Gap Year Application

Gap Year Application
5567 Painted Rocks Rd. - Woodland Park, CO 80863
gapyear@campelim.com
www.campelim.com/gapyear
719-687-2030
Applicant Name*

First NameMiddle NameLast Name
Age *
Birthday*
mm/dd/yyyy
Gender*
T-Shirt Size *
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone
Format: (000) 000-0000.
I would like to receive Text communications

Primary PhoneOther
E-mail Address *
Home Church*
Enter none if you don't have one
High School Graduate or Equivelant?*

YesNo
High School Cumulative GPA*
Years of Education Completed After High School
Intended Enrollment Year*

Fall 2026

Spiritual Preparation

Answer the following questions honestly and thoroughly; these questions help us get a feel for who you are.
1. Describe your personal spiritual journey, including how you became a Christian and focusing on this last year. Give speific examples of how Jesus is involved in your everyday life. Explain in detail your beliefs concerning Jesus Christ and the Bible.*
2. Do you have a regular devotional time with God? Describe what you do in these devotional times and how regular they are. Give specific examples of what you have been learning. *
3. How did you hear about Gap Year? How do you think you can best serve Christ through your ministry during Gap Year at Camp Elim? Where do you think Gap Year would stretch you most?*
4. Why are you applying for Gap Year at Camp Elim? What goals do you wish to pursue this year and describe in detail how you will actively pursue these goals? *
5. Explain the importance of authority and describe how you respond to those in authority over you. How would you deal with leaders you don’t like or rules you don’t agree with? How do you handle conflict within your peer group? Describe a time this happened and how you handled it. *
6. How would you describe the importance of the local church? Please provide Scriptural support for why the church is important.*
7. What involvement have you had in ministry? What have you learned about yourself in ministry and about ministry itself?*
8. Please describe your immediate family and how they have influenced your life. What do they think about you applying for Gap Year at Camp Elim?*
9. Why have you decided not to pursue college/technical school/full-time employment this fall?*
10. Gap Year is a time of working, living and learning at Camp Elim. There is an academic component that will require reading several books, doing assignments and writing papers in a deadline orientated environment. Do you feel comfortable and commit to this part of Gap Year? Describe a time where you completed academic project with a deadline.*

References

We need 3 references on file. One spiritual (Youth Pastor, Elder, etc.) one personal (Employer, Mentor) and one academic (Teacher, School Counselor).
Release: To be completed by Camp Applicant. Please provide Electronic Signature below, allowing the idividuals named to complete the reference. *

I waive my right to review these recommendations and hereby establish this as a confidential recordI do not waive my right to review this recommendation and hereby establish this as a non-confidential record
Electronic Signature*
Make sure to provide correct email addresses below, we will email an online form directly to your referrers.
Reference 1 Name:*

First NameLast Name
Reference 1 Phone:*
Format: (000) 000-0000.
Reference 1 Email
Reference 2 Name *

First NameLast Name
Reference 2 Phone:*
Format: (000) 000-0000.
Reference 2 Email:
Reference 3 Name *

First NameLast Name
Reference 3 Phone*
Format: (000) 000-0000.
Reference 3 Email

Personal History

Background Check
*NOTE: In most cases, a background check is required by the Colorado Bureau of Investigation. Please be advised that the corresponding fees are the responsibility of the applicant.*

"Any applicant who knowingly or willfully makes a false statement of any material fact or thing in the application is guilty of perjury in the second degree as defined in Section 18-8-503, C.R.S., and, upon conviction thereof, shall be punished accordingly."

I have read and understand the above statement and certify that all of the information included on this application is true to the best of my knowledge.
I give permission to Camp Elim to use video or photography of me for promotional purposes.*

YesNo
Print name*
Signature - Please use mouse to sign your name in box*
Signature required for application to be accepted
Should be Empty:

Gap Year Application

Additional Information

Spiritual Preparation

References

Personal History

Personal History