Staff and Volunteer
Application
Staff & Volunteer
Application
Name of Camp Event:
Name:
Phone #'s:
Address:
[including
city and
State and zip
code
E-Mail:
Date of Birth:
Gender:
Employment:
Phone:
Home Church:
Phone:
Pastor / Preacher:
Phone:
Camp Experience:
Age:
Have you ever been convicted of a felony?
Yes
No
Have you ever been convicted of child or sexual abuse?
Yes
No
If yes to either, please explain:
List any Red Cross, safety or program training:
List References:
I verify that all the above information is true and I will abide by the rules and policies of Mississippi Christian
Service Camp. By electronically signing this, I also confirm that I have read and understand the polices set forth
in the MCSC Staff manual.
Don't forget to fill out the health form. This is important!!!
After the this form has been submitted, use your browser button to go back to the camp page
Press submit only once