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) *

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 * 🛈

My Second Choice *

My Third Choice

I am offering my services for: * 🛈

Wages

Voluntary Service

How did you become affiliated with Camp Deerpark? Who referred you to Camp Deerpark? *