Raven Knob: Online Camp Staff / CSD Application

This application can be used by applicants for Camp Staff as well as the Camp Staff Development (CSD) Program.

Applicants for Camp Staff should be at least 16 years of age and have completed the 10th grade.

Applicants for the CSD program should be at least 15 years of age or have completed the 9th grade. To be eligible for the CSD program, a person must:

be a registered Scout, Explorer, or Venturer
be at least 15 years of age during his stay at camp or have copmleted the 9th grade
have experience in Unit leadership
be in good physical condition (a current medical form is required)
have an interest in instructing Scouting skills to others through a rigorous training course
due to North Carolina State Labor regulations, Scouts under the age of 14 are not eligible for this program

Application Type

Staff CSD

Personal Information

First Name

Last Name

Nick Name (optional)

Email Address

Street Address

City

State

Zip

Phone Number

Birthdate (YYYY-MM-DD)

Social Security Number

Gender

Male Female

Scouting Background

Current Unit

Current Unit Position

Years in Scouting

Order of the Arrow

No Ordeal Brotherhood Vigil

Rank obtained as a Scout

Number of Merit Badges

Past Unit Positions

Camp Background

Years at Camp as a Scout

Years at Camp as a Leader

Years at Camp as a Staff

Were you a CSD?

Yes No

Past Staff Positions and Years

Are you a BSA Lifeguard?

Yes No

Are you CPR Certified?

Yes No

List any BSA National Camping School certifications and years

List any certifications in Aquatics, Shooting Sports, Health and Safety or other specialized training

Character and Community

What Church, School and Community activities are you involved in?

What awards and recognitions that you have received?

What are your hobbies?

What areas of Scouting do you like best?

How has Scouting benefitted your life?

Staff Placement

What areas of Scouting do you feel most qualified to instruct?

Check the merit badges that you have earned

	Photography
	Pioneering
	Pottery
	Reptile and Amphibian Study
	Rifle Shooting
	Rowing
	Safety
	Shotgun Shooting
	Small-Boat Sailing
	Soil & Water Conservation
	Space Exploration
	Swimming
	Textiles
	Weather
	Whitewater
	Wilderness Survival
	Wood Carving

	Photography
	Pioneering
	Pottery
	Reptile and Amphibian Study
	Rifle Shooting
	Rowing
	Safety
	Shotgun Shooting
	Small-Boat Sailing
	Soil & Water Conservation
	Space Exploration
	Swimming
	Textiles
	Weather
	Whitewater
	Wilderness Survival
	Wood Carving

List any other merit badges you have earned that may be relevant to the summer camp program.

Why do you want to work on the Raven Knob Staff?

Is there anything else that you would like to tell us?

Positions desired at camp (Staff Applicants only)

(1)
(2)
(3)

References

Reference (Unit Leader for CSD Application)
   Address
   Phone Number
   Email Address

Reference
   Address
   Phone Number
   Email Address

CSD Program

If accepted to the Camp Staff Development program, I understand that I will work at camp for a period of two (2) consecutive weeks. The options are listed below and I have indicated my preference for the weeks that I would like to participate. I further understand that the Old Hickory Council assumes the responsibility of my room and board and that no further compensation will be given.
Note: CSD Applicants will not be allowed to participate in the CSD program while their unit is at Raven Knob.

Check the weeks that you are able to attend

1st and 2nd weeks
3rd and 4th weeks
5th and 6th weeks

Camp Staff

Please review this application carefully to affirm that the information is correct, to the best of your knowledge. In signing this application, you attest that the information given is true. You also agree to forfeit the right to view your employment file concerning reference information, in order to protect all parties involved. Once again, please read this application carefully before signing.

Dates Available

Signature

Signature (Type your name as you would sign it)