The Basics Name Date of Birth E-mail Current Address Home Phone School Phone Single Married Engaged Widowed Divorced Social Security # Driver's License # Parents' Names Parents' Address Parent's Phone Please check all positions you are interested in: Counselor Wilderness Counselor Leadership Trainee Lakeside Program Assistant Lakeside Program Director Wagon Train Program Assistant Wagon Train Program Director Work Crew Chief Wrangler Maintenance Mechanic Cook Office Assistant Is there any reason you would have difficulty performing any of the essential elements of the job(s) checked above?
