Staff Application

Name *
Name
Birthdate
Birthdate
Contact Information
Permanent Mailing Address *
Permanent Mailing Address
School Mailing Address
School Mailing Address
Preferred Phone Number *
Preferred Phone Number
Dates Available
From
From
To
To
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.
References
Give names and contact info of three persons [not relatives] having knowledge of your character, experience, work habits, and ability
Camp Experience
Education
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.
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.)
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.)
If you do not hold a valid drivers license please leave blank.
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. *