Immerse Track 3 Application

Basic Information
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Gender
Date of Birth *

Month Day Year
Which of these options best fits your situation? *

Recently out of High School and seeking an internship before beginning college / a career. (Track 1) College student seeking an internship while taking time off of school (Track 2) College student needing an internship for their degree plan (Track 3) College graduate seeking a paid position to gain work and/or ministry experience in camp-related fields (Track 4) Online / virtual college student seeking an a program that includes housing, mentoring, and service (Track 5)

General Immerse Details
What made you interested in the Immerse program? *
Are you currently pursueing a degree? If yes, in what field?
Do you plan on taking college credit hours during the time in which you are in Immerse? If so, how many? *

No, I do not plan on taking classes. Yes, but not a full courseload. (Fewer than 12 hours) Yes, a full courseload. (12 hours or more)

Personal Faith Story

Use the space below to write a brief description of your spiritual journey, including how you became a Christian, who has influenced your faith, and what events have shaped you. (This should be at least one page typed in a word processor.)
What is your personal story of faith? *

References

In order to be considered for the program, you must have at least three references returned to CotH. Please list both the name and the email addresses for your references. (Note that references should be adults to whom you are not related.) Applications will not be processed until at least two of the three references have been received.
Pastor, Minister, or other Christian professional *
Employer *
Personal reference of your choice *

Personal Questions
What do you envision as your ideal role at Camp of the Hills? *
How do you expect to grow through this internship and what do you expect to bring to the table as an intern? *
Which of your strengths do you believe will be most useful at Camp of the Hills? *
Which of your weaknesses will you need to overcome in order to be effective in a role at camp? How do you plan to address them positively? *
What other kind of things can you do? Which of your interests might be helpful in a camp ministry context? (music, acting, speaking, etc.) *
What are your goals in life? *
Have you ever been convicted of a felony? (Note: A yes does not automatically disqualify you from working at Camp of the Hills.) *

Yes No
If yes, please explain below.
Are you currently under indictment or on probation for any crime? (Note: A yes does not automatically disqualify you from working at Camp of the Hills.) *

Yes No
If yes, please explain.

Agreements
I understand that if I accept a position at CotH, I would be committing myself to a position of service, and my behavior and attitude should reflect Christ-like values. *

Yes No
I certify that the answers and the statements on this application are complete and true to the best of my knowledge and belief. *

Yes No
I understand that any false information, omissions or misrepresentations of the facts called for in this application may result in rejection of my application or discharge at any time during my employment. *

Yes No
I authorize all former employers, persons, schools, companies, and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies, and law enforcement authorities from liability for any damage whatsoever for issuing this information. *

Yes No
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Basic Information