Camp Staff Application

* Date of Application

* Last Name

* First Name

T-Shirt Size

* 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