Summer Roundup New Staff Application 2020

Summer Roundup New Staff Application 2022

Complete the form below and submit no later than March 1st. Note that volunteer spots fill quickly. The sooner you apply, the more likely you will be to obtain a spot.
General Information
First Name: *
Last Name *
Camp Name - you must have a camp name to be used at all times while at camp. If you do not have one now, please have one no later than June 1st. Examples are Butterfly, Freckles, Siunkist, Twizzler, and Trouble. It should be something fun other than Mom or Dad!
Birth Date *

Month Day Year
Already a Girl Scout? *

Yes No
Have you attended Summer Roundup before as a staff or camper? *

Yes No
Council: *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Day Phone: *

Area Code Phone Number
Evening Phone: *

Area Code Phone Number
Cell Phone: *

Area Code Phone Number
Primary Email for receiving camp forms: *
Why do you want to volunteer at Roundup?
Work History, paid and volunteer for the past 10 years.
Please name three people, unrelated to you, who will be providing references for you using the Reference Form on the Summer Roundup Website.
Certifications held - I will need copies for our records:

CPR 1st Aid Basic Leadership Camping Basics Program Aide Leader in Training (Advanced Program Aide) Zip Line Boating Archery Lifeguard Nursing Other
Have you ever been convicted of a crime other than a traffic violation?

Yes No
If yes, please explain.
Have you ever been convicted of a crime in which the victim was a child?

Yes No
If yes, please explain.
Has your license ever been suspended or revoked?

Yes No
If yes, please explain.
Please tell us about any other camp experience you have.
All Non-Girl Scouts, including adults, MUST be registered as a Scout in order to be covered by our insurance. If you are not already a registered Girl Scout, please follow the link to PERSONIFY on the forms page or in your confirmation email. A copy of your registration receipt must be sent to amyschisler@me.com
For questions regarding camping, paying, or volunteering, call Amy Schisler at 410-725-1693 or email amyschisler@me.com
Date and Time

Month Day Year Hour Minutes AM/PM Option
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Summer Roundup New Staff Application 2022

General Information

For questions regarding camping, paying, or volunteering, call Amy Schisler at 410-725-1693 or email amyschisler@me.com