Woodcrest Retreat - Christian Summer Camp and Retreat in Ephrata PA

Staff-in-Training Application

Thank you for your interest in the Staff-in-Training (SIT) program at Woodcrest Retreat!

Fill out the form below and submit it. We encourage you to pray about this possibility.

If you have questions please email the Program Director or call our camp office (contact info at bottom of page).

If you prefer, print a hard copy to mail in. (Adobe Acrobat .pdf file)

To view the printable .pdf form requires Adobe Acrobat Reader - Click Adobe Reader logo for free download.

First Name
Last Name
Date of birth (mm/dd/yy)
Age (at first week of SIT program)
Gender	Male Female
Grade Completed	7 8 9 10
Parents' Names
Address
City
State
Zip
Home Phone
Parent Cell Phone
Parent Work Phone
Participant Cell Phone
Parent Email
Participant Email
Church	None
Church - Address
Church - City
Church - State
Church - Zip
Pastor's Name
List any experience working with children or younger youth
List any involvements in church, school, or community
What are your interests, gifts, talents, hobbies, etc.?
What else would be helpful for the directors of this program to know about you?
Any significant health concerns or allergies that we should be aware of.
Check the weeks you would like to apply for. (2 wk. minimum) M-F 8:30 AM - 4:30 PM
June 9-13	July 14-18
June 16-20	July 21-25
June 23-27	July 28-Aug. 1
June 30-July 3	August 4-8
July 7-11
Form Completion .......	Form Complete: By indicating below, I affirm that all application information is true and accurate. I hereby authorize Woodcrest Retreat, and any persons or organizations they deem necessary, to share information about my personal and or employment history.
Affirmation & Completion

Woodcrest Retreat
225 Woodcrest Drive
Ephrata, PA 17522
(717) 738-2233
info@WoodcrestRetreat.org