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Returning Volunteer
Contact Information
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First Name
Last Name
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(mm/dd/yyyy)
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First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Please list areas you have lived since age 16. City, State, How long did you live at this address (e.g. June 2010-August 2011)
Emergency Contact
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First Name
Last Name
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Activity Areas
Please complete this section if you are applying to be a weekend camp volunteer.
Please check the activity areas that you have experience with and would feel comfortable leading. Those areas which require a certification are marked with an asterisk.


Medical Information
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PLEASE NOTE, IN EFFORT TO PROTECT THE HEALTH AND WELL BEING OF OUR CAMPERS DURING THIS INTENSE FLU SEASON, CAMP JOHN MARC IS REQUIRING ALL STAFF AND VOLUNTEERS TO HAVE A FLU SHOT DURING THE MONTHS OF FEBRUARY AND MARCH.
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First Name
Last Name
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Current Application Information
Except as noted below, all information in my previous application is correct and current as of the date of this application. This includes any information related to being fired or terminated from any job; suspended or required to withdraw from school; charged with any felony offense, regardless of type; accused of, charged with, or convicted of any crime, including child molestation, any crime endangering a child, involving the use of weapons, violence, arson, or public indecency; charged with a DUI, DWI, or other motor vehicle offense; possession of any controlled substance within the last five years, or for other than a first offense; residing in the same premises as a Registered Sex Offender. If anything changes prior to my volunteer experience at Camp John Marc, I will notify the Executive Director.
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