-Staff Application-

Name: *
Email Address: *
Home Address:
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Phone Number: *
Age (as of June 19th):
Education:
Scouting History:
Are you currently registered with the BSA?
Unit Number & Council:
Why do you want to work on camp staff? *
First Choice:
Second Choice:
Third Choice:
Dates available for employment:
Comments:
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