WGRC Summer Day Camp Application
Please complete the form below to apply for a position with us.
Full Name
First Name
Middle Name
Last Name
Birth Date
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Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Email Address
example@example.com
Position Applied
Please Select
Camp Counselor
Lifeguard
Camp Assistant Director
Camp Director
Available Start Date
/
Month
/
Day
Year
Camp will run through mid-August. What is the last date you are available to work?
How did you hear about us
Please Select
Social Media
Company Website
Family / Friend
Other
Are you a citizen of the United States?
Yes
No
If no, are you authorized to work in the U.S.?
Yes
No
Have you worked at WGRC before?
Yes
No
Have you ever been convicted of a felony?
Yes
No
Employment History
Company Name:
Company Phone Number:
Address:
Supervisor:
Job Title:
Job Responsibilities:
Starting Pay:
Ending Pay:
Reason for leaving:
May we contact your supervisor?
When did you begin this job?
-
Month
-
Day
Year
Date
When did you end this job?
-
Month
-
Day
Year
Date
Company Name:
Company Phone Number:
Address:
Supervisor:
Job Title:
Job Responsibilities:
Starting Pay:
Ending Pay:
Reason for leaving:
May we contact your supervisor?
When did you begin this job?
-
Month
-
Day
Year
Date
When did you end this job?
-
Month
-
Day
Year
Date
Education
High School Name:
Dates Attended?
Did You Graduate? If so, when?
College Name:
Dates Attended?
Did you Graduate? If so, when?
References
Reference Name #1
First Name
Last Name
Relationship:
Phone Number
Please enter a valid phone number.
Reference Name #2
First Name
Last Name
Relationship:
Phone Number
Please enter a valid phone number.
Disclaimer and Signature
I certify that my answers 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 my release. Employment is contingent on completion and acceptance by WGRC of an FBI/BCI background check. If hired, work CANNOT begin until this process is completed.
Signature
Date
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Month
-
Day
Year
Date
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