Counselor Information

Apply here to be a counselor at Super C or Quiz Camp!
Counselors must be 18+ and Junior Counselors can be 16-18. Please indicate which week you're applying for and if you are coming with a specific group/church.

Camp Counselors 2025

Counselor Ethan Hall helps a camper study.

Counselor Kayla Grimshaw meets with her campers during a quiz halftime.

Camp Counselors 2025

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Week(s) of Camp to Counsel

4-6th Grade Super C (June 16-19)

6-12th Grade Super C (June 22-27)

Quiz Camp (August 2-6)

First name

Last name

Gender

Male

Female

Birthday

Month

Day

Year

Address

City

State

Zip Code

Phone

T-Shirt Size

Church

Pastor's Name

Pastor's Phone

Emergency Contact

Relationship

Emergency Contact Phone

Church Group/Campers to Room with

Short Personal Testimony

By checking this box and typing my name, I acknowledge this as my electronic signature of consent for Midland Ministries to do a background check and contact my pastor as a reference.

By checking this box I acknowledge that Midland Ministries is not responsible for sickness, injury, or theft of money/property during my time at camp. I give consent for camp staff to treat medical emergencies that may arise and/or call for medical assistance on my behalf.

Digital Signature

Social Security Number