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Staff Application

Please feel free to fill this out online or
print it and complete it at your convenience.

First Name: Last Name:
Email Address: Date of Birth:
 
School Address:
 
City:
State:
Zip:
School Telephone:
Home Address:
 
City:
State:
Zip:
Home Telephone:
 
Occupation: Current Year in School:
Name of School: Major / Degree:
Spring Vacation Dates:
From: To:
Summer Dates Available:
From: To:
Previous Camp Experience as Camper or Staff:
Camp Name: Camp Location:
Position: Dates:
Past employment (Please list position, dates, employer, etc.)

Extra Curricular Activities & Interests:

Activities Check List: Select (1) for activities you have participated in; (2) for those you feel qualified to assist; and (3) for those you feel qualified to lead.
Athletics Check List Water Sports Check List
Archery

Swimming
Baseball Sailing
Basketball Canoeing
Lacrosse Fishing
Riflery Water-skiing
Tennis Windsurfing
Soccer Kayaking
Street Hockey    
Arts Checklist Outdoors Checklist
Drama Camp craft
Photography Mtn. Biking
Radio Nature
Animation Ropes Course
Video Rock Climbing
Music Overnight Trips
Ceramics Canoe Trips
Woodwork
Handicrafts
Which activities, in order of preference, would you like to teach:
Activity 1: Activity 2:
Activity 3: Activity 4:
Do you have:
WSI Lifeguard Training
Expires: Expires:
First Aid: CPR:
Expires: Expires:
Age of campers you prefer to work with:
Condition of Health: 
Salary Desired (Keep in mind we supply room and board):
How did you hear about Camp Androscoggin?
Please describe your background in your activity area of choice:

Please describe your experience working with children:

Please explain your reasons for applying to Camp Androscoggin:

Please list 3 references (Include Addresses and Phone Numbers - Please use current or past employers, teachers, coaches, etc.   Family and friends cannot be considered.):

Thank you for your time and interest in Androscoggin. Please review your information and then click submit.

                  






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