Bunk/Activities Counselor Application

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Email *

First Name *

Last Name *

Date of Birth *

YYYY

Gender *

Female

Male

Nonbinary

Transgender

Prefer not to disclose

Other

Pronouns *

Phone Number *

City *

State *

Have you ever been convicted of child abuse or a sex related crime?
*

Yes

Do you agree to a background check?
*

Yes

Do you have a valid driver's license? *

Yes

If yes, are you comfortable driving a 12 or 15 passenger van? *

Yes

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