2018 Summer Camp Employment 1. Personal Information Page1 / 6 17% of survey complete. Question Title * 1. Please enter the information indicated below. First Name: Last Name: Date of birth (xx/xx/xxxx): Email Address: Mail Address: City: State: Zip Code: Cell Phone: Other Phone: Question Title * 2. What is your gender? Female Male Question Title * 3. Staff Uniform information What is your T-shirt size? (S,M,L,XL,2XL,3XL,4XL) What is your sweatshirt size? (S,M,L,XL,2XL,3XL,4XL) Question Title * 4. Rank your preference for which camp/program you are applying to 1st, 2nd, 3rd, etc. 1 2 3 4 5 6 Camp Gorsuch Cub Scout camp (resident and day) - Chugiak, AK 1 2 3 4 5 6 Camp Gorsuch Boy Scout camp (resident) - Chugiak, AK 1 2 3 4 5 6 Denali High Adventure Scout Base (Boy Scout resident camp) - Parks Hwy mile 133 1 2 3 4 5 6 Eagle River Scout Camp (Cub and Boy Scout resident camp) - Juneau, AK 1 2 3 4 5 6 Alaska Ultimate High Adventure (Guide custom high adventure treks throughout the state of Alaska) 1 2 3 4 5 6 STEM camp-Camp Gorsuch (community-wide Science, Technology, Engineering, and Math-based program) Question Title * 5. What is the highest level of education you have completed? Did not attend school 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade Graduated from high school 1 year of college 2 years of college 3 years of college Graduated from college Some graduate school Completed graduate school Question Title * 6. Please list any degrees or certificates you have completed including leadership training. Include any relevant Scouting training or current certifications and list any National Camp School certifications with the date, location, and course completed. Also include any current first aid, CPR, BSA Lifeguard, WSI, or Food Handler certifications. 1. 2. 3 4. 5 6. 7. 8. Next