Returning Staff Application

Returning Staff Application

for Elks Camp Grassick
Requirements for working at Elks Camp Grassick: Camp staff must be over 18 years of age. Applicants need to be in good health (must be able to handle the physical, mental and emotional demands of working with children and adults of all ages and abilities) and able to lift at least 50 pounds. Applicants must be mature, responsible and dependable. Camp staff MUST be available for staff orientation. It is preferred that staff members are able to work all sessions (typically early June until mid-August) but some exceptions MAY be possible. Most staff members are also required to live on camp throughout their employment.
Identifying Information

For applicants who have been employed at Camp Grassick in previous years and are applying for positions working directly with campers.
Note: All returning staff will do a returning staff interview.
Name*

First NameMiddle Name or Middle InitialLast Name
Gender*
Nickname or Preferred Name
T-Shirt Size*
Social Security Number
Can be supplied after hire if preferred.
Date of Birth

MonthDayYear
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Permanent Address if different from above (Please include if you will not be at your current address for a full year.)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone Number(s)*
Email*
Name of Parent(s) or Nearest Relative*
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.)*

CounselorRecreation StaffCraft InstructorLifeguard/Waterfront*Reading Instructor*Speech/Language Instructor/Therapist*Occupational Therapist/Instructor*Occupational Therapy Supervisor*Speech Therapy Supervisor*Nurse*Other
Education
High School Name and Location*
College/University Name and Location*
Major*
Minor
Degree(s) Earned or Anticipated Graduation Date
Please list any extracurricular or volunteer activities you are involved in.*
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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Returning Staff Application

Identifying Information

Education