Embark 2025 - Staff Application

1Personal Information > 2Camp Interest > 3Contact Information > 4Demographic Information > 5Medical > 6Education > 7Short Answers > 8Additional Information > 9Submission
Personal Information

NOTE: To save this application and return to complete it at a later time, please check the "Save my progress and resume later" box at the bottom of this page, enter an email address, and click the "Save form and resume later button". This will exit the application screen, and send an email to the email address, which will contain a link to continue the application at a later time.
First Name
Middle Name
Last Name
Email Address

Confirm Email Address
Date of Birth Date of Birth / MM / DD YYYY
Phone Number Phone Number - ### - ### ####
Gender

Gender Male Female Non-Binary Other (Please List) Other (Please List)
Pronouns

Pronouns They / Them She / Her He / Him Other (Please List) Other (Please List)
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.