Summer Camp Employment Application

First Name*

Answer Required

Last Name*

Answer Required

Email Address*

Answer Required

Preferred Phone Number*

Number Required

Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Dates Available:

Answer Required

Current Certifications

Answer Required

CPR

First Aid

AED

Epi-Pen

Other:

Education

List all schools attended from high school and beyond. List years, schools and degrees granted.

Answer Required

Past Work History

Please provide a full record of previous 3 jobs—paid and volunteer—and explain any gaps in employment.

Job 1

Dates, Employer/Supervisor, Address & Phone, Nature of Work, Reason for Leaving

Answer Required

Job 2

Dates, Employer/Supervisor, Address & Phone, Nature of Work, Reason for Leaving

Answer Required

Job 3

Dates, Employer/Supervisor, Address & Phone, Nature of Work, Reason for Leaving

Answer Required

Indicate any employer you do not want us to contact and the reason.

Answer Required

References

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

Reference 1

Name, Relationship, Phone, Email

Answer Required

Reference 2

Name, Relationship, Phone, Email

Answer Required

Reference 3

Name, Relationship, Phone, Email

Answer Required

Camp Experience

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

Answer Required

Camp Skills

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

Skill 1

Answer Required

Skill 2

Answer Required

Skill 3

Answer Required

This is a play-based, unplugged approach to camp, and we plan to be outside as much as the weather allows and for age appropriate time periods. Have you had a job where you have spent significant time outside during the summer months? Provide details.

Answer Required

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

Answer Required

What age children have you worked with before and in what capacity?

Answer Required

What contributions do you think you can make at camp?

Answer Required

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

Answer Required

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.)

Answer Required

Yes

If yes, please explain.

Answer Required

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.)

Answer Required

Yes

If yes, please explain.

Answer Required

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 that 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. *

Answer Required

Agree

Please fix the highlighted areas below before submitting.

Summer Camp Employment Application