E-mail Address: * Contact Information: Last Name, First Name * Current School Address * State City * Zip code * Current Home Address * City * State Zip code * Date of Birth * Position: Put in preferential order for which you are applying. For example, place a (1) beside your first preference, a (2) beside your next preference, ect… (You may need to use the text box below to do this.) * Head teacher (Must be a head teacher in a school) Assistant teacher (Must have a B.A. and be working in a school) Junior Counselor (Must be at least 16) Specialist teacher (Must have a background in the area you want to teach) Trip Guide (Coordinate and go on trips with the campers) Camp Nurse (Must have all the proper paperwork - have experience with children is important) Support Staff ( Must be strong and willing to do odd jobs around camp)If numbering does not work please write it out below: * Education: List all schools, highest grades complete and type of certificate or diploma received. * Employment: (Present Employer (if applicable), how long employed, current position and area of responsibility.) * Previous Camp Experience: List by year and Name of Camp: * 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) which, you are applying * Activities: Of all the following activities, place a (1) beside the ones where you are qualified to instruct, a (2) beside the ones where you have a high degree of experience and a (3) besides the ones where you have the least experience. (You may need to use the text box below to do this.) * Swimming Basketball Drama Movement/ Dance Music Soccer Maintenance Sing-Song Leading Story Telling C.P.R. Arts & Crafts First Aid Tennis Science Traveling Cooking Broadway AcademicsPlease write out the order in the text box below if numbers do not work: * Please liste your current and valid swimming qualification(s) and/or other certifications. * With what age group would you prefer to work? * Why? * What work have you done involving children? * What contributions do you think you can make at camp? * What contributions do you think a well-run camp can make to children? * What are you major strengths? * What are your weaknesses? * Harassment: The comps 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? * Yes NoExplain Criminal Record: Have you ever been convicted of a crime other than a minor traffic offense? * Yes NoIf yes, please describe. I authorize investigation of all statements herein, including any checks of criminal records, and release the camp and others from liability in connection with it. 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 untrue, misleading, or omitted information herein or in other documents completed by the applicant may result in dismissal, regardless of the time of discovery by the camp. *
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