Leadership Program Application

Step 1 of 5

Leadership Program Application

This online application will take a few minutes to fill out. At the end of the form you will submit the application to us and you will receive a confirmation email.

Please be frank and honest in completing each question; there are no wrong answers.

The form WILL ask you for two references; Teacher (If you are in school, or else someone who can tell us you are smart); Pastor (someone who can tell us about your spiritual life). Have these e-mails addresses ready to go as a reference form will be automatically sent to your references when you submit this application. It also MIGHT be a good idea to let your references KNOW they will be getting an e-mail from us at camp; that not only is the polite thing do but they will then be watching for it so they won’t “trash”” it or put it into the “junk” file of their email program.
NOTICE: DUE TO EXISTING COVID TRAVEL RESTRICTIONS, SALT MIGHT NOT BE OFFERED IN 2023. We hope to be able to announce a decision in November.
Date

MM slash DD slash YYYY
Program Selection
- WILD Program – Boys
- LDP Program – Brookwoods
- I’d be interested to be considered for both programs!
What is your first choice if you had a preference?
What is your second choice if you had a preference?
Please note: To be accepted, an applicant must complete this application in its entirety, including medical information and authorization signatures.
Applicant's Name*

First

Last
Applicant's Name as it appears EXACTLY on Passport

First

Middle

Last
Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Applicant's E-mail*
Cell Phone*
Permanent Address (If different from above)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Home Phone
Mother's Name*
Mother's Cell*
Mother's Email*
Father's Name*
Father's Cell*
Father's Email*
Best Emergency Contact*
Phone for Emergency Contact*
Are you a citizen of United States?*
- Yes
- No
What is the country of your citizenship?*
Are you an exchange student*
- Yes
- No
School Name*
Phone
Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
School Type*
Current Year in School*
Biographical Information
Birthday*

MM slash DD slash YYYY
Hidden

Start Date of Camp in 2022*

Month

Day

Year
Sex*
- Male
- Female
T-Shirt Size*

Save and Continue Later

Describe what you think you will bring and contribute to the leadership group. Also, what do you hope to gain from your experience? What would be your goals?*
Please discuss your spiritual journey, recounting when and how you became a Christian.*
Who is Jesus Christ? How does your relationship with Him impact your daily life?*

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How did you hear about camp? (mark all that apply)*
- Parent/Relative
- Alumni
- Personal Friend
- Camp Brochure
- Other
Please attach recent picture. [A formal school picture is best]
Max. file size: 2 MB.
Grade Point Average*

(must be a minimum of C to be accepted – or a 2.0 when computed on a 4.0 scale)
On what scale?*
Co-curricular Involvement

School Activity or Organization 9 10 11 12 Leadership Position
Co-curricular Involvement

Church or Community Organization 9 10 11 12 Leadership Position
Please indicate the number of hours devoted to these activities on a weekly basis
Please list any international travel experiences
Work and Volunteer Experience

Position 9 10 11 12 Hours per week

Please describe any paid or unpaid volunteer experience, noting the years worked and the number of hours spent per week.

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References
Teacher*
Teacher Email*
Pastor or Youth Minister*
Pastor or Youth Minister Email*

Save and Continue Later

Step 1 of 5

Leadership Program Application

Biographical Information

References

Medical Information

Please complete the entire medical section, explaining in detail any pertinent considerations.

School Activity or Organization	9 10 11 12	Leadership Position

Church or Community Organization	9 10 11 12	Leadership Position

Position	9 10 11 12	Hours per week