Western Plains District Volunteer Camp Staff Application
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 *
Home Congregation *
Your answer
Why would you like to volunteer at camp this summer? *
Your answer
Position(s) *
Required
Choice of Camp *
Choice of Camp Session *
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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