Camp Staff Application

Please contact Elliot Bliss at [email protected] if you have any questions or concerns.

"*" indicates required fields

Staff Information

Name*
Address*
Date of Birth*
State your gender.
Age at time of camp*
I will be 18 years or older & a high school graduate at the time of camp.
Domestic or International Adoptee
Adoption Agency

References

Please provide 3 references either personal (excluding immediate family members) or professional
Name*
Name*
Name*

Certifications (Health/Safety)

Please mark those for which you hold current certification:
Certifications

Please answer the following questions

Accepted file types: pdf, doc, docx, Max. file size: 256 MB.
Accepted file types: pdf, doc, docx, Max. file size: 256 MB.
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