Personal Info

First and Last Name:    

Current Address:

City:

State: Zip Code:

Dates at this address:

Current Phone - school or home:

Cell Phone:
     

Fax (if applicable):          

E-mail address:

Age (if under 25):

Current work or school situation

Please select all that apply:

I am in school right now. I attend (name of school) and am in my year.

I am currently working. My job is (position) at (name of company or employer).

Other. Please explain:

Camp Interest

What dates are you available? From: To:

What salary would you expect?

For Cabin Counselors & Program Staff Only

List three activities that you would like to teach at camp and your experience and/or qualifications for each:

Activity:

Activity:

Activity:

List any other activities you would like to teach and why:

Do you have any of the following Red Cross Certifications? Yes No

If so, indicate the date they expire:

Emergency Water Safety:
Lifeguard Training:
Water Safety Instructor (WSI):
Lifeguard Training Instructor:
First Aid:
CPR:
Other (please specify):

C.S. Activities

Please explain your current involvement in your local branch church, CSO, or Sunday School:

Are you class taught?Yes No

If so, when and where does your Association meet?

Miscellaneous

What is your shirt size?

Women's: Small Medium
Large X Large

Men's: Small Medium
Large X Large

Are you a US Citizen or a legal resident of the United States? Yes No

Have you ever been convicted of a crime, including sex related or child abuse violations? Yes No

If yes, please explain:

Do you have a valid driver's license? Yes No

State: License #

Will you have a car at camp? Yes No

Make, model, and year:

License Plate #

Please list names and ages of any children who must accompany you to camp, if applicable:

Most importantly

Please explain why you want to work at Crystal Lake Camps and what contribution you think you can make at camp in the coming summer. Are you interested in taking on new responsibilities? Do you have something new to share? Is there anything you would do differently this time around? What are your goals for the summer? Do tell all!

And finally...

By clicking 'submit,' I authorize investigation of all statements herein and release the camp and all others from liability in connection with same. I am willing to authorize a background check on my driving and criminal history if I am to be employed by Crystal Lake Camps. I understand that, if employed, I will be an at-will employee and that any agreement to the contrary must be in writing and signed by the director of the camp. I also understand that untrue, misleading, or omitted information herein may result in dismissal, regardless of the time of discovery by the camp.