Form - Hartland Christian Camp

Name *

First

Last

Your Date of Birth: *

This information is used as part of our background check process (child predator database, etc.)

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

What type of medical license do you have? *

Let us know what level of medical care license or certification you currently have.

Tell us a little more about yourself and why you'd like to serve here at camp! *

Church and Ministry Background *

Do you attend church, if so where? Have you served as camp nurse/EMT before elsewhere?

Tell do interest

Which times of year interest you? (select all that apply) *

What lengths of service interest you? (select all that apply) *

What event types interest you? (select all that apply) *

I'm interested in: *

I agree to allow Hartland Christian Camp to conduct a background check. *