Job Application Form
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Birth Date
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Emergency contacts (if under 18, provide at least one parent/guardian contact):
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Education & Training
Education completed (check all that apply):
High school
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Name of Current Institution
If applicable
Number of Years Attended
If applicable
Current certifications (check all that apply):
First Aid Certification
CPR Certification
Food Handler's Permit
Lifeguard Certification
Archery Certification
Boater's License
Other
Are any of your current certifications about to expire? If so, which one(s)?
Describe any other specialized training that you have.
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About You
What are your hobbies and interests?
What do you dislike and/or struggle with? Write a minimum of two.
Describe yourself in three words.
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Employment Record
List Your Most Recent Employment
Organization
Job Title
Start Date
End Date
Job 1
Job 2
Job 3
If currently employed, can we contact your employer?
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No
Name (Employer)
First Name
Last Name
Phone (Employer)
Please enter a valid phone number.
Email (Employer)
example@example.com
If you have other relevant work to list, please do so here:
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References
Name (Reference 1)
First Name
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Phone (Reference 1)
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Email (Reference 1)
example@example.com
Name (Reference 2)
First Name
Last Name
Phone (Reference 2)
Please enter a valid phone number.
Email (Reference 2)
example@example.com
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Availability & Role(s)
Weekly Availability
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All Day
Unavailable
Start Time
End Time
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Type of Role
*
Please Select
Seasonal/Temporary
Continuing
Camp America/Campower
Volunteer
Unsure
Available Start Date
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Month
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Day
Year
Date
Please list any date(s) that you will be unavailable to work:
Family vacations, holidays, etc.
Ideal Number of Hours/Week
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Primary Position of Interest
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Please Select
Cabin Leader (18+)
Cabin Assistant
Lifeguard
Archery Instructor
Support/Rover
Host (18+)
Housekeeper
Lead Cook (18+)
Prep Cook (16+)
Dishwasher
Other
Two other role(s) of interest:
*
Staff may be required to fill in for other roles as needed
If other, please expand:
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Acknowledgements
Have you ever been investigated for or convicted of an offense involving child abuse, sexual abuse, or alcohol/drug abuse?
*
Yes
No
If yes, when?
Are you legally authorized to work in the United States and in the State of Washington?
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Yes
No
In process
How did you hear about camp?
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Social Media
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Current Staff
Former Staff
Community
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Signature
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