2018 GSCM Resident Camp Staff Application

Please complete this entire application in one session. Be prepared with dates of your work history, any diplomas, degrees and certifications earned, and contact information for references.

For additional information, contact the Camp Director:

Kelly Bozard

Girl Scouts of Central Maryland

4806 Seton Drive

Baltimore, Maryland 21215

Phone: 1-410-358-9711

Fax: 1-443-692-5000

E-mail: Kbozard@gscm.org

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* 1. Date of Application

Date

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* 2. Personal Information

Name: *

Date of Birth (month/day/year):

Email Address 1: *

Email Address 2 (optional)

Primary Phone Number (incl. area code): *

Phone Number 2 (optional):

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* 3. Skype Address (if none, type "I don't have one")

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* 4. Current Home Address

Street:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

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* 5. Permanent Address (if different)

Street

City/Town

State/Province

ZIP/Postal Code

Country

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* 6. Present occupation or year in school:

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* 7. Dates you are available to work during Summer 2018 (month and day)

From:

Until:

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* 8. Where did you learn about Girl Scout Camp positions?

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* 9. What is the best way to reach you?

E-mail

Current phone

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* 10. Which day and time (using YOUR time zone) are best to contact you?

Weekdays between 9 a.m. and 5 p.m.

Weeknights between 5 p.m. and 9 p.m.

Saturday mornings

Saturday afternoons

Sunday mornings

Sunday afternoons

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* 11. What is your age as of June 1, 2018?

18 - 20

21 - 24

25+