Last Name
First Name
Gender
Home Address
City
Province/State/Country
Postal Code/Zip Code
Birthdate (Month/Day/Year)
Phone
Second Phone
e-mail
What position(s) are you applying for?
EducationHigh School (Name)
Grade
Program
Date of High School Completion
University/College
Year
Major
Graduation Date
In the following list check each activity that your qualified for.
Land Sports
Outdoor Sports
Water Sports
Performing Arts
Visual Arts
Archery
Canoe Tripping
Swimming
Musical Theatre
Ceramics/ Pottery
Tennis
Campfire Programs
Sailing
Drama Workshops
Film & Video
Basketball
Orienteering
Canoeing
Dance
Graphic Arts
Volleyball
Pioneering
Water-Skiing
Story Telling
Jewelry Making
Baseball
Overnight Camping
Kayaking
Music
Photography
Fitness
Ropes/Climbing Wall
Snorkeling
Song Leading
Football
Outdoor Cooking
Wind Surfing
Soccer
Fishing
Self Defense
Nature
Leadership Skills
Food Service / Secretarial
Evening Programs
Cooking
Discussions Groups
Maintenance
Staff Programs
Typing / Computer
Camp Programs
Bookkeeping
Rain Day Programs
Please expand on areas in which you are particularly skilled:
References – Camp Experience
Camp Name
Yrs. Attended
Position Held
Director
Other References
Place of Employment
Supervisor
Date
Camp Experience – As a Camper
Years Attended
Areas of Proficiency Swimming Ability/Awards (Check one)
Why do you want to go to camp?
What do you think your personal strengths and weaknesses are - as far as working with children in a camp setting?
This space is provided in order for you to tell us anything else about yourself that might be helpful in assessing your application. So, make it count!
Applicant’s name
