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Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Home

Email

Contracts and communication will be sent to this email, no other notifications will be sent.

Shirt Size

Age as of June 5, 2023

Dates Available

Phone

Cell

Parent Email

If applicant is under 18 years of age, a parent's email address is required for Youth Protection purposes.

Gender

Date of Birth

Please enter your years of Scouting experience for the following:

Scouting BSA / Venturing

TBS Camp Staff

Leader

Camp Staff

CAC Camp Staff

Experience:

Unit Type

Unit #

Highest Scout Rank

List any Scouting, School, Extracurricular, or Leadership Experience

Hobbies and Special Interests

Previous Staff Experience

Current Certifications:

CPR

CPR Instructor

First Aid

First Aid Instructor

Advanced First Aid

EMT

Other

Special Training or Other Certifications

CPR Certifying Agency

CPR Instructor Certifying Agency

First Aid Certifying Agency

First Aid Instructor Certifying Agency

Advanced First Aid Certifying Agency

EMT Certifying Agency

Other Certifying Agency

Special Training or Other Certifying Agency

CPR Expiration Date

CPR Instructor Expiration Date

First Aid Expiration Date

First Aid Instructor Expiration Date

Advanced First Aid Expiration Date

EMT Expiration Date

Other Expiration Date

Special Training or Other Expiration Date

BSA National Camp School Certification (if any):

Employment History:

Present or Most Recent Employer

Name

First

Last

Phone

Have you ever been arrested for or convicted of a crime?

Email

Have you ever been asked to resign from any job?

References:

Please provide three references from School, Employer, Religious Affiliation, or Scouting.

Reference 1 Name

Reference 2 Name

Reference 3 Name

Relationship

Phone

Email

Job Positions and Areas of Interest:

Camp(s) Interested in Staffing

Camp T. Brady Saunders Staff Positions: Number the positions for which you are applying in order of preference (1, 2, 3, etc.)

Must be available to attend weeklong certification courses prior to camp for positions marked with an asterisk (*).

You must be at least 16 by June 1st for the following positions:

Aquatics Instructor

Trail Blazer Instructor

Trading Post Associate

Outdoor Skills Instructor

Eagle Area Instructor

STEM Instructor

Ecology Instructor

Kitchen Staff

Adventure Guide

Handicraft Instructor

You must be at least 18 by June 1st for the following positions:

Outdoor Skills Director*

Climbing / COPE Instructor

Aquatics Instructor

Cooking Instructor

Ecology Director*

Commissioner

Health Officer

Office Assistant

Archer Instructor

Handicraft Director

Mountain Bike Staff

OA Commissioner

STEM Director

Dining Hall Steward

Eagle Area Director

Shooting Sports Assistant

You must be at least 21 by June 1st for the following positions:

Camp Director*

Quartermaster

Business Manager

Program Director*

Camp Commissioner*

Ranger Challenge

Aquatics Director*

Trading Post Manager

COPE / Climbing Director*

Shooting Sports Director*

Trail Blazer Director*

Dining Hall Manager

File Upload

Click or drag files to this area to upload. You can upload up to 3 files.

Please upload any supporting documentation including your resume, references, certificates, etc.

My typed name below serves as my official signature. By signing this statement, I agree that the information contained in this application is true and correct to the best of my knowledge. If I am not currently registered as a Scout or Leader, I will agree to do so and complete Youth Protection Training prior to camp opening.

Applicant's Signature *

First

Last

Parent's Signature *

First

Last

Parent's Phone *

Upon submission, this application will be sent to:

John Allen
john.allen602@scouting.org

Please enter your years of Scouting experience for the following:

Experience:

Current Certifications:

BSA National Camp School Certification (if any):

Employment History:

References:

Job Positions and Areas of Interest:

Camp T. Brady Saunders Staff Positions: Number the positions for which you are applying in order of preference (1, 2, 3, etc.)

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