First Name:
Last Name:
Preferred Name:
Gender: male female
Social Security Number:
Date of Birth (MM/DD/YY): (if under 21)
Home Address:
City:
State:
Zip:
   
College Address: (if applicable)
City:
State:
Zip:
Home Phone:
College Phone: (if applicable)
Cell Phone: (if applicable)
E-mail Address:
   
Do you have transportation available to you each day? Yes No
Are you willing to meet a camp bus wherever we need you to? Yes No
If you do not live in the Chicago area, do you have alternate housing available? (i.e. friend, relative) Yes No
 
 
APPLICANTS 21 YEARS OR OLDER AS OF MAY - PLEASE FILL OUT
Have you held an IL Drivers License at least the past 3 yrs.? Yes No
Illinois Drivers License Number: Exp. Date:
If no, from what state is your current license?
How many years? Driver's License Number: 
Have you had any moving violations in the past 3 years?  Yes    No
Do you have a bus driver's license or a CDL?  Yes    No
 
2008 Camp Season Monday, June 16 - Friday, August 8.
Do you have any daytime or evening commitments that could possibly conflict with the camp season (ie. Summer School, working another job, family vacation, or any extra curricular activites)?		 Yes No
If yes, please explain:
 
High School Education
Current Year: Fresh Soph Junior Senior Graduated


Name of School: Expected Graduation Date: 20
College Education
Current Year: Fresh Soph Junior Senior Graduated

Name of School: Expected Graduation Date: 20

Major & Minor:
Graduate School
Current Year: 1 2 3 4 5 Graduated

Name of School: Expected Graduation Date: 20

Major & Minor:
 
Were you ever a camper at Banner Day Camp? Yes No
Have you ever applied at Banner Day Camp before? Yes No
Did you work at Banner Day Camp in previous years? Yes No