2021 Camp Sequassen Summer Camp Staff Application
Thank you for your interest in being a member of the 2021 Camp Sequassen Summer Camp Staff. When completing this application please pay close attention to the following items:

A. General Information
1. Applications will be reviewed in the order in which they are received.
2. Returning Staff Members will be contacted between December & January.
3. New Staff Applicants will be contacted starting February 1st.

B. Camp Staff Positions
1. The minimum age for all positions in the parentheses.
2. The positions listed with an asterisks(*) means the job requires specific training that needs to be completed before employment begins.

C. For References
1. All returning staff members need to list 1 reference.
2. All new applicants need to list 3 references.

If you have any questions please contact Mike Migliore - mmigliorexc@gmail.com
Email address *
General Information
Last Name *
First Name *
Address - Number & Street Name *
City/Town *
State (Abbreviation) *
Zip Code *
Home Phone Number *
Cell Phone Number *
Email Address *
Date of Birth *
MM
/
DD
/
YYYY
T-Shirt Size *
Educational Background
Identify the highest level of education completed in each category as of June 20, 2021.
High School *
College/University *
Major
Minor
Awards/Honors Earned
List of Current Certifications
Scouting Experience
Years Registered in Scouting
Rank *
Unit Number
District
Council *
O.A. Member *
Name of Camps Attended
Previous Camp Staff Experience *
Special Skills
1. Can teach it
2. Can do it
3. Can assist in teaching
4. Willing to learn it
Camping
Orienteering
Wilderness Survival
Pioneering
Lifesaving (Certified)
Swimming
Boating
HIking/Backpacking
Basic Scout Skills
Crafts
Sports/Games
Frisbee
Volleyball
Engineering
Chemistry
Nature
Rifle
Shotgun
Archery
Team building Games/Activities
High Adventure Programs
Song Leading
Programming
Technology
Music
Do you play a musical instrument? If yes, list the instruments. *
Camp Staff Positions
Please select your Top three choices for positions on Camp Staff.
Camp Staff Position - 1st Choice *
Camp Staff Position - 2nd Choice *
Camp Staff Position - 3rd Choice *
Why do you want to serve in the positions selected? Please explain. *
Are there any times during the Summer when you are not able to work? *
Have you ever been convicted of a felony or misdemeanor? If Yes, please explain. *
References
All returning staff members need 1 reference. All new applicants need 3 references.
Reference #1 - Name *
Reference #1 - Occupation *
Reference #1 - Phone Number *
Reference #1 - Email Address *
Reference # 2 - Name
Reference #2 - Occupation
Reference #2 - Phone Number
Reference #2 - Email Address
Reference #3 - Name
Reference #3 - Occupation
Reference #3 - Phone Number
Reference #3 - Email Address
A copy of your responses will be emailed to the address you provided.
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