Career

Instructions for Submission

Please complete all sections of this application form

Attach a resume if available

Submit the completed application online or in person

Personal Information

First Name *

Last Name *

Address *

City *

State *

ZIP Code *

Phone Number *

Email Address *

Date of birth *

Social Security Number *

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact Relationship *

Position Information

Position Applying For: *

Available Start Date: *

Available End Date: *

Are you available to work weekends? *

Yes

Are you available to work evenings? *

Yes

Education

High School Name: *

High School City, State: *

High School Years Attended: *

Did you graduate? *

Yes

College/University Name: *

College/University City, State: *

College/University Years Attended: *

Your College/University Degree or Major: *

Did you graduate from there? *

Yes

Other Education/Certifications-Name

Other Education/Certifications-City/State

Other Education/Certifications-Years Attended

Other Education/Certifications-Certification Received

Employment History

(Please list your last three employers, starting with the most recent)

Employer #1 Name

Employer #1 Address:

Employer #1 Position

Employer #1 Supervisor's Name

Employer #1 Phone Number

Employer #1 Employment Dates

Employer #1 Reason for Leaving

Employer #2 Name

Employer #2 Address

Employer #2 Position

Employer #2 Supervisor's Name

Employer #2 Phone Number

Employer #2 Employment Dates

Employer #2 Reason for Leaving

Employer #3 Name

Employer #3 Address

Employer #3 Position

Employer #3 Supervisor's Name

Employer #3 Employment Dates

Employer #3 Phone Number

Employer #3 Reason for Leaving

References

(Please provide three professional/character references)

References #1 Name *

References #1 Relationship *

References #1 Phone Number *

References #1 Email Address *

Reference #2 Name

Reference #2 Relationship

Reference #2 Phone Number

Reference #2 Email Address

Reference #3 Name

Reference #3 Relationship

Reference #3 Phone Number

Reference #3 Email Address

Skills and Certifications

Please list any relevant skills or certifications you possess (e.g., CPR, First Aid, Lifeguard Certification):

Background Information

Have you ever been convicted of a felony? If yes, please explain:

Have you ever been charged with or convicted of child abuse or neglect? Have you ever been charged with or convicted of child abuse or neglect?Have you ever been charged with or convicted of child abuse or neglect? If yes, please explain:

Are you legally authorized to work in the United States?

Additional Questions

Why are you interested in working at our camp?

What relevant experience do you have working with children?

What makes you a good fit for the position you are applying for?

Applicant's Statement

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

Clear

Date

Resume