West Park Day Camp 
West Park Day Camp staff application for summer 2023
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Email *
First Name *
Last Name *
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Date of birth *
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What grade are you entering in 2023/2024?
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Permanent Address *
City *
State *
Zip Code *
Cell Phone Number *
Are you On Ground or Off Grounder? 
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If you are off ground, what colony are you from? If this question does not apply to you put N/A (not applicable) 
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If you are off ground, are you looking to dorm or will travel back and forth every day? 
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Are you applying for first half or second half? 
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What school do you attend?
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Have you worked in West Park before?
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If you answered Yes to the above Question how many years? and what job did you do? If it does not apply to you just put N/A (not applicable) 
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What position are you applying for? If it is counselor, please specify all grades you are interested in. 
Emergency Contact Number/Relationship
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Do you have experience working and if yes please explain? 
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Reference 1 Please add name, contact and how you know them. 
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Reference 2 Please add name, contact and how you know them. 
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