Camp Glory Summer Crew Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Are you at least 16 years of age?
*
Yes
No
Are you physically able to lift 20lbs with range of motion?
*
yes
no
Are you a citizen of the USA?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain:
Education
High school Attended
*
Dates Attended
*
Did you Graduate?
*
Yes
No
College Attended
Dates Attended
Did you Graduate?
Yes
No
Other Attended
Dates Attended
Did you Graduate?
Yes
No
Experience
Please list your past employment history beginning with your current or most recent Employer.
Company
Position/ Title
Dates of Employment
Supervisor
Phone Number
-
Area Code
Phone Number
May we contact them for a reference?
Yes
No
Salary
Reason for leaving:
Company
Position/ Title
Dates of Employment
Supervisor
Phone Number
-
Area Code
Phone Number
May we contact them for a reference?
Yes
No
Salary
Reason for leaving:
Employment Criterion
Do you prefer full or part time hours?
*
Full Time (35-40 hrs/week)
Part Time (Less than 35hrs/week)
Either
Please enter the hours you are available to work each day below the day of the week.
Monday
Tuesday
Wednesday
Thursday
Friday
When are you available to start?
Are there any days that you know that you cannot work between 5/22 and 8/12?
Do you have experience working with children? Please explain:
Do you have any special talents or skills that you would be able to share/teach our campers?
Why do you like working with children, and why do you want to work for a summer camp?
How did you hear about us?
Signature: I certify that my answers above are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in termination of employment.
Clear
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: