Form

IMPACT Intern Application
Camp David is offering this Internship opportunity to young adults ages 17 & up who want to develop as leaders and make an impact. This is a 12 month program, where participants gain invaluable experience and make an impact in the kingdom of God.
Full Name *

First Name Last Name
E-mail *

Birth Date *

Month Day Year
Age *
Gender

Male Female
Relationship Status *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

How did you hear about Camp David? *
Home Phone *

- Area Code Phone Number
Cell Phone

- Area Code Phone Number
Social Security Number *

Personal References
Please provide contact info for three people whom we will contact as a reference before your application will be accepted:
1. Professional Reference, ex: teacher or employer
2. Relative, not parents, over 21
3. Spiritual Mentor, ex: small group leader or pastor
Name *
E-mail *
Phone Number *

- Area Code Phone Number
Name *
E-mail *
Phone Number *

- Area Code Phone Number
Name *
E-mail *
Phone Number *

- Area Code Phone Number

Personal & Christian Walk

Please answer the following questions to the best of your ability. Answer will be kept confidential.
Church you currently attend: *
Attending since:

- Month - Day Year
Pastor's Name:
Church Phone:
If you have personal devotions, what did you read today? *
How have you grown as a Christian this year? *
What do you like to do in your free time; what are some of your hobbies or interests? *
Why do you want to be an intern at Camp David? *
What area of your life do you desire/need the most growth in?
List three personal goals you have for this internship:
Highest academic level completed *
Describe any vocational or educational training you have:
List any musical instruments you play:
Are you certified in: *

First Aid CPR Training Lifeguarding None of the the above
If you are certified in any of the above areas, please list the expiration dates of these certifications:
List any training or experiences which have equipped you to work with children:
Do you have any medical conditions that might effect your time of service?

Background & Philosophy

NOTE: The following questions are to help Camp David protect its staff and campers. We understand that the answers to these questions may be private and deeply personal, and we will protect your privacy.
Please list any organization (including churchs) over the past 3 years that you have been involved with caring for children or vulnerable adults:
Name:
Years Involved:
Location (City, State):
Name:
Years Involved:
Location (City, State):
Name:
Years Involved:
Location (City, State):
When you are unhappy, angry, or emotional about a person or circumstance, what do you do? *
If you have struggled with cutting, bulimia, anorexia, suicide, or any other emotional disorders in the past two years, please describe: *
Have you experienced any significant physical or emotional stresses within the past year, such as the loss of a parent, spouse, or child, extreme ill health, or any emotional or physical crisis? If so, please briefly explain: *
Have you ever physically or sexually abused a child? *
Do you consider yourself to have been physically or sexually abused as a child? *
If you were physically or sexually abused as a child, would you consider utilizing church resources to seek healing in this area of your life?

Theology and Christian Background

Please answer the following questions in 2-8 sentences:
What are your beliefs about Jesus Christ, The Bible, and Heaven /Hell? *
Describe your salvation experience and your Christian growth: *
If a young person asks you why they need salvation and how to become a Christian, what would you say? *
Where do you stand on the following issues: alcohol, drugs, homosexuality, and premarital sex? *
Have you been involved in any of the above areas and how long ago was it? *

Commitment and Release
This is a serious commitment. Please ask God to help you overcome any obstacles that may arise in order to be able to fully carry out your commitment. *

I am committed to serving the Lord at Camp David with all my heart and energy for the one year internship. The only thing that will keep me from completing this commitment would be a serious health issue or family emergency. I understand the mission for Camp David of the Ozarks is to provide a Christian Camp where one can experience love, find hope, and grow in a relationship with Jesus Christ. I agree with the Statement of Faith (found on the "Overview" page on our website) for Camp David. I accept the risks involved in camp activities and do hereby release Camp David of the Ozarks, and all staff and volunteers, from any and all claims for injuries or death sustained by me or my family, whether such injury occurs on or off the camp property. I have read the Camp Policies and will uphold them and submit to the leadership of CDO. I give permission to Camp David of the Ozarks to use camp pictures or videos including myself in promotional and sponsorship material.
I hereby state that I am 18 years or older, and I authorize the release of any criminal history record information to Camp David of the Ozarks. *

Yes No
By typing my name in the box below, I agree to the above statements and promise that they are true and accurate to the best of my knowledge. *
If applicant is under 18 years old, a parent must type their name in this box to give consent:
Date *

- Month - Day Year
Should be Empty:

IMPACT Intern Application

Personal References

Personal & Christian Walk

Background & Philosophy

Theology and Christian Background

Commitment and Release