Maumee Summer Camp

Application

Name________________________________________________SSN_____________________

Address_______________________________________________________________________

City___________________________________State____________________Zip____________

Phone – Evening_______________________________Day_____________________________

Age 1^st Day of Camp____________________Birth Date_____________ Email_____________

Position Desired – 1^st_________________________________

2^nd_________________________________

3^rd_________________________________

21 years or older 18 years or older 15 years or older 14 years or older

C.I.T.

Minimum $

$205/week $150/week $90/week $0/week

*Camp Director Trading Post Manger Aides Does not count

*Program Director Waterfront Assistant Waterfront for experience

*Field Sports Director Cooks Assistants Scoutcraft

*Aquatics Director Ranger Assistant Nature

*Health Officer Archery Instructor Eagle Quest

*Cook Rifle or Shotgun Instructor Handicraft

Eagle Quest Manager Ranger

Handicraft Manager Trading Post

Nature Manager Kitchen as Assigned

Scoutcraft Manager

Commissioner

15% 15%

Each year of experience adds 15% to minimum in category for both under 21 year’s categories. Over 21 years are negotiable based on responsibility and requirement. Room and board in addition.

*Directors exceed minimums and must be over 21.

A. 18 years and older (1^st time applicants)

Special:

Skills_____________________________________________________________

Certifications_______________________________________________________

Expertise__________________________________________________________

Current/Past Employers______________________________________________

Contact Person_______________________________Phone___________

School Grade________________Grade Point or Highest Education___________

B. 15 years and older (1^st time applicants)

Scouting Rank____________________________________________________________

Merit Badges Earned_______________________________________________________

________________________________________________________________________

Other Scouting Certifications, etc.____________________________________________

________________________________________________________________________

School Grade_______________________Grade Point____________________________

For Office Use

Interviewed By________________________________________

Evaluation____________________________________________

Disposition___________________________________________

Return to: David Coller

Boy Scouts of America

5625 E State Road 46

Bloomington, IN 47401