Bishop Bruté Days June 16 – 19, 2015 at the Bishop Simon Bruté College Seminary ASSISTANT COUNSELOR APPLICATION (High School Seniors) There is no camp fee for Assistant Counselors. I am interested in taking a leadership role at Bishop Bruté Days, working with the seminarians, to provide a positive experience for the Bishop Bruté Days campers. NAME: ___ __ PHONE:_ _______________________ ADDRESS: ___ _____ __ CITY: ZIP:__________ EMAIL:_______________________________BIRTHDAY: SCHOOL: __ __ AGE: _ ______ GRADE:______ T-SHIRT SIZE:________ (‘15 –‘16) PARISH: ___ __ ____ __ DEANERY:_____________________ NAME OF PARENT OR GUARDIAN:______________________________________________ PARENT OR GUARDIAN PHONE:(W) __ __ _ Parent or guardian agrees to their child's participation In (H or Cell)_________________ Bishop Bruté Days?_______________ (please initial) This application completed by:____________________________________________________ (please sign) (date) --------------------------------------------------------------------------------------------------------------------------------------------------- Return this form, along with your Medical Consent Form to: Bishop Bruté College Seminary 2500 Cold Spring Road Indianapolis, Indiana 46222 Deadline for application: Wednesday, June 3, 2015. Please see back of form. APPLICANT NAME: __ _______ Have you attended Bishop Bruté Days camp before? ___ Yes________ No________ We would like to know about your interest level in the priesthood. Which of the following statements best describe YOU? (pick one) o I have not given the priesthood much thought but I am open to the possibility. o I have given priesthood some thought and I am open to the possibility. o I am very open to the priesthood and think God may be calling me. Briefly state why you would like to be an assistant counselor in 2015? What will you bring to the camp that will make it a better experience for other campers and staff? ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________