Counselor Application

First Name*

Last Name*

Address

Address Line 1*

Address Line 2

City*

State or Region*

Zip*

Cell Number*

Email*

High School or College*

Grade Fall 2025*

High School Graduation Date*

Parent or Guardian Name*

Parent or Guardian Phone*

We require 2 Personal References. One reference is your pastor and the second is from your choice of the following categories: Employer, Teacher, and a Christian Worker.

Pastoral Reference

Phone Number*

Email Address*

Personal Reference

Phone Number*

Email Address*

Have you ever been CRC staff?*

YesNo

I can commit to the following camps:*

Basketball Camp (May 29-30)Jr. High Day Camp (June 10-13)Elementary Day Camp (3rd & 4th grade: June 16, 18, 20, 24, 26)Elementary Day Camp (5th & 6th grade: June 17, 19, 23, 25, 27)

T-shirt Size*

Christian Resource Center

Furthering Christ's Kingdom through Christlike Service

Counselor Application