NO

If you are 18 or under, what are your parents' names?

What age will you be as of June 1, 2026? Or, what age will you be when the week you plan to counsel begins?

Who is your emergency contact?

Your Emergency Contact's Phone Number