New Staff Application

References

Please provide two personal or professional references (other than relatives).
Name*

First NameLast Name
Title or Position*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number(s)*
Email*
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?*
Type a question*

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.

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Identifying Information