Past Work History: Please provide a record of your three most recent positions— paid and volunteer — and explain any gaps in employment. Include any positions on camp staff or with relevant experience. 

References Give names and email addresses and/or phone numbers of two people [not relatives] having knowledge of your character, experience, work habits, and ability.

Camp Program Skills In the following list, check the activities you can organize and teach or assist with.

Certifications and Camp Support Staff Skills In the following list, please check the items in which you hold valid certification.

Harassment The camp’s policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, and other forms of harassment. Have you ever been accused of harassment of any person including, but not limited to, workplace harassment? (Note: a prior accusation is not an automatic bar to employment. The type of accusation and when it occurred will be

Criminal Record Have you ever been convicted of a crime, other than a minor traffic offense? If yes, please describe. (Note: a prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated by the camp before any decision is made.

I authorize investigation of all statements herein, including any checks of criminal records, and release the camp and all others from liability in connection with same. I understand that , if employed, I will be an at-will employee unless there is an agreement or law which alters that status. Furthermore, I understand that any agreement must be in writing and signed by the designated camp official. I also understand that misrepresentations or falsifications herein or in other documents completed or submitted by the applicant will result in dismissal, regardless of the date of discovery by the camp.