Summer Camp Staff Application

Provide a full record of all employment — paid and volunteer — and explain any gaps in employment. Include any positions on camp staff.

Give names of three people [not relatives] having knowledge of your character, experience, work habits, and ability.

In the following list, check those activities you can organize and teach.

In the following list, check those activities you can assist.

In the following list, check those activities in which you have current certification. (Proof of Certification will be requested.)

Please check those items in which you have experience and skills. Mark with a “C” those for which you hold a current certification. (Certification documentation will be requested.)

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 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.