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1. Full Name

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2. Phone Number

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4. Address

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5. Date of Birth

Notice for Applicants Ages 14–17: "To comply with state labor regulations and ensure a safe, supportive working environment, all hired individuals between the ages of 14 and 17 must provide a valid Work Permit (Age and Schooling Certificate) prior to their first day of employment. This process involves an application signed by a parent or guardian, a physician’s certificate, and a final sign-off from your school’s issuing officer. Please note that Legacies United Foundation will provide the 'Pledge of Employer' section required for your application once a hiring decision is made."

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6. Position of Interest (Select all that apply)

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7. Do you have experience working with youth?

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8. Please describe your experience working with youth.

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9. Why are you interested in joining our camp team?

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10. What strengths would you bring to our program?

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11. Reference #1 Name

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12. Reference #1 Phone

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13. Reference #1 Relationship

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14. Reference #2 Name

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15. Reference #2 Phone

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16. Reference #2 Relationship

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