2015 Assistant Counselor Form

advertisement
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?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Download