Murray Camp Counselor Application

Murray Camp Counselor Application
Name:*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Parent Phone Number*

Area CodePhone Number
Email Address*
Date Of Birth*

MonthDayYear
Date
Social Sec# (last 4 digits)*
Personal*

MarriedSingle
Please Upload A Photo Of Your Drivers License (If you have one)

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Please include your current School Name, Current Grade or Year Graduated and/or Degree.*
Special Abilities (Please select the activities in which you are comfortable teaching or assisting in teaching.)*

ClayGroup GamesDramaArts & CraftsSwimmingSurfingSailingKayakingPaddle BoardingBaseballSoccerBasketballTennis
If Applicable, Please upload a copy of Certification of First Aid/AED, Life Guard, CPR, Teaching or WSI Certification.

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Camp Experience (Please list the camps, programs or schools you have held a position at or been employed by and include the year you were there.) IF APPLICABLE.
Please List Any Other Relevant Experience Working With Children.
Why Do You Wish To Join The Murray Camp Staff? (Please specify the age group whom you feel most comfortable working with and activity areas in which you feel most comfortable teaching or assisting with. Please also include why you believe you would be an ideal candidate.)*
Have You Ever Been Convicted Of A Felony or Misdemeanor?*
: AVAILABILITY (Camp is in session June 23 - August 22nd, 2025, Monday - Friday; 8:15 am - 3 pm on weekdays. Please state below any weeks or days you will not be available to work. during this time period)*
Have You Secured Summer Housing On The Island?*
Please Provide Your Nantucket Address Where You Will Be Residing This Summer.*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date*

MonthDayYear
Date
WORK HISTORY

In compliance with new state regulations, we must show a work history for every Camp employee. This includes babysitting and/or volunteer work.
Please list below your work history from the last five years inf the format outlined below, including the name of
The company, contact person and telephone number:

1.
company name

date of employment

contact person telephone #

contact person e-mail
Please List Your Work History Below:
REFERENCES

*Please include 4 references, 2 professional and 2 personal*

*THESE REFERENCES MAY NOT BE RELATIVES*

Please provide the following information for each reference.

1. Name:
Relationship to you:
Email Address:
Telephone #:
Please List Your References Below:
Should be Empty: