Support 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 (if you are still attending)
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

PREVIOUS CAMP EMPLOYMENT OR RELAVANT EMPLOYMENT EXPERIENCE
Place Position Year Salary Director Name Phone #