New Staff Application

References

Please provide two personal or professional references. References can NOT be relatives. Accurate and complete contact information must be provided. If references are unable to be contacted due to missing or inaccurate information, this application may be denied and the application process may cease.
Reference 1 Name*

First NameLast Name
Title or Position*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number(s)*
Email*
Reference 2 Name*

First NameLast Name
Title or Position*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number(s)*
Email*

Skills and Qualifications
What experience, if any, do you have working with children?*
What experience, if any, do you have working with individuals with disabilities?*
What is your swimming ability?*

Non-SwimmerAverage SwimmerAdvanced SwimmerLifeguard TrainingWSI Training
What are some of your hobbies, interests, travels, etc?*
What skills or qualities do you have that would make you an asset to Elks Camp Grassick?*
Working at Elks Camp Grassick requires that everyone works as a team. Please describe your idea of "teamwork".*
What do you hope to learn by working at 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. Criminal background checks will be performed for all new hires and at least once every 3 years for returning staff.

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If you are unable to sign this form, typing your name here signifies that you agree to the above statement.
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Identifying Information