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CRC Staff Application

This document is a camp counselor application form for Camp Rock Creek. It requests information such as name, address, phone number, t-shirt size, availability dates, experience working with children, special training or talents, and requires a signature agreeing to a background check and code of conduct.

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Jerred England
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45 views1 page

CRC Staff Application

This document is a camp counselor application form for Camp Rock Creek. It requests information such as name, address, phone number, t-shirt size, availability dates, experience working with children, special training or talents, and requires a signature agreeing to a background check and code of conduct.

Uploaded by

Jerred England
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CRC

Camp Rock Creek

Fill Out Completely and return by April 10th


to the DCYG box outside the office area.

Name: ____________________________________________________ Date: _______________

Address: _______________________________________________________________________

City: ____________________________ State: _______________ Zip: _____________________

Phone: ____________________________________ Sex: M  ˆ F ˆ

Email Address: __________________________________________________________________

T-shirt Sizes: (adult sizes) S ˆ M ˆ L ˆ XL ˆ XXL ˆ


YES NO
Have you ever worked as a camp counselor?  
If so, where and how long? ___________________________________

YES NO
Do you have experience working with children?  

YES NO
Can you attend camp full–time?  
If not, what date/times are you available? ______________________________________________

If you have a preferences of what age group you prefer to work with, please let us
know:__________________________________________________________________________
List any type of special training (first aid, CPR, etc.) prior experience, or talents/hobbies you should share
with campers.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
YES NO
I have a 2011 background check on file with the Del City Church of Christ :  
If not, please provide the following:
Date of Birth ____/____/____ Social Security # ________-______-________

I hereby agree that all information provided on this form is accurate and correct. I also agree to allow the
Del City Church of Christ or it’s assigned agents to initiate and conduct a background check with the
provided information. I also agree that if I am selected for this service, I will conduct myself in a manner
that reflects positive values, morals and faith. I also understand that my application can be revoked and/
or I can be dismissed from this role at any time by the Camp Directors without explanation given.

If you agree, please sign below:


Signature: _____________________________________ Date: _____________

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