Counselor Application 2025

Counselor Application 2025

Please enter your information below.
General Information
Name*

First nameLast name
Birth date*

MonthDayYear
Current age*
Gender*

MaleFemale
Email*
example@example.com
Cell phone
Home phone
Mailing address*

Address line 1

Address line 2

CityState / Province

Zip / Postal codeCountry
Current occupation/grade in school*
When were you baptized as an Seventh-day Adventist?*
Home church*
Marital status*

SingleMarriedOther
Have you ever been arrested and/or convicted of a crime involving drugs, sex, or violence?*

YesNo
If yes, please explain:
Please attach a recent photograph of yourself if you have not been involved with YD Camp within the past two years.

Browse Files

Cancelof
Experience & Qualifications
List any past experience and qualifications for being a camp counselor (e.g. classes taken, leadership roles, etc.)*

Dates & Transportation
July 7–9: Camp Prep Workbee
July 9–13: Counselor Orientation
July 13–20: Camp Week 1
July 20–27: Camp Week 2
July 27–29: Counselor Retreat
July 29–31: Camp Cleanup Workbee
Please check all of the following travel options that apply to you*

I plan to be at Young Disciple Camp from July 9–27 (not staying for the counselor retreat).I plan to be at Young Disciple Camp from July 9–29 (staying for the counselor retreat).I plan to help with camp prep (give arrival date below).I plan to help with camp cleanup/tear down after counselor retreat (give departure date below).I will need to be picked up at the airport. I will provide the camp office with all flight details.*I will provide my own transportation to camp.I will bring a vehicle to camp that I can use for camp transportation and I can transport campers to nearby functions (give number below).I am willing to allow another licensed driver to use my vehicle for camp purposes.Other (specify below).
Arrival date for camp prep (e.g. "Monday, July 7")
Departure date from camp cleanup
Number of campers you can transport, if needed:
Other travel arrangements
* Young Disciple provides airport pickup and drop-off service for those whose flights arrive at Spokane International Airport by 2:30 pm on July 9, and depart after 1:00 pm on July 27, or anytime within reason on July 29. Please send a copy of your flight itinerary to the YD office at least three weeks prior to camp.

Medical and Emergency Contact Information
Present health*

ExcellentGoodFairPoor
Do you have asthma?*

YesNo
If yes, how is it controlled?
Previous bone or joint problems?
Please list any significant physical conditions or medical history (major surgery, seizures, mental/emotional illness, etc.)
Describe any significant allergies you have to foods, medications, and other substances you might encounter at camp. Please also list your reaction and preferred treatment.
Do you require gluten-free (GF) meals?*

YesNo
Medical Insurance carrier
Policy number
Emergency Contact
Emergency contact name*

First nameLast name
Relationship*
Cell phone*

Camp Polo Shirt

Counselors will be provided with a staff polo shirt to wear during registration.
Please select your size:*

SMLXLXXL
References

Please list three references (not family members or Young Disciple employees) below. Please provide your references with a link to the online recommendation form found at youngdisciple.org/reference
Reference 1: Teacher or employer*

