Camp Thingamajig Job Application

1
Full Name* This field is required.
First Name
Middle Name
Last Name
2
Current Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
3
Email Address* This field is required.
4
Cell Phone Number* This field is required.
Area Code
Phone Number
5
Birth Date* This field is required.
Month
Day
Year
6
Type of employment desired* This field is required.
Counselor
Volunteer
Both
7
You should hire me for this camp because:
8
Please tell us your education background
High School
Please Select
Please Select
Yes
No
Did you receive a diploma or GED
College/University/Technical Training
Please Select
Please Select
Yes
No
Did you receive a diploma or certification
Graduate School
What Field
9
Which activities do you have experience or interest in?This will be used to identify what type of Counselor you may be considered for.
Sports
Arts & Crafts
Math
Reading/Phonics
Dance/Cheer
Coding
Science
Robotics
10
Will you be able to attend mandatory training May 23 at 6:00 pm
YESNO
11
Will you be able to work the entire camp?Indicate which weeks you WILL be able to work the camp
June 3 - 7
July 8 - July 12
June 10-14
July 15 - July 19
June 17 - 21
July 22 - 26
June 24 - 28
July 29 - August 2
August 5 - 9
12
Have you ever been or are you currently a certified teacher?
YESNO
13
Have you ever been a summer camp counselor?
YESNO
14
Have you ever been investigated, arrested or convicted of Child Abuse, Neglect or Related Charges?
YESNO
15
Have you ever been convicted of any other crimes or criminal activity?
YESNO
16
Are you a U.S. citizen or have proof of eligibility to work in the U.S.?
YESNO
17
Reference 1* This field is required.Please provider references that can attest to your character
First Name
Last Name
Email
Phone
Please Select
Please Select
A few months
1 - 3 years
4 - 6 years
More than 7 years
How long have you known
Please Select
Please Select
Professional/Job
Friend/Family
Teacher/Pastor
Other
How are you related
18
Reference 2* This field is required.Please provider references that can attest to your character
First Name
Last Name
Email
Phone
Please Select
Please Select
A few months
1 - 3 years
4 - 6 years
More than 7 years
How long have you known
Please Select
Please Select
Professional/Job
Friend/Family
Teacher/Pastor
Other
How are you related
19
Reference 3* This field is required.Please provider references that can attest to your character
First Name
Last Name
Email
Phone
Please Select
Please Select
A few months
1 - 3 years
4 - 6 years
More than 7 years
How long have you known
Please Select
Please Select
Professional/Job
Friend/Family
Teacher/Pastor
Other
How are you related
Should be Empty: