Staff Application 2026

Staff Application 2026

All applications are due by March 1, 2026
Are you?*

MaleFemale
Full Legal Name*
Desired Name, if different
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
DOB*

MonthDayYear
Date
What size shirt do you need?*

Adult SmallAdult MediumAdult LargeAdult XLAdult XXL
Parent or Emergency Contact Name*
Parent or Emergency Contact Number*
Relationship to you (parent, family friend, etc)*
Will this be your first year as a counselor?*

YesNo
Do you have a previous connection with someone who was a camper or counselor at TCDC? Who is it?
Why do you wish to work at TCDC?
What type of skills could you bring to enhance the camping environment?
What contributions do you think you can make to these young people's lives?
Please rate your swimming ability with 1 being no interest in water - 5 being I have been involved in swimming lessons/on a swim team

1

2

3

4

5

1 is , 5 is
*Please attach a copy of WSI or Sr. Life Saving, CPR/ First Aid, acceptable from the Red Cross, YMCA or Boy Scouts of America if you have that.

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Are you lifeguard certified?*

YesNo
Are you CPR/First Aid certified?*

YesNo
Do you have have any food allergies or dietary restrictions?*

CeliacVeganDairy FreeVegetarianNoneOther
Are you a type 1 diabetic?*

YesNo
Do you have other experience with or knowledge about diabetes like a family member?
Age at diagnosis:
PumpShots
Short Acting Insulin
How Much?
Long Acting Insulin
How Much?
Correction Factor
Insulin: Carbs Ratio
Target BG
Last recorded A1C
Do you take any other medications other than insulin?*

YesNo
If yes, please give us the name of the medication, dosage, and condition being treated.
Do you have any health restrictions that might limit your performance?*

YesNo
If yes, please explain
Please upload the front of your insurance card*

Cancelof
Please upload the back of your insurance card*

Cancelof
When was your last tetanus shot?*
Are you in school?*

YesNo
What grade level/year will you be going into in the fall of 2026?
Leadership positions held at school
Extracurricular activities in school
Experience in leadership of children*
Hobbies and special interests*
If you are 18+, as part of the hiring process, a background check will need to be completed.*

I give permission for a background check to be performed 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 issue.I am not 18 yet
Besides usage for diabetes, counselors should not have cell phones out in front of campers. If employed, do you agree to abide by this rule?*

YesNo
TCDC has a list of rules all staff must abide by - one of which includes no smoking, no vaping, no drinking alcohol, no sexual activity, and no illegal drug use, including THC, will be permitted when employed by TCDC during the days of June 12-June 27, 2026.*

I give permission to be drug tested at random should there be suspicion of such activity going on.I do not give permission to be drug tested.
Social Security Number*
Please upload the front of your driver's license or other legal identification*

Cancelof
Please upload the back of your driver's license or other legal identification*

Cancelof
Do you have previous work experience?*

YesNo
Please tell us about it, complete with dates of employment.
We need 3 character references. These can be personal or professional. Make sure to include a name, who that person is to you (family friend, boss, etc.), and a phone number.*

List 3 positions you would like to be considered for in order of preference. Details for these positions can be found on the forms portion of the TCDC website. *

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 your requested position has already been filled, are you willing to accept an assigned position instead?*

YesNo
If you want to be a Cabin Counselor, what age group do you want to work with?

Age 8Age 9Age 10Age 11Age 12Age 13Age 14Ag 15Day Camp Only - ages 6 and 7
I certify that all statements made on this application are true and complete to the best of my knowledge and that I have withheld nothing that would affect this application unfavorably. I further acknowledge and understand that misrepresentations or omissions may be cause for rejection or subsequent dismissal.

Futhermore, I understand that TCDC has a strict no bullying policy, and I agree to:

Follow all camp rules.
Treat campers and adults with respect.
Show respect for camp equipment and the property of others.
Use appropriate language at all times.
Show courteous and respectful behavior consistently.
Arrive and remain at camp with a positive attitude.
Work with other counselors to create a safe and welcoming camp.

Lastly, I understand that this application is not complete without also submitting the Background Check Authorization Form if I am under the age of 18.
Signature of Applicant*
Date*

MonthDayYear
Date
Signature of Guardian, if applicant is not 18 years or older
Date

MonthDayYear
Date
If you have any questions, please reach out to our Camp Director. Leann can be reached by text at 423-847-7519.
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