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2021 Summer Staff Application
Application Login Account (optional)
New Users / Returning Users
CLICK HERE
to setup or return to your account for this application. Creating an account enables you to return to this application and your submitted answers. An account will also enable you to partially complete this application and return later to finish.
General Information
Your Information
First Name
*
Last Name
*
Age this summer
*
🛈
Birthdate (mm/dd/yy)
*
Gender
*
Male
Female
Were you on staff last year?
*
All summer
Just one week
Two to three weeks
I was not on staff last summer
I'm a former staff member (which year)
I'm a former staff member (which year)
What size shirt would you like? (adult t-shirt sizes)
*
Small
Medium
Large
XL
XXL
XXXL
XXXL
Phone Number
*
Alternate Phone Number
Email Address
*
Re-enter email address
*
The best way to contact me is:
*
🛈
Phone
E-mail
Facebook
Texting
Please select the positions you are applying for
My First Choice
*
🛈
Program Assistant Supervisor
Senior Counselor
Junior Counselor
Program Assistant
Kitchen Assistant
Media Coordinator
Summer Camp Volunteer
Camp Fire Speaker/Pastor
Health Director
Head Cook
Hosting Support
My Second Choice
*
Program Assistant Supervisor
Senior Counselor
Junior Counselor
Program Assistant
Kitchen Assistant
Media Coordinator
Summer Camp Volunteer
Camp Fire Speaker/Pastor
Health Director
Head Cook
Hosting Support
My Third Choice
Program Assistant Supervisor
Senior Counselor
Junior Counselor
Program Assistant
Kitchen Assistant
Media Coordinator
Summer Camp Volunteer
Camp Fire Speaker/Pastor
Health Director
Head Cook
Hosting Support
I am offering my services for:
*
🛈
Wages
Voluntary Service
How did you become affiliated with Camp Deerpark? Who referred you to Camp Deerpark?
*