Leader Application Form

CONSENT: By filling out this form and paying the fee. *

I confirm I am over 18 I confirm I am under 18 and have my parents/guardians permission to attend camp as a leader.

SECTION ONE (ALL APPLICANTS TO COMPLETE)

Full Name *

Address *

Contact Number *

Email Address *

Gender *

MaleFemale

Age *

Date of Birth *

School Attending (if any)

Year At School

Occupation (if not at school)

Specify any medical conditions that you have that may affect you during camp that may require special care *

State any medications you may be taking during camp *

Specify any dietary requirements (please note - these must be genuine dietary conditions, not just a like or dislike). *

The kitchen team will do their best to cater for various dietary conditions but you may also be asked to provide some of your own provisions.

Anything else we should be aware of? e.g. restricted access by someone?

I am applying to come to Camp as: *

EMERGENCY CONTACT INFORMATION (EG WHO WE CONTACT SHOULD YOU BE INCAPACITATED).

Name of Emergency Contact *

Relationship to you e.g. parent, aunty etc *

Their contact details *

Do you currently attend a Church or Church youth group on a regular basis?

If so which Church?

Pastors Name

Youth Pastors Name

How would you best describe where you are at in your relationship with God right now? *

List any gifting’s/talents you have that could help us out at camp. Eg. Drama, musical abilities etc. *

SECTION TWO (FIRST TIME APPLICANTS ONLY MUST ALSO FILL IN THIS SECTION)

Why do you want to be a leader at Cool Bananas Camp?

How did you hear about this leadership opportunity?

Please list any current or previous leadership rolls you have had in the past 2 years.

What relevant qualities, skills, and strengths do you feel you have to offer us?

It is our preference for any leaders coming to camp to be a Christian (e.g. you have made a personal decision to be a follower of Jesus). If you do not consider yourself to be a Christian, this will not discount you from coming, however, you do need to be aware that Camp is run on Christian values and daily Chapel times and leaders meetings will also be based on Christian beliefs so you need to be comfortable operating in that environment should your application be accepted.

Do you consider yourself to be a Christian?

If YES, please provide us with a brief outline of when and why you decided to become a Christian and tell us about a verse that has meant alot to you and why.

If NO, please provide us with a short description of where your belief in God/Christianity is at and ask any questions you may have about God.

SECTION THREE (ALL APPLICANTS TO COMPLETE)

APPLICANTS STATEMENT *

I declare that the information in this application is true and correct to the best of my knowledge. I authorise any referees or Churches listed in this application to give you any information they may have regarding my character and fitness for camp lead

Applicants Name *

Date *

Please provide us with the name and contact details of someone who can be a character referee for you whom we may contact (please do ask them if they are happy to do this for you). The referee must not be a family member but rather someone who has known you more than 1 year and has seen you work in team situations.

Referee Name *

Home phone

Work phone

Mobile number *

Email address *

Applications will close when full, so be in quick to avoid disappointment!!