Staff Application

* Denotes mandatory
PERSONAL INFORMATION
  MALE   FEMALE
* Full Name: Appl. Date:
* Home Address: Soc Sec #:
  * Phone #:
City/State/* Zip
* Cell Phone: * Email Address:
* Date of Birth:  (M/D/Y)
 * Age By July 1st:  Years  
* Height (feet/inches): * Weight:
Single/Married: Do you have children (sex/age):
  If you have children are accomodations required for your children?:  
COLLEGE/UNIVERSITY INFORMATION
School Name:
Cur. Mailing Address:
 
City/State/Zip:
Term Phone: Best Time To Call:
Date Leaving College For Spring Break: Date Leaving College For Summer Break
If student, what year?:    
EDUCATION
College: Major Studies:
Year: Degree:
* Career Objectives
* Present Occupation
INTEREST/ACTIVITIES/EXPERIENCE
EXTRA-CURRICULAR INTERESTS: Varsity, Instruments, Clubs, Cultural, etc

PARTICIPATION, PREVIOUS CAMP EMPLOYMENT, COACHING, TEACHING OR LEADERSHIP EXPERIENCE
Place Position Year Salary Director Name Phone #