This is an online staff pre-application information request form.
This does not take the place of a formal application which will be sent at a later date in the mail.


Date Of Pre-application:

Name:

Contact Address:

City:

Prov/State:

Country:


Zip/Postal Code:

Evening Phone:

Day Phone:

Email Address:

Date of Birth:


EDUCATION
What is your current status:
Freshman
Sophmore
Junior
Senior
Post Grad
Where do you go to school?:

City/State:

What is your Major?:


CAMP EXPERIENCE
Camper /Staff Camp Director Address Phone Dates

In which specific area of activity do you wish to teach as a counselor?

What position do you seek if not a counselor?

Salary Range:



PERSONAL INFORMATION

Do You Drive?
YesNo

License #:


State:


Has your license ever been revoked?
YesNo

Any Accidents?
YesNo

Have you ever been arrested?
YesNo

Have you ever been convicted of a crime?
YesNo

Are You Married?
YesNo

Do You Have Children?
YesNo

Must a family member accompany you to camp?
YesNo

Camp Wekeela provides a non-smoking environment. Does this cause a problem for you?
YesNo

Do you speak languages other than English?
YesNo

Other Languages: