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 Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
Date
Connection with TCDC (camper, counselor, friend, website, etc. please include years if applicable)
t-shirt size
XS
S
M
L
XL
XXL
Other
Are you Type 1?
Yes
No
How long have you been Type 1?
0-5 years
5-10 years
10+ years
Are you on pump or shots?
Pump
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.
When was your last tetanus shot?
Do you take any medications other than insulin?
Yes
No
Please list other medications here:
Do you have any food allergies or dietary restrictions?
Yes
No
Please list allergies or dietary restrictions here:
Emergency Contact Name
First Name
Last Name
Emergency Contact Relation
Emergency Contact Number
Please enter a valid phone number.
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)
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Do you have your Water Safety Instruction?
Yes
No
Are you life guard certified?
Yes
No
I will be certified this winter/spring
Are you CPR/First Aid Certified?
Yes
No
I will be certified this winter/spring
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
I give permission for a background check to be preformed for my future employment and understand the results may prohibit my employment.
I would prefer not to complete a background check and would like to speak over the phone regarding this decision.
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.
I give permission to be drug tested at random should there be suspension of such activity going on.
I do not give permission to be drug tested.
Please list three references with name and phone number:
List 3 positions you would like to be considered for in order of preference.
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.
Yes
No
Will this be your first year on staff at TCDC?
Yes
No
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
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Bullying Policy
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Submit
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