Staff Application 2024

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To help us learn about your experience, abilities, and interests, please complete this Application for Employment as thoroughly as possible.

We are an Equal Opportunity Employer. Applicants for all job openings are welcome and will be considered without regard to race, color, religion, national origin, sex, age, sexual orientation, physical or mental disability, or any other basis protected by state, federal or local law. It is the intent of the Camp Get-A-Way to comply with all applicable federal, state and local legislation concerning equal opportunity in employment.

Personal information
Name*

First NameLast Name
Date of birth*

MonthDayYear
Email*

Confirmation Email
Cell phone number*
(000) 000-0000
Home phone number*
(000) 000-0000
Work phone number*
(000) 000-0000
Current address*

Street Address

Street Address Line 2

CityState

Zip Code
Number of years at current address*
Previous address*

Street Address

Street Address Line 2

CityState

Zip Code
Number of years at previous address*
Can you, after employment, submit verification of your legal right to work in the United States?*

YesNo
Have you ever been convicted of a felony, or for child abuse or sex-related crimes? (Do not include marijuana related convictions which occurred more than two years prior to the date of this application)*

YesNo
If yes, please explain:
Please refer to the emailed job description for the position to which you are applying. Are you able to perform all of these tasks with or without an accommodation?*

YesNo
If no, please describe below which tasks you will need an accommodation to perform, and explain what type of accommodation you will need:

Education

Education background*

	Name of Institution	Degree Earned	Start Date	End Date	Graduate?
High School
Trade School/ College/University
Trade School/ College/University
Trade School/ College/University

Highest degree earned?*

High SchoolAssociateBachelorMasterDoctorate
Additional Education, Vocational and/or Professional Information such as special areas of research or study, certifications, licenses, language skills, soft skills, etc.

Past employment

Please list in order of most recent employment first.
Employer name*
Employer phone number*
(000) 000-0000
Employer address*

Street Address

Street Address Line 2

CityState

Zip Code
Supervisor (Name & Title)*
Dates of employment*
Starting Date (Month/Year) - Ending Date (Month/Year)
Job title during employment*
Description of duties during job tenure*
Employer name*
Employer phone number*
(000) 000-0000
Employer address*

Street Address

Street Address Line 2

CityState

Zip Code
Supervisor (Name & Title)*
Dates of employment*
Starting Date (Month/Year) - Ending Date (Month/Year)
Job title during employment*
Description of duties during job tenure*
Employer name*
Employer phone number*
(000) 000-0000
Employer address*

Street Address

Street Address Line 2

CityState

Zip Code
Supervisor (Name & Title)*
Dates of employment*
Starting Date (Month/Year) - Ending Date (Month/Year)
Job title during employment*
Description of duties during job tenure*

References
Reference #1*

First NameLast Name
Your relationship to Reference #1*
Reference #1 - Email*

Confirmation Email
Reference #1 - Phone number*
(000) 000-0000
Reference #2*

First NameLast Name
Your relationship to Reference #2*
Reference #2 - Email*

Confirmation Email
Reference #2 - Phone number*
(000) 000-0000
Reference #3*

First NameLast Name
Your relationship to Reference #3*
Reference #3 - Email*

Confirmation Email
Reference #3 - Phone number*
(000) 000-0000

Pre-employment certification
I understand that this application is only valid for the position applied for at present and that the Camp Get-A-Way is not obligated to retain or consider this application for future openings.*
Initial
I authorize investigation of all statements contained in this application. I understand that falsification, misrepresentation or omission of facts called for will result in immediate termination from employment or removal of my application from consideration. I authorize the Camp Get-A-Way to secure information about my experience with former employers, education institutions and agencies, and for those parties to provide information concerning my experience releasing all parties from any liability arising therefrom.*
Initial
If employed by the Camp Get-A-Way I will abide by Association policies and rules. I understand that I will be required to possess a current and valid driver’s license if my position requires me to drive in the course of my work.*
Initial
If I am offered employment, I understand and agree that I may be required to undergo a physical examination at the Camp Get-A-Way’s expense and that my offer of employment may be conditioned by that examination. I agree to authorize release of all results or information obtained from such physical examinations.*
Initial
I agree to submit to legally permissible drug and/or alcohol testing upon request by the Camp Get-A-Way. I recognize that the results of these tests may be used to determine my employment or continued employment. I understand and expressly agree that if employed by the Camp Get-A-Way storage areas provided for me (locker, desk, etc.) are open to investigation by the Camp Get-A-Way without prior notice to me.*
Initial
If I am employed by the Camp Get-A-Way I understand my employment can be terminated, with or without cause and with or without notice, at any time at the option of the Camp Get-A-Way or myself. I understand that, other than the CEO of the Camp Get-A-Way, no manager, supervisor or representative of the Camp Get-A-Way has authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. Only the CEO of the Camp Get-A-Way has the authority to make any agreement contrary to the foregoing and then only in writing. I further expressly agree that, with respect to the at-will employment relationship, this constitutes the full, complete and final expression of the parties’ intent concerning the nature of any employment relationship between myself and the Camp Get-A-Way.*
Initial
My signature below certifies that I have read and understand the foregoing and to the best of my knowledge and belief, the information on this form is true and correct.

My signature below also certifies that I agree to be bound by the terms and conditions stated in this application. This application contains all the understandings and agreements between me and the Camp Get-A-Way concerning the nature of my employment, if any, by the Camp Get-A-Way and supersedes all prior and/or contemporaneous practices, oral or written agreements, understandings, statements, representations and promises, express or implied, between me and the Camp Get-A-Way. I understand and agree that, except as noted above, no person who is either an agent or employee of the Camp Get-A-Way may modify, delete, vary or contradict, whether orally or in writing, the terms and conditions set forth herein.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

To help us learn about your experience, abilities, and interests, please complete this Application for Employment as thoroughly as possible.

Personal information

Employment information

Education

Past employment

References

Pre-employment certification