Support Staff Application

* Denotes mandatory
PERSONAL INFORMATION
  MALE   FEMALE
* First Name: Appl. Date:
* Last Name: Soc Sec #:
* Home Address: * Phone #:
  State:
* City:    
* Zip * Email Address:
  * Verify Email:
* Cell Phone: * Age By July 1st:  Years  
* Date of Birth:  (M/D/Y)
 * Weight:
* Height (feet/inches): Do you have children (sex/age):
Single/Married: 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 #
 
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