Barnabas CORE Leadership Training Application

Instructions

The Barnabas Level of Leadership Training is for campers that have finished 11th grade. You can choose your preferred session dates below.

1) Complete and submit this form.

2) Send out 2 reference links (pastor/youth pastor and teacher/general)

3) Payment: The two weeks session costs $600. Our new one week session costs $300. Please pay a $100 deposit when you receive your confirmation (acceptance) email. The balance will be due before July 1 for all sessions.

If you are unsure about your appropriate level, the status of your application or your deposit, please contact Lauren (570) 333-4098 x100 or office@camporchardhill.com.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Birth Date*

MonthDayYear

Camper Email*

example@example.com

Camper Phone Number

Area CodePhone Number

Current Grade*

T-Shirt Size*

Camper Name*

First NameLast Name

Parent/Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Parent Phone Number*

Area CodePhone Number

Parent E-mail*

Session Date*

LIT Session 1 ($600) Two weeks Sunday, July 7 (1:30pm) - Saturday, July 20 (10am) Open for Nehi, Tim, and Barney levelsOPTIONAL Trip - Session I ONLY! Attend field trip along with Thrive Campers on Wednesday, July 17. $60 additional fee.LIT Session 2 ($600) Two weeks Sunday, July 21 (1:30pm) - Friday, August 2 (10am) *note the Friday departure Open for Nehi, Tim, and Barney levelsLIT Session 3 ($300) ONE week, Sunday, August 4 (1:30pm) - Saturday, August 10 (10am)

My 2023 Experience*

What has God been teaching your through the last year?

Please describe the most important thing you learned from your experience as a Timothy at COH *

Please describe how you are visibly different in your life after your Timothy experience (remember that little things count as well as big things!*

Why do you want to come to the next level of Leadership Training? *

When your session is done at the end of next summer, how will you know that you did a great job, how will you knowthat it was a successful training time?*

https://form.jotform.com/201035313254137

The cost for the Leadership Training is $600 for your two week sessions. The cost for our new one week session is $300.
We will create your reservation and a $100 non-refundable deposit can be paid when you receive your acceptance email.
Space is limited. High School students who have a desire to lead and grow are eligible to apply. Selection of applicants will be based upon timeliness of application return, and clarity and vision communicated in application. Upperclassmen will get priority in filling spots if applications are received on the same day. Once a session is full, applicants will have the chance to try another session that is open.

VERIFICATION
As consideration for the above-named supervisor’s agreement to consider my application, I hereby authorize him/her to engage in background checks regarding any and all statements I have made on this application and, further, to obtain any other information regarding my previous employment, my veracity, my skills and or/ abilities which the above named supervisor may deem relevant.

I authorize any references or churches listed in this application to give you any information (including opinions) that he/she may have regarding my aptitude for pre-adolescent or youth work. In consideration of the receipt and evaluation of this application by COH, I hereby release any individual, church, youth organization, charity, reference or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind of nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any rights I may have to inspect any information provided about me by any person or organization identified by me in this application.

I also understand that leadership activities such as service projects working in the COH kitchen and on it’s grounds and camp activities such as initiative problems, ropes course, caving, backpacking, canoeing, and biking have inherent risk that could involve injury and require medical treatment. I understand that there will be travel off of COH property for leadership trips and give permission for my camper to travel off site with COH leadership in COH authorized vehicles.

I accept this risk and agree to clarify with COH points I am unsure of regarding the specifics of this training. I agree to hold harmless COH and its agents and employees.

My signature below indicates that I have read the above Authorization. I understand it and agree to be bound by its terms.

Should this application be accepted, I agree to be bound by the polices of COH and to refrain from unscriptural conduct in the performance of my services on behalf of the organization.

I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND SIGN THIS RELEASE AS MY OWN FREE ACT.

Camper Signature*

Parent/Guardian Signature*

Date*

Date

Barnabas Application

CAMPER INFORMATION

PARENT/GUARDIAN INFORMATION

Session Date

General Information

Reference form link