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Winter Camp Staff Application

Winter-Camp-2014

Please Note: In order to be considered for a staff position at Winter Camp, your 2014 dues must be paid prior to the start of camp.

You can pay your lodge dues online HERE. Or you can download THIS FORM and mail it in with payment



 

First Name (*Required*)
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Middle Name
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Last name (*Required*)
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Date Of Birth
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Address (*Required*)
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City (*Required*)
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State (*Required*)
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Zip Code
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Home Phone (*Required*)
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Cell number
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Other Number
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E-Mail Address (*Required*)
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Emergency Contact
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Relationship to Applicant
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Emergency Contact Number Home
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Emergency Contact Number Cell
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Choices of Staff Position
1st Choice (*Required*)
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2nd Choice (*Required*)
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3rd Choice (*Required*)
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Previous Winter Camp Experience
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Past Staff Position
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Location
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Number of Years
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Currrently Registered As
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Unit Number
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District/Chapter
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Number of years Tenure as a youth
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Numver of years Tenure as an Adult
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Offices Held
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Please write a brief statement about why you would like to be a Winter Camp Staff Member
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If you are a youth, do you have your unit leaders approval to work Winter Camp?
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References Please list at least 2 References along with their contact information
Reference #1
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refrence #2
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refrence #3
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You are expected to reside in housing provided by the camp. Family housing is not provided. Management reserves the to enter your quarters for inspection at it's discretion.
By putting my name and e-mail address below, I authorise the BSA to investigate all of the statements I have made. I hear-by declare that the information that I have provided is accurate and complete to the best of my knowledge. I understand that any falsification or misrepresentation on this application is cause for discharge.
E-Mail Signature
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Full Name Signature
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