Camp Staff Application




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Personal Information

* Denotes required field

* Name:
   
FIRST   M.I.   LAST
Maiden Name:
* Date of Birth:
* Present Address:
* City/State/ZIP:
   
CITY   STATE   ZIP
* Phone:
(ex: 123-456-7890)
* Email:
Present Occupation or School:
Alternate Address:
(Address, City, State, Zip)
Alternate Phone: ex: 123-456-7890
Camp Desired:
  Press Ctrl + Click to choose multiple values.
Desired Position:
  Press Ctrl + Click to choose multiple values.
Other Desired Position(s):
  Separate other desired postions with a comma (,).

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