Camp Odyssey Application 2018
Number of Weeks Available *
First Name *
Last Name *
Birthday *
MM
/
DD
/
YYYY
T-shirt Size *
Phone *
Email *
Highest Education Level *
Street Address *
City *
State *
Zip Code *
Skills/Certifications *
Emergency Contact Name *
Emergency Contact Phone *
Have you ever been convicted of a felony or do you have felony charges pending against you? *
Have you ever been convicted of a misdemeanor or are charges pending against you? *
Have you ever had a substantiated child abuse, child sexual abuse or child neglect case against you? *
Is there a petition pending naming you in juvenile, civil or criminal court concerning child abuse, child sexual abuse, or child neglect? *
Resume *
Required
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