Ancillary Staff Application
for Elks Camp Grassick
Identifying Information
For applicants applying for positions that do not work directly with campers: Cooks, Kitchen Staff, Maintenance, Groundskeeping, and Laundry.
Name
*
First Name
Last Name
Gender
*
Nickname or Preferred Name
T-Shirt Size
*
Social Security Number
Can be supplied after hire if preferred.
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone Number(s)
*
Email
*
Emergency Contact Name
*
Relationship to Applicant
*
City and State of Emergency Contact
*
Emergency Contact Phone Numbers
*
What position are you applying for? (Check more than one if interested.) (*Requires degree, certification, or specific education requirements.)
*
Head Cook
Assistant Cook
Kitchen Staff
Laundry Staff
Maintenance*
Groundskeeping
Other
Back
Next
Save
Have you previously been employed at Elks Camp Grassick?
*
Yes
No
References
Please provide two personal or professional references (Can NOT be relatives).
Reference 1 Name:
*
First Name
Last Name
Title or Position
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number(s)
*
Email
*
Reference 2 Name
*
First Name
Last Name
Title or Position
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number(s)
*
Email
*
Back
Next
Save
Previous Employment
Please list your current or most recent previous employer.
Place of Employment
*
Position
*
Supervisor
*
Address of Employer
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number(s)
*
Responsibilities
*
Dates of Employment
*
Reason for Leaving
*
Back
Next
Save
Skills and Qualifications
What experience do you have related to the position you are applying for?
*
What skills or qualities do you have that would make you an asset to Elks Camp Grassick?
*
Is there anything else that you would like to add?
Signing this document gives permission for Elks Camp Grassick to contact references and perform a criminal background check.
If you are unable to sign this form, typing your name here signifies that you agree to the above statement.
Print
Save
Submit
Submit
Should be Empty: