SUMMER STAFF INQUIRY FORM
First Name: Last Name: DOB:
Current Address:
City: State: ALABAMA ALASKA ARKANSAS ARIZONA CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA HAWAII IDAHO IOWA ILLINOIS INDIANA KANSAS KENTUCKY LOUISIANA MASSACHUSETTS MARYLAND MAINE MICHIGAN MISSOURI MINNESOTA MISSISSIPPI MONTANA NORTH CAROLINA NORTH DAKOTA NEBRASKA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NEVADA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VIRGINIA VERMONT WASHINGTON WISCONSIN WEST VIRGINIA WYOMING Zip:
Citizenship:
Male Female
E-mail: Home Phone:
Cell Phone or Other:
Marital Status:
TYPE OF SERVICE:
Full-Time Summer Staff (Graduate From High-School) Teen Staff Events Crew (Minimum Age 13 years old) Counselor in Training (Minimum Age 14 years old) Leader in Training (Minimum Age 16 years old) Support Staff (Volunteer for a minimum of one week or for a specialized camp need)
Full-Time Summer Staff Section – Please fill out the positions that are of most interest to you with a check mark:
Day Camp Coordinator Resident Camp Coordinator Head Male Counselor
Level of interest in working at Canby Grove/Discovery Outfitters:
Looking at other camps/jobs too (Somewhat)
I'm in! Canby Grove/Discovery Outfitters is the only place to be! (High)
I would like you to send an e-mail to my friend with a link to the Canby Grove/Discovery Outfitters Summer Staff web page.
First Name: Last Name:
Email Address:
Please mail me an information packet
I would like to be contacted by e-mail
I would like to be contacted by phone
Questions and Comments: (Please let us know what information you are needing from us.)
NEXT STEP
Please review the Form above. When ready, click the Submit button below to send this form to the Canby Grove/Discovery Outfitters office. You will be contacted soon.
If you are having difficulty and would like to contact a camp representative by e-mail click here