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Name *

First

Middle

Last

Gender *

Date of Birth *

Email *

Phone

Address

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City

State

Zip Code

Education Level *

Employment History *

Provide a record of employment — paid and volunteer. Please be sure to include any positions on camp staff.

Gender you Harrassment

Did you ever attend a summer camp? If so, where? *

How did you hear about us? *

What position are you applying for? *

What do you enjoy most about working with children? *

Harrassment *

Yes
No

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.)

If yes, explain:

Criminal Record *

Yes
No

Have you ever been convicted of a crime, other than a minor traffic offense? If yes, please describe. (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.) 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.)

If yes, explain:

Signature *

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I certify that the above information is accurate to the best of my knowledge

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