Camp Bond Staff Application
Summer 2026
Applicant Name (Last, First, MI)
*
Address
*
City
*
State
*
Zip
*
Phone
*
Email
*
Shirt Size
*
S
M
L
XL
2X
3X
Your local church
*
I want to be on the Camp Bond Crew because...
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Work Experience or Skill Set
*
Do you believe in Jesus?
*
YES
NO
If YES, share your story of being "saved"
*
CRIMINAL RECORDS RELEASE
Race
*
Sex
*
Date of Birth
*
-
Month
-
Day
Year
Date
State of Birth
*
SSN#
*
Maiden, AKA's(nick-names)
Signature
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Date
*
-
Month
-
Day
Year
Date
Is there any fact or circumstance involving you or your background that would call into question your being entrusted with the supervision, guidance, and care of young people? YES/NO If YES, explain.
*
Have you ever participated in, been accused, or convicted of, or pleaded guilty or no contest to any abuse or sexual misconduct?
*
YES
NO
MEDICAL INFORMATION
Insurance Company
Policy Number
SSN
List of allergies
Any physical conditions the nurse should be aware of?
CURRENT MEDICATION(S)
If you are a minor (under the age of 18), a parent's signature is required in order for you to have lodging throughout the summer with college age students/adults. Please have them sign here if you are a minor.
Applicant Name
*
Parent's Signature
*
Parent's Name
*
Submit
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