Camp Rock Enon Staff Application

  • May 2020
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SHENANDOAH AREA COUNCIL, BOY SCOUTS OF AMERICA 107 Youth Development Court, Winchester, VA 22602

(540-662-2551)

CAMP ROCK ENON SUMMER CAMP APPLICATION STAFF APPL

CIT

Name

Social Security #

Address Home Phone(

Date of Birth:

City )

Work/School Phone (

State )

Zip

Cell Phone

E-Mail US Citizen?

If not, have you declared your intention to become a citizen?

High School

Location

Dates

College/Vocational

Location

Dates

Diplomas, Certificates, Degrees or Awards Management Positions _____Camp Director _____Business Manager

_____ _____

Program Areas _____Aquatics (Swimming, Rowing, Canoeing, Lifesaving) _____Outdoor Skills & Frontier (Pioneering, Cooking, Camping) _____Handicraft (Leatherwork, Woodcarving, Basketry, Indian Lore) _____High Adventure (Caving, Canyoneering, Backpacking, White Water)

_____Climbing and Field Sports (Athletics, Personal Fitness) _____ Nature and Ecology (Envi. Science, Forestry, Fishing) _____ Shooting Sports (Shotgun Shooting, Rifle, Archery) _____ Commissioner

Support Positions _____ Dining Hall _____ Medic _____ Quartermaster

_____ Trading Post _____ Assistant Ranger _____ Administrative Assistance

What Scout rank do you hold?

Program Director Cook

Leadership Positions Held

Are you an Order of the Arrow Member?

What Honor?

Current Certifications (Lifeguard, First Aid, CPR)

REFERENCES (Print names, addresses, phone numbers, relationship dates and capacity): UNIT LEADER (Do not use family as references):Name EMPLOYER (Do not use family as references):

Phone Number

Name

Phone Number

Address

City

State

Zip

State

Zip

Reason for leaving: SCHOOL (Do not use family as references): Name

Phone Number

Address

City

ALCOHOLIC BEVERAGES AND DRUGS ARE NOT ALLOWED ON CAMP PROPERTY! Salary required: Weekly ___________ or Camping Season ____________ Note: Meals and lodging provided while at camp. CIT’s do not get paid. Applicants over age 18 agree to a background check: Signature Required

Applicants Signature

Date

Scoutmaster Signature

Date

Parent or Guardian signature (if under age 21)

Date

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