2022 Summer Camp Counselor Application

Southborough Recreation Summer Camp Counselor Job Application

Applicants MUST have experience working with children, be at least 15 years old and be able to work Monday - Friday 8:00 a.m. - 4:00 p.m. June 27 - August 12, 2022.
Full Name *

First Name Middle Name Last Name
Current Address *

Street Address

Street Address Line 2

City State

Postal / Zip Code
Email Address *
Phone Number *

Area Code Phone Number
Current Academic Year *
Scroll down to select.
Are you currently employed?

Yes No
If yes, can we contact your employer ?

Yes No

Have you ever been employed here before ? *

Yes No
If yes, when?
Month/Year
Have you participated in our CIT (Counselor in Training) program ? *

Yes No
If yes, when?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status ? *

Yes No
On what date would you be FIRST available for work? *

Month Day Year
If applicable, please upload your resume
Employment Experience

(Most Recent)
Employer Name:
Employer Address:

Street Address

Street Address Line 2

City State

Postal / Zip Code

Job Title:
From:

Month Day Year
To:

Month Day Year
Supervisor:

First Name Last Name
Can we contact this employer ?

Yes No
Supervisor Contact Information:
Email address and/or phone number.
Employment Experience

#2 (may not be applicable)
Employer Name:
Employer Address:

Street Address

Street Address Line 2

City State

Postal / Zip Code
Job Title:
From:

Month Day Year
To:

Month Day Year
Supervisor:

First Name Last Name
Can we contact this employer ?

Yes No
Supervisor Contact Information:
Email address and/or phone number.
Please answer the following questions in the space provided.
Why do you want to work for Southborough Recreation Summer Camp? *
What age group are you interested in working with at camp? *
What characteristics do you possess which would make you a good counselor/instructor ? *
What are some of the benefits that you can add to the camp? *
Do you have any commitments from June 27 to August 12, 2022? If yes, please indicate the specific dates you will NOT be available to work. (NOTE: This is your opportunity to indicate your vacation time.) *

Please provide the name and email address of 3 references who are not related to you.
Reference #1 *

First Name Last Name
E-mail *
..
Reference #2 *

First Name Last Name
E-mail *
.
Reference #3 *

First Name Last Name
E-mail *
I hereby certify that answers given herein are true and complete to the best of my knowledge. *

Yes
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract of employment. *

Yes
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also that I am required to abide by all rules and regulation of the Company. *

Yes
Signature *

Clear
"Discrimination against any person in any practice or procedure in advertising, recruitment, referrals, testing, hiring, transfer, promotion or any other term, condition or privilege of employment which limits or adversely affects employmnet opportunities, because of political or religious opinions, or affiliations, or because of race, color, sex, gender orientation, national origin, marital status, pregnancy, parenthood, age or handicap which is unrelated to the person' s occupational qualificatoins or any other non-merit factor which is not a bona fide occupational qualification is prohibited."

"It is unlawful in Massachusetts to require a lie detector test as a conditoin of employment or continued employment. An employer who violates that law shall be subject to criminal penalites and civil liabilities.
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Southborough Recreation Summer Camp Counselor Job Application

Employment Experience

Employment Experience