Western Plains District Volunteer Camp Staff Application
* Required
Applicant Information
First Name
*
Your answer
Last Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
E-mail
*
Your answer
Cell Phone
*
XXX-XXX-XXXX
Your answer
Home Phone
*
XXX-XXX-XXXX
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Age
*
Your answer
Gender
*
Female
Male
Home Congregation
*
Your answer
Why would you like to volunteer at camp this summer?
*
Your answer
Position(s)
*
Director
Counselor
Spiritual Leader
Resource Leader
Nurse
Cook
Other:
Required
Choice of Camp
*
Choose
Camp Colorado
Camp Mt. Hermon
Choice of Camp Session
*
Pre-Junior (3rd-4th grade)
Junior (5th-6th grade)
Junior High (7th-8th grade)
Senior High (9th-12th grade)
Senior High Weekend (9th-12th grade) - Mt. Hermon only
Come Along with Me (K-2nd grade) - Mt. Hermon only
Required
Camping Experience
Please tell us how you've been involved in the following camp experiences.
Western Plains District Camps
*
Your answer
Other camps
*
(list name, type of camp, and years attended)
Your answer
Employment
Current Employer
*
Your answer
Your Position
*
Your answer
Employer's Address
*
Your answer
Employer's City, State Zip
*
Your answer
Employer's Phone Number
*
XXX-XXX-XXXX
Your answer
Experiences with Youth Work or Childcare
*
Please list experiences, training, or education in these areas.
Your answer
Religious Background
*
Your answer
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