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.

Sign up, Keep Up

Sign up to receive monthly newsletters featuring all the latest news and happenings from MDWFP.
- or -
Sign up to receive survey questions from MDWFP. Your information is valuable to our conservation efforts!