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Tri-State Fellowship Camp Staff Application
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Completion of this application is necessary to ensure the safety of our children and youth.As servants of Christ, we regard the care of children as a great responsibility.
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Applications due no later than April 30th 2010
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Staff Application for 2010 "Glow in the Dark"
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Staff training arrival: Sat. July 10h Check-in: 1:00 P.M.
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Staff departure: Fri. July 16th Check-out: TBD, by the Director after clean up is complete.
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***Staff Discount is 50% off the early bird Registration for staffer's children***
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A total of $35.00 needs to be included with your application for the following. A NONREFUNDABLE fee of $10.00 to be used to run a background check. A refundable training fee of $25.00 must also be included with your application. This fee will be refunded if for any reason your application is not selected
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Make Checks payable to "Tri-State Fellowship Camp" and mail to:
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Tri-State Fellowship Camp
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Camp Director: Ron Sheranko
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c/o First Grace Brethren Church
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2624 Stonequarry Rd.
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Dayton, OH 45414
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Campers will arrive to camp Sunday July 12th at 2:00 P.M.
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Application Information:
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Personal Information:
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I you do not want to give your social security number online Please mail it to:
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Tri-State Fellowship Camp
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Camp Director: Ron Sheranko
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c/o First Grace Brethren Church
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2624 Stonequarry Rd.
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Dayton, OH 45414
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Please note however your application will not be considerd untill your background check has been completed and your social security number is needed to complete this function.
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Emergency Contact:
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The following questions are used to determine duty assignments:
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You may mail this to the same address as the social security number.
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Work History:
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Spiritual Information:
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Church Information:
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Camping Information:
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Personal History:
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Medical Information:
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