James E. West2020 OA Lodge Membership Dues

Camp Staff Application
* Date of Application
* Last Name
* First Name
T-Shirt Size
Small
Medium
Large
X-Large
2X-Large
3X-Large
* House Number and Street
* City
* State
* Zip Code
* Phone Number
Alternate Phone Number
* Email Address
* Date of Birth
* Emergency Contact Phone Number
Do you have a social security number?
Yes
No
Have you ever been convicted of a misdemeanor or felony?
Yes
No
Are you able to legally operate a motor vehicle?
Yes
No
* Preferred staff position, Please provide three in order of preference
Merit Badge Instructor (15+) Dining Hall Steward (15+) COPE/Climbing Instructor (16+) Area Director (18+) Shooting Sports Director (21+) Shotgun Safety Officer (21+) Archery Director (18+) ATV Director (21+) ATV Assistant (16+) COPE/Climbing Director (21+) Office Manager (18+) Trading Post Manager (18+) Assistant Ranger (18+)
Please list your experience as it relates to the positions above.
List any current certifications
List any hobbies, skills or special interests
If you are a college attendee or graduate, please indicate your major or area of study
Please provide your previous employers name and phone number
If you are not a current registered member of the BSA, please provide two references and contact information
Would you be interested in working Cub Resident Camp at the end of the season?
Yes
No
Would you be interested in earning more by working the week before staff week?
Yes
No



If you have a question, comment, or suggestion, please e-mail: Diann Conde

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