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Camp Volunteer Counselor Application

* Required Fields

1) First Name *
2) Last Name *

3) Email*
4) Phone *

5) Address & City *
6) State *

7) Zip *
8) D.O.B *

9) List Extracurricular Activities, Honors, and Hobbies *

10) Summer camp work involves close contact with children. Have you ever been investigated, arrested, or convicted of Child Abuse, Neglect, or Related Charges? *

11) Drug or Alcohol Charges? *

12) Have you ever been convicted of any other criminal activity? *

12 b) If yes, please explain.

13) List camp-related or other education related activities in which you have expertise. *

14) Write a brief explanation of why you would be a good fit as a volunteer summer camp counselor at MDWFP’s Mississippi Museum of Natural Science. *

15) Please select all camps that you would be available to work:
-Select all that apply-




Thank you for submitting.

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