Winter Camp Staff Application
Please Note: In order to be considered for a staff position at Winter Camp your 2011 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 (*)
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Middle Name
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Last name (*)
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Address (*)
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City (*)
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State (*)
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Zip Code
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Home Phone (*)
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Cell number
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Other Number
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E-Mail Address (*)
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Driver's License Number
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DL_State
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Date Of Birth
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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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Emergency Contact Number Other
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Have you ever been convicted of a Felony? (You may answer "No" if your conviction has been ordered sealed, expunged, or eradicated.)
Have you ever been convicted of a Felony?
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Conviction of a crime is not a automatic bar to employment. All circumstances will be considered including what you were convicted of and how long ago it was. Please provide information if you checked yes in the above box.
Explination
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Choices of Staff Position
1st Choice (*)
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2nd Choice (*)
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3rd Choice (*)
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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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Youth Organisation Experience
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 describe any Achievments or Trainings
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Current Certfications
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Please Describe your Education
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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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Please list any current or former employers including contact information
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References Please list at least 2 References along with their contact information
If you are a Scout, do you have the approval of your Scoutmaster?
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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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Please type the four charcters to the right so we can cut down on spam Please type the four charcters to the right so we can cut down on spam
  Refresh
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Submit
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