Name

First Name

Last Name

Age

Birthdate

YYYY

Contact Information

Permanent Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

School Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Phone Number

(###)

###

####

Dates Available

From

YYYY

What type of position do you want at camp?

Past Work History

Provide a full record of previous 3 jobs — paid and volunteer — and explain any gaps in employment. Include any positions on camp staff.

Job 1

Job 2

Job 3

Indicate any employer you do not wish us to contact, and the reason

References

Give names and contact info of three persons [not relatives] having knowledge of your character, experience, work habits, and ability

Reference 1

Reference 2

Reference 3

Camp Experience

List dates, names of camp & director, location, and whether you participated as a camper or staff

Education

List all schools attended from high school and beyond

Camp Skills

For the following, select what you consider to be your top 3 camp-related skills, then explain your specific experience and/or any associated certifications.

Skill 1

Skill 1 Explanation

Skill 2

Skill 2 Explanation

Skill 3

Skill 3 Explanation

Write a brief biographical sketch, including specialized training in camping, and experience or training in other fields which might have a bearing on the position(s) for which you are applying.

What contributions do you think you can make at camp?

What contributions do you think a well-run camp can make to children?

Harassment: The camp’s policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, and other forms of harassment. Have you ever been accused of harassment of any person including, but not limited to, workplace harassment? (Note: a prior accusation is not an automatic bar to employment. The type of accusation and when it occurred will be evaluated by the camp before any decision is made.)

Yes

If yes, please explain:

Criminal Record: Have you ever been convicted of a crime, other than a minor traffic offense? (Note: a prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated by the camp before any decision is made.)

Yes

If yes, please explain:

I authorize investigation of all statements herein, including any checks of criminal records, and release the camp and all others from liability in connection with same. I understand that , if employed, I will be an at-will employee unless there is an agreement or law which alters that status. Furthermore, I understand that any agreement must be in writing and signed by the designated camp official. I also understand that misrepresentations or falsifications herein or in other documents completed or submitted by the applicant will result in dismissal, regardless of the date of discovery by the camp.

Agree

Staff Application

Staff Application

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