Name

Please enter your maiden name and any alias that you may go by.

First Name

Last Name

Date of Birth

YYYY

Phone Number

Phone

(###)

###

####

Staff Shirt Size

Spiritual Mentor (Not a relative)

Spiritual Mentor Name

First Name

Last Name

Spiritual Mentor Email

Spiritual Mentor's Phone

Spiritual Mentor Phone

(###)

###

####

Children Eligible for Daycare

Please list the name and age of each child eligible for Daycare Program. Camp Ao-Wa-Kiya’s Daycare Program is limited to children who are 4-10 years of age. We ask that you make other arrangements for children who will not be campers or be eligible to serve as Junior Staff.

Select which week(s) you plan to volunteer:

Position(s) you prefer

Staff Positions

Please check the position(s) in which you would be willing to serve.

Senior Counselor

Junior Counselor

Daycare

Health Officer (Nurse)

Life Guard

Assistant Program Director

Maintenance

Groundskeeping

Housekeeping

Food Service Positions

Please check the position(s) in which you would be willing to serve.

Food Prep

Dining Room

Dish Room

Did your Address change since your last application?

Did your address change in the last year?

Yes

If so, what is your New Address

If Applicable - Please list Desired Craft(s) to Lead

Craft options include: Riflery, Archery, Slingshottery, Swimming, Canoeing, Fishing, Woodcraft, Handcraft, Paintball, Rockwall, Challenge Course, Sailing, and Wakeboarding

Been Convicted of a Crime (Other than Minor Traffic Violations)?

If Yes, Please Explain

Staff Agreement

Realizing the great responsibility and opportunity of working with children at Camp Ao-Wa-Kiya, I agree to: Sacrifice personal desires in the interest of the campers; Cooperate with the directory and other leaders under whom I serve; Obey camp and staff regulations printed in the staff manual; Endeavor to be a blessing to the campers with whom I work by helping to enrich their lives spiritually, physically, and mentally; and Uphold the standards and doctrinal position of Camp Ao-Wa-kiya (a copy of the doctrinal statement may be obtained at ao-wa-kiya.org). I hereby release and agree to hold harmless from liability any person or organization, whether listed or not, who provides information or references about me to Camp Ao-Wa-Kiya. I waive any right I might have to inspect references provided on my behalf. I certify that I have neither been convicted of, nor am I the subject of pending charges, for any offence involving actual or attempted child abuse or sexual molestation in any jurisdiction. If you agree, write your full name below.

If you served at camp in the last two years, you can use this form instead of the full application.

If you are a new staff person or you didn’t serve in the last two years, then you must fill out the full staff application.

DON’T WANT TO DO IT ONLINE? CLICK HERE TO PRINT HARD COPY AND SEND IN YOUR RETURNING SUMMER CAMP APPLICATION BY MAIL TO 8401 W. THOMAS PIKE SHELBY MI, 49455.