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Camp Achdus Boys Staff Application
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Full Home Address
*
Your answer
Home Phone
*
Your answer
Cell Phone
Your answer
Age
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Desired Position
*
Counselor/JC
Lifeguard
Specialty
Other
Required
Availability
*
Full Summer
1st Session
2nd Session
Other:
Required
T-shirt Size
*
Choose
Adult XL
Adult L
Adult M
Adult S
Youth L
Youth M
Are you certified in any of the following?
First Aid
CPR
Lifeguarding
Swim Instruction
Water Safety Instruction
Other
Reference #1: Name & Phone Number
*
Your answer
Reference #2: Name & Phone Number
*
Your answer
Signature
*
I affirm that all of the above information is accurate to the best of my ability.
Required
Send me a copy of my responses.
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