First and Last Name Email Address Can you work June 21 - 25? Can you work July 12 - 16? Can you work June 28 - July 2? Can you work July 5 - 7? Date of Birth Male/Female Parent/Guardian Name Mailing Address Phone Number Parents Phone Number Church Membership Current School You Are Attending & Grade/Year Do You Have Your Own Transportation? Share your faith story, how did you come to know Christ? Why do you want to be a staffer at Cold Springs? What are some ways that you are involved in your church? What are your spiritual gifts and how is that useful in camp ministry? What are your future hopes and plans? Pastor/Youth Pastor contact information(Email, Phone #, etc) Teacher reference contact info(Email, Phone #, etc) Friend Reference Contact info(Email, Phone #, etc) 6 + 7 = Submit