First nameLast name
Phone number*
Email*
example@example.com
Mailing address

Street address

Street address Line 2

CityState / Province

Postal / Zip codeCountry
Reference 2: Pastor or church elder*

First nameLast name
Phone number*
Email*
example@example.com
Mailing address

Street address

Street address line 2

CityState / Province

Postal / Zip codeCountry
Reference 3: Other godly adult Christian*

First nameLast name
Phone number*
Email*
example@example.com
Mailing address

Street address

Street address line 2

CityState / Province

Postal / Zip codeCountry

Important Questions
Why are you applying to serve at Young Disciple Youth Bible Camp?*
Please read the summary of camp codes at youngdisciple.org/codes. Are you willing to pattern and support these codes? Please list any areas in which you have concerns. *
How do you maintain a daily relationship with Christ? *
In order to serve, would you need to arrive or depart outside of the times requested by the camp? *
Have you carefully read the Important Details section of youngdisciple.org/counselor-application? *
Would you feel comfortable guiding a camper in establishing a personal devotional program? *
Would you feel comfortable leading out in unit worships? *
Are you willing to require 100% obedience from the campers in your unit? *
Could you take disciplinary measures with your campers, even if they might dislike you for it? *
Are you prepared to handle the strain of being responsible for campers around the clock? *
Are you willing, by God's grace, to give special attention to the "unlovable" campers in your unit? *
Can you adjust to the camp schedule without taking extra naps during the day? *
You may encounter problems during the week. In such a case, are you willing to bring them to your head counselor rather than to your parent(s), friends, or other staff members? *
Are you willing to enthusiastically accept whatever accommodations your unit is assigned, whether it is up to your expectations or not?*
Are you willing to accept responsibilities as assigned, even if they are not your first choice? *
Are you prepared to follow up with the campers in your unit by staying in touch throughout the year, through letters, cards, text messages, or phone calls? *
Are you prepared to sit among your campers at meals and worships, even when you'd rather sit next to a friend? *
Are you willing to enthusiastically participate in every aspect of the camp program, even push-ups at line call? *
If you are selected as a counselor, will you carefully study the counselor handbook prior to camp time? *
Are you prepared to petition the Lord for His sweet spirit to keep you from criticizing, condemning, or complaining, and thus set a proper example for the campers? *

PARENT’S AUTHORIZATION
(For all minor applicants, under age 18.)

As parent and/or legal guardian of the applicant, I am in favor of the applicant serving at Young Disciple Youth Bible Camp and participating in all activities unless otherwise specified in writing. I hereby release the camp and its staff from liability in case of accident or illness, and I understand I am responsible for any charges incurred in treatment of my child's illness. In case of emergency, I understand an attempt will be made to contact me. I hereby give permission to the medical personnel selected by the camp directors to administer natural remedies as deemed appropriate and/or to hospitalize and administer anesthesia and medications as necessary, or perform surgery on my child. I also give permission for Young Disciple Ministries to use pictures taken of my child during camp for promotional and/or illustrative purposes.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I UNDERSTAND I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Parent/guardian signature

Clear
Name of parent/guardian

First NameLast Name
Relationship
Signature date

MonthDayYear
Date
Counselor Agreement

I have carefully read the camp codes, and I agree to abide by all the camp regulations and policies, and to uphold camp objectives. I will not promote any issue or subject that will cause controversy, division, or discontent among the camp staff, campers, or visitors to the camp. I hereby release the camp from liability in case of accident or illness. I also give permission to Young Disciple Ministries to use images taken of me during camp for promotional or illustrative purposes.
Applicant signature*

Clear
Signature date*

MonthDayYear
Date
Should be Empty:

	0	1	2	3
Amateur Radio
Aviation (Mission Pilot)
Auto Mechanics
Bible Work
Building/Construction
Camp Cookery
Camping
Canoeing
Carpentry
Child Evangelism
CPR
Creative Hymnplaying
Crocheting
Desktop Publishing
Drawing
Drilling & Marching
DVD Evangelism
Embroidery
Firebuilding
First Aid
Foreign Language
Health Outreach
Hiking
Homiletics
Kitemaking
Knitting
Knot Tying
Leatherwork
Literature Evangelism
Medical Missionary
Music Composition
Nature Study
Needlepoint
Orienteering
Paper Origami
Photography
Quilting
RC Aircraft
Science Experiments
Scrapbooking
Search and Rescue
Sewing
Sign Language
Swimming
Tracking
Woodworking
Wilderness Survival

	0	1	2	3
Banquet Decoration
Cooking/Kitchen Organization
Food Service Director
Meal Supervisor
Quantity Cooking
Vegan Cooking

	0	1	2	3
Conducting (Choir)
Conducting (Orchestra)
Singing
(part you sing) SATB/0123
Angklung Choir
Bell Choir
Cello
Flute
Guitar
Harp
Piano/Keyboard
Trumpet
Viola
Violin
Other instrument(s)

	0	1	2	3
Animals
Birds
Flowers
Marine Invertebrates
Rocks
Stars
Trees
Weather

	0	1	2	3
Devotional Talks
Preaching
Program Director (MC)
Storytelling

	0	1	2	3
Grounds/Maintenance
Life Guard (exp. date below)
Line Call/Marching
Organizational Skills
PA Operation
Swim Teacher (exp. date below)

	0	1	2	3
Group Games
Obstacle Course

Counselor Application 2025

Experience & Qualifications

Dates & Transportation

Medical and Emergency Contact Information

Camp Polo Shirt

References

Important Questions

Skills & Interests