Iowa 4-H Center Camp Staff Application

Iowa 4-H Center Camp Staff Application

Please review the hiring packet before applying. If you have any questions please contact Program Specialist, Abbie Parker. Positions are filled through the spring, please have your application in by April 30th to be considered for employment.
Full Name*

First NameLast Name
Sex
E-mail*
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
School Address to send me important paperworkHome Address to send me important paperwork
Phone Number*

Area CodePhone Number
What is the best time of the day to reach you?
Birth Date*

MonthDayYear
Age as of May 21, 2012 and current year in school*

Essay Questions

Please list your answers to the following questions
What does it mean to you to be a team player?*
How do you want campers to describe you to their parents when they get home?*
If you were given a pencil what are 5 things you would do with it other than write?*

Please Read and Sign:

I hereby attest to the accuracy of the information I have provided. I authorize the camp to investigate the statements herein, including background checks, work history, and driving records, and release the Iowa 4-H Center and all others from any associated liability. I understand that any misrepresentation or omission may be grounds for discharge whenever discovered. I further acknowledge that any employment with the Iowa 4-H Center is contingent upon satisfactory clearance of my criminal history and driving record. I waive my right to review references or recommendation, understanding that their contents are confidential and will not be available to me now or in the future. I am familiar with the general characteristics of the Iowa 4-H Center, the program offered, and the campers attending.
Yes -- I agree and accept
Date
Should be Empty:

Education