WCBC Staff Application (JCL & Clean)

Staff Application
Name:

First NameLast Name
Birth Date

MonthDayYear
Phone Number
E-mail Address:
example@example.com
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Junior Cabin Leader (Jr Camp only)Cleaning Staff Family weekCleaning Staff Jr. weekCleaning Staff Sr. Hi. weekCleaning Staff Jr. Hi week
Church Attending
Pastor
Pastor Email
example@example.com
Job Skills & Training
GraduateSeniorJuniorSophomoreFreshman8th grader7th grader
Testimony
Why do you want to work at Camp?
Health Information
Emergency Contact

First NameLast Name
Phone Number
AsthmaAllergiesColdEpilesyDiabetesHeartOther
Conditions that might hinder your abilities:
Yes I do.
Medical Release Signature
Date

MonthDayYear
Date
Applicants Signature
Date

MonthDayYear
Date
PARENT'S OR GUARDIANS SIGNATURE
Date

MonthDayYear
Date
Should be Empty: