Please fill out this application. Qualified applicants will
be notified for an interview.
Full Name:
E-mail Address:
Address:
Apt #:
City:
State:
Zip:
Home Phone:
Cell Phone:
School Phone:
Social Security #:
How old will you be by June 15th (minimum age 14)?
Have you graduated High School?
Yes
No
If yes, what was the name of the school?
Have you graduated College?
Yes
No
If yes, what was the name of the school?
Are you currently registered with the B.S.A.?
Yes
No
If yes, what is your Units Number and Council?
Are you a member of the Order of the Arrow?
No
Ordeal
Brotherhood
Vigil
Do you have a valid drivers license?
Yes
No
First Aid training, please list certificates and expiration dates:
Life Guard training, please list certificates and expiration dates:
Camp Staff Experience
How many years have you worked on campstaff (including CIT years)?
Please list the most recent 3 years experience (if applicable)
Include the Year, Council, Camp, Position, and salary earned:
1.
2.
3.
Please list 3 references that we may call
Include their Name, Address, Phone Number, and Relationship to you:
1.
2.
3.
Why do you want to serve on our camp staff:
Dates available for employment:
From:
To:
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)
First Choice:
Second Choice:
Third Choice:
If Applicable, state salary desired (Room & Board Provided):
Thank you for your interest in C.O.L. Summer Camp Staff opportunities
