Staff Application

Staff Application

You may fill Canteen Roads Teen Travel Camp Staff Application by completing the form below.

Name:
Last Name:
Popularly Known As:
Present Age:
Date of Birth: Month Day Year
Social Security Number:
Health Insurance Number:
Email:
 
Permanent Address
Street and No.:
City and Zip Code:
Telephone Number:
Present Address
Street and No.:
City and Zip Code:
Telephone Number:
 
SCHOOLING
 
High School
Name of School:
Certificate or Degree:
Year of: Present Grade:
Graduation: Month Day Year
 
University or College
Name of University or College:
Present occupation
(if student state course and year):
 
Why do you want to go to camp?
 
For what position are you applying? Trip Director
Counselor
Lifeguard – WSI
Nurse – RN
What experience have you had in the type of work for which you are applying?
 
State briefly your ideas concerning the personal qualities necessary to be a Counselor
 
CAMPING EXPERIENCE
 
As a Camper
(List most recent first)
Name of Camp:
Location:
What Years Attended?:
 
Name of Camp:
Location:
What Years Attended?:
 
Name of Camp:
Location:
What Years Attended?:
 
Please write about your skills, talents and hobbies:
Swimming Ability: Non-swimmer
50 yards
100 yards
300 yards or better
Swimming or Life Saving Awards held:
Have you any disabilities which would prevent you from full participation in all Camp Activities?
 
Would it be convenient for you to come to Canteen Roads Teen Travel Camp for an interview? If so, when?
Month Day Year
 
Will you be available for three days of pre-camp training at Camp, the end of June? Yes No
Salary per season at last camp (if any)
Salary expected per season
 
REFERENCES
Give the names of three persons who know you and know what you can do. If you have been on the staff of another Camp please include the names of the Director and any other persons in a supervisory capacity that could give us information about you. Other names for references should be former employers, other people who have had an opportunity to observe you in a working situation or school principals and teachers, in that order.
 
Reference Name:
Relationship:
Street and No.:
City and Zip Code:
Telephone Number:
Email:
 
Reference Name:
Relationship:
Street and No.:
City and Zip Code:
Telephone Number:
Email:
 
Reference Name:
Relationship:
Street and No.:
City and Zip Code:
Telephone Number:
Email: