2018 New Staff Application

Thank you for your interest in Cub Creek Science Camp. Please complete the form below for employment consideration. Only completed forms will be considered.

Personal Information

Full Name *

First Name Last Name

Gender

Male Female

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number

E-mail *

How did you hear about us?

What Position(s) are you applying for? *

Counselor Lifeguard Camp Nurse 5 Month Internship Lead Instructor Ropes Course Nurse Assistant Art Director Photographer

Education

Will you have graduated from High School by May 2018?

High School Graduation Date

- Month - Day Year

College Name, City, and State

College Graduation Date

- Month - Day Year

Degree/Major

Have you been convicted of any crimes(s) other than traffic in the last 10 years? *

If yes, please indicate conviction dates and circumstances

Please account for any time in the last 5 years you were unemployed or not attending school by stating the nature of your activities.

Have you ever worked at a camp, or attended camp as a child? Please summarize the experience and how this would help you in your work at this summer camp

Do you feel you have any other experience that would aid you in being camp staff?

Do you have any experience working with people with disabilities?

How would you like to be remembered by your campers?

Write a brief biography telling a little about yourself and why you feel qualified for this position.

Employment

Please use this section to tell us about your most recent work experiences.

Most Recent Employer- Employer 1

Supervisor Name

First Name Last Name

Start Date

- Month - Day Year

End Date

- Month - Day Year

Job Title

Description of Duties

Employer 1 Phone

- Area Code Phone Number

Employer 1 Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

May we contact this employer for a reference?

Reason for Leaving

2nd Most Recent Employer- Employer 2

Supervisor Name

First Name Last Name

Start Date

- Month - Day Year

End Date

- Month - Day Year

Job Title

Description of Duties

Employer 2 Phone Number

- Area Code Phone Number

Employer 2 Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

May we contact this employer for a reference

Reason for Leaving

Please describe any additional employment that would be helpful for us to know regarding your experience with children, animals, summer camp, etc or any employers who are not recent who you would like us to know of.

May we contact these employers for a reference?

References

These references should be people who know of your work ethic and character. They should not be family members or close friends.

Reference 1 Name *

First Name Last Name

How long have you known this person? *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number

Reference 2 Name *

First Name Last Name

How long have you known this person? *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number

You must pass a background check to qualify for employment. Do you authorize us, Cub Creek Science Camp, to perform a background check on you? *

I Agree to Authorize

I confirm that this application is truthful and that I authorize Cub Creek Science Camp to investigate the truthfulness of this application. I understand that providing false information intentionally on this application gives Cub Creek Science Camp the right to void employment or reject this application. *

I Confirm the Information I provide is True

Please read the following before submittting this application: We are an equal opportunity employer. In reading and answering the above questions, please keep in mind that none of the questions are intended to imply any limitations, preferences, or discrimination based on any non-job-related information. By completing this application, there is no assurance of employment. However, if a suitable opening occurs, this application will receive consideration. Use of this form does not indicate there are positions available.