JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Staff Application
Keystone Girls State will be June 21-27. Staff should arrive at Shippensburg on Saturday, June 20th no later than 10 AM for staff training.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Position you are applying for:
Vice Dean
Mentor
Senior Counselor
Junior Counselor
Clear selection
Name:
*
Your answer
Address (include City, State, and Zipcode):
*
Your answer
Cell Phone Number:
*
Your answer
E-Mail Address:
*
Your answer
College or High School:
Your answer
Year you Attended Keystone Girls State (if applicable):
MM
/
DD
/
YYYY
What was your city's name?
Your answer
Who was your city staff?
Your answer
What positions did you hold as a Girls State citizen?
Your answer
How old will you be on June 30th, 2020?
Your answer
Please check if you have any of the following clearances:
Note: You do not have to have any of the following before applying, but WILL need these clearances by the beginning of KGS 2018.
Pennsylvania Department of Human Services Child Abuse History Certification
Pennsylvania State Police Criminal Record Check
Federal Bureau of Investigation Criminal Background Check WITH Fingerprint Verification
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States
Yes
No
Clear selection
Have you ever been convicted of, or entered a plea of guilty, no contest, or had a withheld judgment to a felony?
Yes
No
Clear selection
If yes to the above question, please explain:
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
