Employment Application Form

Personal Information
Name: *

First Name Last Name
Birth Date *

Month Day Year
Social Security # *
Gender *
Phone Number: *

Area Code Phone Number
E-mail Address: *
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Do you you have a valid drivers license? *

Yes No

License #:
Position applying for: *

Education
School: *
Major Subjects: *
Degree: *
Grade Level: *
Employment History
Employer 1
Employer
Dates of Employment:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Nature of work:
Supervisor:
Would you like to add Another Employer: *

Yes No

Section Collapse 1
Employer 2
Employer
Dates of Employment:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Nature of work:
Supervisor:

References

Please list two (2) references that are familiar with your work life.
Reference 1
Name: *

First Name Last Name
Phone Number *

Area Code Phone Number
Years Known: *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Reference 2
Name: *

First Name Last Name
Phone Number *

Area Code Phone Number
Years Known: *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
The information contained in this application is correct to the best of my knowledge. I authorize investigation of all statements herein 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 and that any agreement to the contrary must be in writing and signed by the director of the camp. I also understand that untrue, misleading, or omitted information may result in dismissal, regardless of the time of discovery by the camp.

Should my application be accepted, I agree to be bound by the policies of Camp Wingmann and the Diocese of Central Florida and to refrain from unscriptural conduct in the performance of my services.

I further state that I HAVE CAREFULLY READ THE ABOVE RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE OF MY OWN FREE WILL. This is a legally binding agreement which I have read and understand.
Signature *
All statements and this application become part of any future employee personnel files.
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