Camp Chanco Summer Staff Referral Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Complete this form to refer someone to work at Camp Chanco. Thank you!

Your First Name *

Your Last Name *

Your Email Address *

Your Phone Number *

What most closely describes you? *

Camp Chanco Staff Member (past, present, or future)

Educator at a School in Episcopal Diocese of Southern Virginia

Clergy or Staff at a Parish in Episcopal Diocese of Southern Virginia

Staff member of the Episcopal Diocese of Southern Virginia

Supporter and/or Visitor of Camp Chanco (Camper, Retreatant, Affiliate)

I don't know Camp Chanco well, but I know someone who might be a good fit for staff!

Other:

Referral's First Name *

Referral's Last Name *

Referral's Email Address *

Referral's Phone Number *

Please select the best fit for your referral. *

Counselor

Lifeguard

Waterfront Staff

Nurse

Ropes Course Staff

Intern

Other:

Anything else we should know about this referral?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Charter Oak Recruitment Services, LLC.

Does this form look suspicious? Report