New Staff Application

Home
Summer Program
Staff Opportunities
- Summer Staff
- Gap Year Program
Retreats
Give
- Business Partners
Connect
- Contact
- Newsletter
About
Camp Store

New Staff Application

Dear applicant,
1. Fill out completely
2. We will contact you for an interview
3. If you have any questions, feel free to give us a call or send us an email.

Personal Information

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Upload Recent Picture *

Max file size: 20MB

Phone Number *

Email *

Social Security Number *

Parent's Name *

Parent's Phone Number *

Sex *

Age *

Birthday *

School You Attend *

Grade *

Health Information

Tetanus (Booster Recommended every 10 years after initial immunization) *

Polio (1963 oral series sufficient or at least 4 by kindergarten) *

Is applicant subject to: *

Diabetes Nosebleed Earache Headache Frequent Colds

continued *

Abscessed Ears Stomach Upsets Sleepwalking Asthma

continued *

Fainting Sore Throat Sinusitis Bronchitis

Serious Allergy *

Bee Sting Poison Ivy/Oak/Sumac Other

Please List all Know Allergies *

Please List Any Medications to be Taken (This must be administered by the camp nurse while at Camp.) *

Please: 1. Explain any health problems (physical or psychological). 2. Fully explain any other important health related information. 3. List any activity restrictions *

Emergency Contact *

First

Last

Emergency Contact's Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact's Phone Number *

Submit

865-453-6274 | [email protected] | 2320 Happy Hollow Road, Sevierville, TN 37862

Home
Summer Program
Staff Opportunities
- Summer Staff
- Gap Year Program
Retreats
Give
- Business Partners
Connect
- Contact
- Newsletter
About
Camp Store