Returning Staff Application

Requirements for working at Elks Camp Grassick: Camp staff must be over 18 years of age. Applicants need to be in good health (must be able to handle the physical, mental and emotional demands of working with children and adults of all ages and abilities) and able to lift at least 50 pounds. Applicants must be mature, responsible and dependable. Camp staff MUST be available for the entire summer and be able to work all sessions including staff orientation. (Typically, camp sessions run from early June until mid-August) Most staff members are also required to live on camp throughout their employment.

Note: All returning staff will do a returning staff interview.

Name*

First NameMiddle Name or Middle InitialLast Name

Gender*

Nickname or Preferred Name

T-Shirt Size*

Social Security Number

Can be supplied after hire if preferred.

Date of Birth

MonthDayYear

Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Permanent Address if different from above

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Telephone Number(s)*

Email*

Name of Parent(s) or Nearest Relative*

Emergency Contact Name*

Relationship to Applicant*

City and State of Emergency Contact*

Emergency Contact Phone Numbers*

What position are you applying for? (Check more than one if interested.) (*Requires degree, certification, or specific education requirements.)*

High School Name and Location*

College/University Name and Location*

Major*

Minor

Degree(s) Earned or Anticipated Graduation Date

Please list any extracurricular or volunteer activities you are involved in.*

Returning Staff Application

Identifying Information

Education