Montclair Grass Roots Job Application
Application Deadline June 25
Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
For which position are you applying
*
Please Select
Head Counselor
Asst. Counselor
Junior Counselor (Must be at least 16 years of age)
How did you hear about us?
*
Referred by a Friend
Former Camper or Counselor
Online Search
Other
Flyer
Posted Sign
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Present Employment - Name of Company and address
Current Position - Responsibilities
Previous Employment - Name of Company Name and Address
Previous Position and responsibilities
Please tell us your skills, hobbies, special training, athletic abilities, or experiences that would be beneficial as a camp counselor
*
Do you have a valid CPR certification card?
*
Please Select
Yes
NO
Have you ever been convicted of a crime, misdemeanor, or felony? If yes, please explain.
*
Do you have any physical limitations that would preclude you from performing work for which you are being considered? If yes, please explain below.
*
High School and year of graduation (or projected graduation)
*
College, if applicable. Year of graduation (or projected graduation)
Upload your resume if available
Upload a File
Drag and drop files here
Choose a file
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If selected for employment what is your preferred age group to work with
*
Please Select
5-6 yrs old
7-8 yrs old
9-10 yrs old
Please list 3 activities you would suggest for the age group you selected.
*
What would you do if some children in your assigned group did not want to participate in a scheduled activity?
*
Are you available for the entire 5 weeks of camp - July 5 - August 4?
*
Please Select
Yes
No
Any additional certifications or training?
*
References
Please list two (2) references that are familiar with your character
Reference
*
Reference
*
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