Personal Info

First name

Last name

Nick Name

Home Address


College Info

College or University



High School Info (Intern App Only)

High School

Expected Graduation Date


General Info

Briefly list any work experience that you feel would help you be a good CCA Staff Instructor
What are your strengths and weaknesses related to this job
What are your future plans after High School/College
Do you understand the unique requirements for being a part of CCA Staff: (Ex: Dress, Attitude) YesNo
Are you willing to abide by the rules and conduct set forth within the CCA Way YesNo
Are you able to work camps from the beginning of June through August 5th: YesNo
Are there any dates that you are unavailable during the summer? If so please list them along with the reason:
Can you sing YesNo
Are you experienced/willing to speak on a microphone YesNo
Are you experienced/willing to counsel others regarding salvation or a spiritual decision? YesNo
Why do you want to work CCA Cheer Camps this summer?
Upload a typed version of your personal testimony, including your salvation experience and what the Lord is doing in your life currently
Upload a photograph of yourself.

Reference Info

Cheerleading Coach Name

Pastor or Youth Pastor Name

Size Info


Uniform Top Size
Uniform Skirt Size
T-Shirt Size
Spandex Size
Shoe Size

Past Employment Info

Most Recent Job



2nd Most Recent Job



Cheerleading Info

Cheerleading Experience (choose most recent)
How many years of experience do you have in cheerleading

Do you have any Instructor Experience (if so with what company?)

Have you attended cheer camp

Name all of the jumps you can perform consistently

What is your preferred stunt position
Have you Coed partner stunted
Can you do both
How many years have you Coed stunted
List any other tumbling skills you can perform consistently
List the most advanced stunts you can perform consistently
List any certification that you have (cheerleading, gymnastics, medical, safety, or judging)
List anything else we should know in regard to your experience as a cheerleader
Are you applying for a position with any other Cheerleading Organizations YesNo