Phone: (443) - 585 - CAMP
Summer 2019 Staff Application Form
Indicates required field
Phone Number (Cell)
Phone Number (Home)
Date of Birth (MM/DD/YYYY)
Year in School (As of Jan-2019)
State year in H.S./College (e.x. Freshman in College)
Current Major or Expected Major
Do you speak another language fluently?
If yes, which languages?
Please check all certifications that apply
Do you have summer camp experience?
If YES, please list when and where
Please list your title and responsibilities
Please describe your experience in working with children (babysitting, tutoring, siblings,etc)
Please indicate your age preference
K - 2nd grade
3rd - 4th grade
5th - 6th grade
I can work with all students
Programs (Please indicate areas of interest and/or prior experience.)
Arts & Crafts
Outdoor play (e.x. flag football, capture the flag)
Natural Sciences (e.x. bugs, dinosaurs, space science)
Please check the following weeks of availability for Summer 2019. Please check all that apply.
June 24 - June 28
July 1 - July 5
July 8 - July 12
July 15 - July 19
July 22 - July 26
July 29 - August 2
August 5 - August 9
Please check all following times of availability for Summer 2017. Please check all that apply.
7AM - 10AM
10AM - 4PM
4PM - 7PM
Please list 3 non-relative references (phone number & email address)
Have you ever been convicted of any crime, including sex-related or child-abuse related offenses, in a court of law. If not, enter N/A. If yes, please explain
Please upload your Resume/CV
Max file size: 20MB
Terrapin STEM Camp is
not affiliated with the University of Maryland.
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