Youth SEEK Returning Counselor/Staff Application

Returning Counselor/Staff Application

Youth SEEK Camp -- JUNE 12th-17th, 2017
Counselor/Staff Name

First Name Last Name
Birth Date *

Month Day Year
Gender *
If you are 18 or older on June 1, 2017 you must submit a background check form. Once your registration has been confirmed, we will send you a link for the background check.
Parent/Gaurdian Email address (if under 18)
Counselor/Staff E-mail *
Counselor/Staff Mobile Number *

- Area Code Phone Number

Address

Number of years served at Youth SEEK
Number of years served at another SEEK Camp
T-Shirt Size *
Church Affiliation/Membership (if applicable)
Church Staff Contact Name
Church Contact E-mail
Permission to use photos on website/Facebook/DVD? *

Yes No
This year SEEK Camp is asking each volunteer if they would like to donate $25.00 to cover the cost of two shirts, background checks, a nametag & a lanyard that each volunteer receives. This is a voluntary donation and will not exclude anyone if you are unable to donate. You can pay by cash/check in person or you may enter your donation below and you'll be redirected to PayPal after you hit "Submit Application." We appreciate the assistance.

USD Donation for Admin Fees
Due to high interest and limited space, all counselors and staff members are required to be at camp from Monday, June 12th at 2pm to Saturday, June 17th at 12pm. Any acception must be approved by both camp directors.
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