Camp Sue Osborn Staff Application

Day Camp: June 28–July 2, 2010 & July 5-9
At the YMCA Outdoor Family Center in Perry, Ohio

Residence Camp: July 18 – July 24
At Camp Burton, in Burton, Ohio

Name
Birth Date
Age
Address
City
State
Zip Code
Phone#
Cell#
Fax#
E-Mail Address
Place of Employment
Position
Employers Phone
For which Camp are you applying?
Day
Residence
Both
Position Desired: Check All Positions For Which You Are Qualified and Interested

Counselor
Nurse
Aide
Volunteer
Bus Aide

Specialist (Residence Camp Only)
Autism
Behavior
Communication
Instructor (Residence Camp Only)

Art
Games
Cooking
Music
Drama
Science
Fishing

Is there a specific group of campers you would like to work with?
(ages, population etc...)

Have you worked at Camp Sue Previously?
If so, how many years? 
Previous experience with children and young adults with exceptionalities:
Previous camping experience:
Special talents, skills, abilites which would be useful at camp:
References
Name
Relationship
Company
Position
E-Mail Address
Phone
Name
Relationship
Company
Position
E-mail Address
Phone
Name
Relationship
Company
Position
E-Mail Address
Phone

Positions will be filled by June 1st - For More Information Call: Susan DeGirolamo at 440-602-1037

Mission Statement

Camp Sue Osborn is dedicated to providing excellent, everyday camp experiences
for children with special needs in Lake and Geauga Counties.