Pleasant Bay Camp :: LIT Application

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Please complete the form below to apply to our Leader In Training Program 2012.

You must also complete a 'camper health form' from the side menu and ask two people to complete references for you on our website (also on the side menu).

The cost of the program is $450 which can be submitted after you are interviewed and accepted into the program. You will recieve a confirmation email to let you know that your application was processed. You will be contacted in March/April for an interview.

LIT Application

The dates of the program this year are July 8 (4pm) to July 21 (4pm). Upon successful completion of the program LITs may be invited on staff for one week of voluntary service as a kitchen/dining or maintenance assistant. This week of service may be used for high school volunteer hours.

*	First Name:
*	Last Name:
*	Address:
*	City:
*	State/Province:
*	Zip/Postal Code:
*	Email Address:
*	Phone:
*	Highest Level of Education Completed and When?
*	Birthdate (day/month/year)
*	Home Church and Denomination
*	Pastor's Name
*	Church Address and Phone Number
*	Please list all the skill areas that you are interested in teaching.	Archery Basketball Canoeing Crafts Frisbee-Golf Kayaking Low Ropes Out-Tripping Sailing Swimming Trail Biking Trampoline Volleyball Wakeboarding Wall Climbing Water Skiing
	What qualifications/experience do you have in the above skill areas?
*	Do you have first aid, CPR or lifeguarding qualifications?
	Please list all relevant qualifications and expiry dates here.
*	Please answer the following questions in paragraph format. a) Who is Jesus Christ to you?
*	b) Who is or has been the most influential person in your life? Why?
*	c) Describe your church involvement.
*	d) Comment on your strengths and weaknesses.
*	e) Summarize why you would like to participate in the program at Pleasant Bay Camp.
* By submitting this application you authorize PBC to investigate all statements contained in this application and understand that misrepresentation or omission of facts is cause for dismissal. yes

*	As a participant in the LIT program we offer you a place as a camper during youth week at a cost of $200 (less than 50%). Are you interested in being a camper for that week? (August 19-25)	yes no not sure
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