Internship Application

Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Main Phone *
Main Phone
Alternate Phone
Alternate Phone
Highest level completed
Describe any camp skills you have
Do you have a current Red Cross (or equivalent) Lifeguard Certification?
CPR?
Wilderness First Aid?
EMT?
RN/LPN?
Do you have a valid driver's license? *
Please describe any related paid or volunteer experience, including name and description of position, time held, and rate of pay (if any).
Subjects of Interest *
In the following list, please check each box before those activities you have experience with and can assist with or teach as an expert.
NOTE *
By submitting this application, you are indicating that you are willing to submit to a criminal background and sex offender registry check prior to beginning your internship. You may be asked to provide further identifying information and personal references as part of this process. If you understand and agree to the above statement, please check this box: