Summer Camp Staff Application - Boy Scouts Of America - 2016

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2016 Summer Camp Staff Application
Basic Personal Information
Name (Last)________________________(First)______________________ Date of Birth___ /___ /_____
Address ______________________________________________________________________________
City_____________________________________ State______ ZIP ___________
Shirt Size: ________
Phone (Home/Cell/Work)_______________________ Phone (Home/Cell/Work)_____________________
Email Address_________________________________________________________________________
Scouting Information
Troop/Team/Crew #:__________
Currently Registered with BSA? ___Yes ___No
District: ____________________
Order of the Arrow? ___Ordeal ___Brotherhood ___Vigil
Length of time as a Scout: _____ yrs.
Tribe of Lone Bear? ___Brave ___Hardway Warrior
Length of time as an Adult Leader: _____ yrs.
___Honorary Warrior
Paint Level:_____________
Scout Rank: ________________________
Current Unit Position: _________________
Camping Experience
Camps Attended:
Name:____________________________________________ Year(s):___________
Name:____________________________________________ Year(s):___________
Camp Staff Experience:
Camp:_______________ Position:_________________ Year:____________
Camp:_______________ Position:_________________ Year:____________
High Adventure (check all that apply)
( ) Philmont (Year)______ ( ) Florida Sea Base (Year)________ ( ) Northern Tier (Year)_________
( ) Jamboree (Year)______
Other Relevant Camp Expereince:__________________________________________________________
____________________________________________________________________________________

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