Camp Able Staff Application
Please begin submitting your 2013 Camp Able staff applications after January 14, 2013 (not before). You will receive an acknowledgment of receipt immediately. Upon acceptance, your position as staff counselor will be secure. Although payment is not required, donations are encouraged to help with expenses.
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Today's Date | |
Young Adult OR Adult |
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I would like to serve as:
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Housing, I live in the Naples/Marco Island area and could house staff members. (Specify number below) | |
Housing available for (please enter a number) | |
My house is available for showers |
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*Participant's First Name | |
But my friends call me | |
*Participant's Last Name | |
Sex |
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Street Address | |
Address2 | |
City | |
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State
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Zip Code | |
*Phone (999.999.9999) | |
Cell Phone | |
*Email Address | |
Date of Birth | |
*Staffer's T-shirt Size |
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Current Grade | |
School Name | |
Interests/talents (sports, music, computer, art, etc) | |
Why I want to join the Camp Able Staff | |
Church and Church Location: | |
If you are active in church activities, please list | |
How did you hear about Camp Able? | |
Young Adults (< 18 years of age). Please complete the following information regarding your parents. |
Parent Full Name | |
Parent Full Address | |
Parent Home Phone | |
Parent Alternate Phone (Business/Cell) | |
Parent Email Address | |
First Emergency Contact Name | |
First Emergency Contact Phone | |
Second Emergency Contact Name | |
Second Emergency Contact Phone | |
*I give permission for the use of pictures and videos of myself for the promotion of Camp Able |
Yes
No
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Camp Able Application
Thank you for completing the Camp Able Application Form. Please click on "Submit" below to enter your Application for consideration. Upon acceptance, your position as staff counselor will be secure. Although payment is not required, donations are encouraged to help with expenses.
NOTE: If this application is not accepted, be sure you have completed all required fields.
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