SCJCA Summer Camp Coach Application

SCJCA Summer Camp Coach Application

Please complete the application with your personal information, eligibility, availability, experience, acknowledgments, background information, and signature. Include the program details, location, dates, camp hours, stipend range, age requirement (18+), and note that training and certification are provided.
Personal Information
Full Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Age
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
State
Zip Code
Emergency Contact Name

First NameMiddle NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Eligibility
Are you 18 years of age or older?
Are you legally authorized to work or volunteer in the United States?
Which experience best describes you?
Availability
Which days are you available to coach?
Can you commit to the full summer program schedule?
Scheduling conflicts or availability limitations
Coach Interest
Why are you interested in becoming a coach with SCJCA?
Describe your experience working with youth, sports, mentoring, leadership, or recreation programs.
What strengths would you bring to the SCJCA Summer Camp Program?
Training & Certification
Acknowledgment
Acknowledgment
Acknowledgment
Acknowledgment
Background Information
Have you ever been convicted of a felony?
If yes, please explain
Agreement & Signature
Applicant Signature
Should be Empty:

SCJCA Summer Camp Coach Application

Personal Information

Eligibility

Availability

Coach Interest

Training & Certification

Background Information

Agreement & Signature