2020 RETURNING APPLICATION
Instructions: Fill out the entire section. We are updating our records. Please make sure we have your current phone number and email address. Complete all questions. We do read and evaluate your responses. Background checks are required every two years. We will contact you if we need to update yours.
PERSONAL INFORMATION
Help us get to know you...
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
Email *
Your answer
Phone Number *
Your answer
Is this your Home or Cell Number? *
Emergency Contact *
Your answer
Emergency Contact Relationship *
Your answer
Phone Number (of Emergency Contact) *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Age
Your answer
Gender *
Marital Status
Your answer
Occupation
Your answer
Adult T-shirt Size *
Your answer
Do you have certification in the following?
Have you worked with or associated with abused, neglected or abandoned children this past year since camp? *
If yes, please specify:
Your answer
Please describe why you wish to return as a counselor or staff person working with abused or neglected children:
Your answer
If you were a counselor, please share the names of your campers from last year.
Your answer
Please share any helpful information about your campers.
Your answer
Would you like to have the same campers again if they are available?
Your answer
What are your Personality Colors? Example: Green/Yellow
Your answer
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