TCDC 2025 Staff Application

TCDC 2025 Staff Application

Please complete the following questions as part of the application process to be considered for the 2025 staff. The dates for TCDC 2025 are June 15-28.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
Date
Connection with TCDC (camper, counselor, friend, website, etc. please include years if applicable)
t-shirt size

Other
Are you Type 1?
How long have you been Type 1?
Are you on pump or shots?

Other
What is your short acting insulin?
What is your long acting insulin?
What is you insulin:carb ratio?
What is your correction factor?
What was your most recent A1C?
Who is your endocrinologist/primary care physician?
Please list the doctors phone number:
Please enter a valid phone number.Format: (000) 000-0000.
When was your last tetanus shot?
Do you take any medications other than insulin?
Please list other medications here:
Do you have any food allergies or dietary restrictions?
Please list allergies or dietary restrictions here:
Emergency Contact Name

First NameLast Name
Emergency Contact Relation
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Highest level of education
Extracurricular activities
Experience working with children
Experience with Type 1
Hobbies or special interests
Please rate you swimming ability (1 no interest in water - 5 I have been involved in swimming lessons/on a team)

1

2

3

4

5

1 is Worst, 5 is Best
Do you have your Water Safety Instruction?
Are you life guard certified?
Are you CPR/First Aid Certified?
Previous work experience (please list job(s) and dates employed)
As part of the hiring process, for those who are hired by TCDC, a background check will be completed
TCDC has a list of rules all staff must abide by - one of which includes no smoking, vaping, drinking, or illegal drug use will be permitted when employed by TCDC during the days of June 15-June 28, 2025.
Please list three references with name and phone number:

List 3 positions you would like to be considered for in order of preference.

Rows	Archery Instructor	Arts & Crafts Instructor	Athletic Instructor	Cabin Counselor	Canoe Instructor	Environmental Awareness Instructor	Kitchen Staff	Mountain Biking Instructor	Waterfront Staff	What's Up	Paddle Boards
Choice 1
Choice 2
Choice 3

If the position(s) you have applied for are not available, are you willing to work in an available position.
Will this be your first year on staff at TCDC?
Why do you wish to work at TCDC?
What contributions do you think you can make to these young people's lives?
What type of skills could you bring to enhance the camping environment?
Please download and complete/sign the following forms

Complete and sign the Background Check and Bullying Policy forms.
Background Check

Cancelof
Bullying Policy

Cancelof
Should be Empty:

TCDC 2025 Staff Application

Please download and complete/sign the following forms