| How old will you be by June 15th (minimum age 14)? |
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| Have you graduated High School? |
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If yes, what was the name of the school? |
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| Have you graduated College? |
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If yes, what was the name of the school? |
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| Are you currently registered with the B.S.A.? |
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If yes, what is your Units Number and Council? |
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| Are you a member of the Order of the Arrow? |
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| First Aid training, please list certificates and expiration
dates: |
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| Life Guard training, please list certificates and expiration
dates: |
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Please List 3 references that we may call
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| Reference 1: |
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| Name:
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Address:
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Phone:
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Relationship:
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| Reference 2: |
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| Name:
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Address:
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Phone:
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Relationship:
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| Reference 3: |
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| Name:
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Address:
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Phone:
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Relationship:
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| Why do you want to serve on the camp staff? |
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| Camp you would like to work: |
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| Dates Available for Employment: |
From:
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To:
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Camp Staff Positions:
Please do not apply for positions that you are not qualified for:
(Note: The minimum age must be met by June 15th)
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| First Choice: |
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| Second Choice: |
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| Third Choice: |
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