CAMP COUNSELORS | Sickle Cell

Camp Counselors Application

First name

Name you wish to be called

Last name

Birthday

Phone

Street Address

City

Postal / Zip code

Region/State/Province

How did you hear about us?

Briefly describe your camp experience. Please include the type of camp and your role (e.g. camper, volunteer or staff)

What skills, experience, and/or certifications do you possess that will contribute to the quality of the team?

What interests/hobbies do you have?

List contact information for two (2) references.

Please list two (2) Emergency Contacts

I hereby certify that the above information is correct. I authorize the Sickle Cell Foundation of Georgia to perform a criminal history for the purpose of certifying that I have not been convicted of a crime.

Your Signature

Thanks for applying to volunteer with us! We'll get back to you soon.