RSM & New American Youth Association
Summer Camp 2008

200 Wells Ave., Newton MA 02459
617-332-8243

Staff Application

Applying For
Position:
Sessions: June 29 - July 12
July 13 - July 26
Personal Data
Last&First Name:
Street Address:
City/State:
Home Phone:
E-mail:
Require my children to be at camp (yes/no):
Education
High School Attended:
High School Graduation Year:
College Attended:
College Graduation Year:
Major:
Present School Status:
Camps attended as a camper:
Skills
Do you have Red Cross Certification As: Life Guard Training
First Aid What kind:
WSI
Small Craft
Ropes Courses
CPR What kind:
Other
Skills, Interests, Abilities:
Check items in which you
are proficient in
and can teach or lead
Math

Theater/Drama
Music
Song Leading
Choir

Arts/Crafts

Modern Dance
Aerobics

Swimming
Canoeing
Mtn Biking

Basket Ball
Football
Ping Pong
Soccer
Tennis
Volleyball

Other

Medical Insurance
Company Name:
Policy NO (if applicable):
Emergency Contact: