Quick Request

STAFF EMPLOYMENT APPLICATION

Your Name(Required)
Address(Required)
MM slash DD slash YYYY

PUT A 1 NEXT TO THE AGE OF CHILDREN YOUFEEL MOST COMFORTABLEWORKINGWITH , A 2 NEXT TO THE SECONDMOST AND A 3 NEXT TO THE THIRD.

3-5
Please enter a number from 1 to 3.
6-7
Please enter a number from 1 to 3.
8-10
Please enter a number from 1 to 3.
8-10
Please enter a number from 1 to 3.
13-15
Please enter a number from 1 to 3.
DO YOU HAVE ANY OBLIGATION REQUIRING TIME AWAY FROM CAMP? (Pick One)(Required)

EDUCATION HISTORY

Name of school - Major - Date Of Graduation
GRADE/YEAR
CAMP STAFF EXPERIENCE:
Please list your previous employers, the dates you worked and the position you held
NAME OF CAMP
ADDRESS
DATES
POSITION
 
EMPLOYMENT EXPERIENCE (OTHER THAN CAMP)
Please list your previous employers, the dates you worked and the position you held
EMPLOYER'S NAME
ADDRESS
PHONE
DATES
 
IVY LEAGUE # OF YEARS
Please enter a number from 0 to 20.
OTHER CAMPS # OF YEARS
Please enter a number from 0 to 20.
INDICATE BY APPROPRIATE NUMBER, THE AREAS BELOW IN WHICH YOU HAVE
1. INTEREST 2. EXPERIENCE 3. TEACHING KNOWLEDGE
MUSIC
DANCE
COOKING
CERAMICS
ROPES COURSE
ATHLETICS
GYMNASTICS
NATURE
SWIMMING
TENNIS
COMPUTERS
ARTS & CRAFTS
WOOD WORKING
ARCHERY
 
CERTIFICATIONS AND LICENSES
Please entire a date if you have the license listed
ADVANCED LIFESAVING
WATER SAFETY INSTRUCTOR (RED CROSS)
CPR
FIRST AIDER STANDARD
REGISTERED NURSE
LICENSED VAN DRIVER (CDL CLASSIFIED)
 
REFERENCES
LIST 3 PERSONS (AT LEAST 2 WHO ARE NOT RELATED TO YOU) WHO HAVE KNOWLEDGE OF YOUR EXPERIENCE IN WORKING WITH CHILDREN.
NAME
ADDRESS
PHONE
CAPACITY INWHICH PERSON KNOWS YOU
 
HAVE YOU EVER BEEN CONVICTED OF A CRIME?(Required)
Terms and Conditions(Required)