GVRC Staff Application

Fill out the form below to begin your application to become a staff member at GVRC. This forms takes 15-20 minutes to complete.

Name*
First Middle Last
Date of Birth*
Month
Day
Year
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Sex
- M
- F
Gender*
Gender - other*
Pronouns
Permanent Address*
Street Address Address Line 2 City State ZIP Code

If college student, please list Home address
Phone*
Email*
Enter Email Confirm Email
Years of completed education as of August 1st of this year.*
High School
College
Graduate
Vocational Training*
What type?
College major/degree(s) (if applicable)
Present Job Status*
How did you hear about GVRC?*
Why are you interested in working at GVRC?*
What do you hope to gain from working at this camp?*
What previous experience(s) have you had working with individuals that have disabilities?*
What are your interests?*
Other personal experiences you’ve had that would benefit you as a GVRC staff member*
Previous camp/camping experience(s)*
Any physical limitations or health concerns?*
If Yes, please describe*
Special Talents/Awards?
List any certifications you hold (i.e. CPR, First Aid, Lifeguarding)

Click the + sign at right to add additional certifications
Are you applying for a specific position at camp?*
Which Position?
Are you willing to accept any position?
If no, please explain
Have you ever been convicted of a crime, including a sex related or child abuse related offense?*
If Yes, please explain

Reference #1 Name	Phone

Reference #2 Name	Phone

REFERENCES