Staff Application

Full Name
E-mail address
Current Address
City
State
Zipcode
Phone Number
Alternative Phone Number
The address above is temporary permanent
Valid until:
Permanent Address (if different)
City
State
Zipcode
Home Phone Number
Dates available for camp this summer:
From:
To:
What are you interested in doing at camp this summer
(list by priority 1 - 2 - 3):
1 2 3 Counselor
1 2 3 Unit Leader
1 2 3 Specialist (specify area of interest)
1 2 3 Other 

Please mark the activities you can teach, assist or work with as follows: Check "1" next to those you can be the lead; check a "2" next to those you can assist with; check a "3" next to those you have an interest in. Leave others blank.

Activity 1-2-3 Activity 1-2-3
Song leading Ropes
Mountain Biking Radio
Theatre Guitar
Rock Climbing Soccer
Basketball Ultimate Frisbee
Baseball Ceramics
Digital Photography Modern Dance
Still Photo/Darkroom Israeli Dance
Journalism Computers
Swimming Hockey
Horseback Riding Frolf
Volleyball Nature
Football Aerobics
Art Canoeing
Video Waterfront
Archery Lacrosse
Other
Please list any certifications and their expiration dates:
Please evaluate your previous summers' performance; what did you do well? What would you do differently?
Have you taken any courses or had any new experiences that would be helpful this summer?
What element of camp (program, facility, tradition) is most important to keep the same?
What element of camp would you change or improve?
Do you know of anyone that may be interested in applying for this summer?
Name:
Phone:
Email:
Are you a smoker? YesNo
If yes, can you make it through a camp day without smoking? YesNo
Please prove to us you're human