Cooking Staff Application

This Application is only to be used by Staff volunteering to cook at GLBC

Staff Information
First Name
Middle Name
Last Name
Date of Birth
Phone Number
Street Address
City
State
Zip Code
Driver's License Number
Email Address
Name of Organization you will be cooking for
Day of the week you will be cooking
What shift will you be working: Breakfast, Lunch, Dinner, of All Day
Name of your point person
Have you ever been convicted  of any thing other than a minor traffic violation
I authorize Great Lakes Burn Camp, Inc. to conduct a background check with the State Police and/or appropriate authorities for the purpose of determining my suitability for volunteer staff with Great Lakes Burn Camp, Inc.
Initials
Today's Date


PO Box 6189, Jackson MI 49204-6189 - 1-800-989-2571