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Kia Kima Contact Form
Camp adult volunteer form
Personal Information
*
Indicates required field
Volunteer Name
*
First
Last
Volunteer Phone Number
*
Volunteer E-mail Address
*
Volunteer Address
*
Line 1
Line 2
City
State
Zip Code
Country
Volunteer Gender
*
Male
Female
Birthday (DD/MM/YYYY)
*
Scouting Background
Current Unit Type/Number
*
Council
*
Years in Scouting
*
Current/Past Unit Positions
*
Interests and qualifications
Please list the areas in which you are most interested in working at Kia Kima.
*
What Merit Badges are you currently registered as a counselor for?
*
Please list any specialized trainings, certifications, or jobs that might be relevant.
*
Availability
Please select the weeks during which you would like to be a Camp Adult Volunteer.
*
Cub Scout & Webelos Resident Camp Session 1
Cub Scout & Webelos Resident Camp Session 2
Scouts BSA Week 1 (Osage and Cherokee)
Scouts BSA Week 2 (Osage and Cherokee)
Scouts BSA Week 3 (Osage)
Scouts BSA Week 4 (Osage)
Scouts BSA Week 5 (Osage)
Would you like to work in Camp Osage or Camp Cherokee? (Placement will be wherever you are most needed.)
*
Camp Osage
Camp Cherokee
No preference or N/A
Submit your Form
Please review this form carefully to affirm that the information is correct, to the best of your knowledge. In signing this form, you attest that the information given is true. You also agree to forfeit the right to view your volunteer employment file concerning reference information, in order to protect all parties involved. If you agree, please type your name, as you would sign it, below.
Volunteer Signature (name as you would sign it)
*
Submit Form
Home
Scouts BSA
Camp Osage
Camp Cherokee
Ozark Venture Base
Winter Camp
Cub Camp
Camp Staff
Kia Kima Staff
Camp Staff Development
Adult Volunteers
Resources
Contact
Kia Kima Contact Form