New VBS Counselor Application

Part 1 | Part 2 | Part 3 | New VBS Counselor Application PDF

This application is broken up into three parts. Once you submit one part, you will be directed to the next part. You will be required to enter your name and email in each part.

If you do not have enough time to complete the application in one sitting, you can just submit however many pages you complete, and come back later to finish. You can use the links at the top of the page to navigate between parts without submitting them. Using those links will cause you to lose any unsubmitted data.

Fields marked with an asterisk (“*”) are required in order to continue, but please complete the application as thouroughly as possible.

Positions are offered after application files are complete, applicants have been evaluated, and we feel confident they should be part of the PRBC Summer Staff! When a position is offered the following forms will be sent to you through the mail. Completing them is vital to fulfilling the terms of employment should you accept a position with Park River Bible Camp.

Remember that you also need three references and will be contacted to setup a personal interview.

Basic Information

*Name: *Email: @

*Phone: *Gender:

*Current address:

Address line 2:

*City: *State: *Zip:

Permanent address (if different):

Address line 2:

City: State: Zip:

Emergency Contact/Parent/Guardian: Phone:

Please list any time off needed:

View job descriptions to see qualifications (including age minimum) and responsibilities of each position. This link will open a new window, so you will not lose your progress.

*Position you are applying for (first choice):

Secondary Roles (hold ctrl to make multiple selections):

I can work the following special weekends (hold ctrl to make multiple selections):


You may include additional information at the end of this page.

*High school: *Graduation date:

College: Years: Degree:

College: Years: Degree:


You do not need to be Lutheran to apply, but you must be willing to support a Lutheran context of ministry.

*Home congregation:


*City: *State: Phone:


Church you most often attend (if different):


City: State: Phone:



List current and past certifications.

Lifeguard Expiration date:

First aid Expiration date:

CPR & AED Expiration date:

Other: Expiration date:

Other: Expiration date:

Other: Expiration date:

Additional information

Use this space to include any other relevant information for part 1.

I certify that all information on this part of the application is accurate to the best of my knowledge.

Part 1 | Part 2 | Part 3