Eligible applicants must be 18 years or older. Please fill out & complete ALL fields. (NOTE: Use "TAB" Key and/or Pointer to Move Between Fields) * indicates a required field
First Name *	Last Name *
Home Phone Number	Other Phone Number
Home Street Address *	Other Street Address
Home City *	Other City
Home State *	Other State
Choose One Alberta Alaska Alabama Arkansas Arizona British Columbia California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Maryland Manitoba Maryland Maine Massachusetts Michigan Minnesota Missouri Mississippi Montana Nebraska North Carolina North Dakota Nebraska New Brunswick Newfoundland New Hampshire New Jersey New Mexico Nova Scotia Northwest Territories Nevada New York Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Puerto Rico Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Vermont Virginia Washington Wisconsin West Virginia Wyoming Yukon Territory	Choose One Alberta Alaska Alabama Arkansas Arizona British Columbia California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Maryland Manitoba Maryland Maine Massachusetts Michigan Minnesota Missouri Mississippi Montana Nebraska North Carolina North Dakota Nebraska New Brunswick Newfoundland New Hampshire New Jersey New Mexico Nova Scotia Northwest Territories Nevada New York Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Puerto Rico Rhode Island South Carolina South Dakota Saskatchewan Tennessee Texas Utah Vermont Virginia Washington Wisconsin West Virginia Wyoming Yukon Territory
Home Zip Code	Other Zip Code
Home Country	Other Country
Social Security Number *	Email Address *
* Required for US Citizens
Date of Birth * (MM/DD/YYYY)	Gender
	Female Male
Are You Married?	List Children (age/gender)
Yes No
How Did You Hear About Us?
High School	High School Graduation Date (MM/DD/YYYY)
College	College Major
Current Year
Driver's License #	State Issued
Earliest Date Available	Latest Date to Stay
Based on camp salaries which include room and board, how much are you looking to make this summer? (Total for 8-week period.)

Please Read Carefully
I hereby certify that all of the information supplied by me in this application form is truthful and accurate. I understand that any offer of employment will be based on the information on this form. Any false statements, omissions, or inaccuracies included on this form may be cause for the disqualification from consideration for employment or dismissal from actual employment.

The applicant authorizes Camp Eagle Hill and/or its agents, to conduct an independent background investigation. The applicant further authorizes Camp Eagle Hill and/or its agents, to request or receive any information including criminal records, motor vehicle reports, past employment records, education references, or references from any persons, schools, or previous employers.

By typing the word "Agree" in the box, you understand and accept the terms of the above stated paragraph: *