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Summer Address:
      5300 W. Loveland Rd
      Madison, OH 44057

Returning Staff Online Application Form

You must provide a valid email address for us to contact you!

Mark your calendar now. Mandatory pre-camp training is July 5-8 for all staff unless excused by Ptarmigan or Trich.

Those not able to be in camp for the full 4 days of pre-camp training must complete a minimum of 2 ACC on-line training
modules and a minimum of 10 Expert on-line training modules.

ALL staff must attend training on Saturday, July 8 (9:00am-5:00pm).

Personal Information
Name: Bird Name (if you have one):
Home phone Number: Cell phone Number:
Email address:
Home Address: City:
State: Zip:
School Address (if applicable): City:
State: Zip:
Home Church (if applicable): Church Address:
City, State: Zip:
Cedarbrook Staff Information and Preferences

Check which week(s) you are applying for:

Skills and needs will be assessed when determining
 length of contract.  You must turn in your activity interest sheet before being considered for more than two weeks.

Apply early!

Girls' Camp Week 1 (July 9-15)
Girls' Camp Week 2 (July 16-22)
Girls' Camp Week 3 (July 23-29)
Support Staff Week 4 (July 30 - August 5)
Boys' Camp Week 4 (July 30 - August 5)
Positions Served in past:
First Age Group Preference (Select One):
Second Age Group Preference (Select One):
Check position(s) you would like to serve: Cabin Counselor
Division Director
Voyager Camp Staff
Horsemanship Specialist
Activity Coordinator
Special Team Coordinator
Business Manager
Life Guard
Tuck Shop Manager
Admin. Assistant
Grandma/Grandpa Birds
Support Staff
Service Crew (Kitchen)
Service Crew Building/Grounds
Activity Specialist - Area:

Check if you are UNwilling to serve
in a co-counselor position

Co-counselor preference:
T-shirt size (men's sizes only):
Additional Information

What have you been doing for your devotions this year?
(Books? Topics?)

How has the Lord been working in your life this past year?

Why do you want to work at Cedarbrook Camp
of Ohio this summer?

Voluntary Disclosure Statements
Do you have any physical or mental limitations that would limit your participation in camp activities? No Yes
If yes, please explain
Do you have any contagious or communicable diseases that may endanger others? No Yes
If yes, please explain
Have you ever been convicted of a crime? No Yes
If yes, please explain
Are there any felony charges pending against you? No Yes
If yes, please explain

All Staff (new and returning) must undergo a mandatory annual fingerprinting and criminal background check (required by The American Camp Association and the State of Ohio). Check our website www.cedarbrookcampoh.com/staff for further instructions.

Signature I attest that everything in this application is true. No Yes