| Full Name: |
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| Sex: |
| Male |
| Female |
| E-mail: |
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| Permenant phone number: |
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| Permenant address: |
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| Current or college phone number: |
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| Current or college address: |
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| If employed, state position: |
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| I learned about The League through/from: |
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| What camp position(s) are you applying for? |
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| What time of year are you applying to work for? |
| Year Round (September-May) |
| Summer (May-August) |
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All of these positions require staff to lift and/or transfer individuals with disabilities. Is there any reason
why you would not be able to perform these duties?
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Yes
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No
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If you answered "Yes" to the previous question, please explain:
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Educational Background
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| Highest level of education attained: |
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| Name of school: |
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| Years attended: |
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| Major in college: |
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Camping Experience
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| Camp and position(s) held or years attended as a camper: |
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Work & Volunteer Experience
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| List employment experience (after school, summer, full-time, experience working with children through clubs, scouts,
teaching, baby-sitting, etc.) other than camping listed above. Please be specific. |
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| |
Why do you want to work at The League? |
| Please describe why you would like to spend the summer working with people with disabilities. |
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General Background
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| Please indicate your experience and knowledge in the following camp activities: |
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| Swimming: |
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| Primitive Camping: |
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| Nature Study: |
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| Drama: |
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| Sports and Games: |
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| Arts and Crafts: |
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| Cooking: |
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| Musical Instrument: |
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| Musical instruments played: |
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| |
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| Archery: |
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| Hiking: |
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| Horses: |
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| Evening Programs: |
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| Special Events: |
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| Sign Language: |
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| Please indicate if you have current certification in: |
| Life Guarding |
| CPR |
| Adapted Aquatics |
| Standard First Aid |
| Wilderness First Aid |
| Medication Adminstration |
| Horseback Riding Instructor |
| Archery Instructor |
| Other - Please list below: |
| |
| |
NOTE: All persons being hired as child care workers are subject by Maryland law to undergo a criminal background
check.
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Have you been convicted of a crime within the last 7 years? |
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Yes
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No
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If you answered "Yes" to the previous question, please explain:
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|
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References
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| Please give as references those who have known you through your employment, volunteer activities and/or previous
camping experience. Personal references, other than relatives, are also acceptable. |
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NOTE - It is your responsibility to distribute confidential reference forms to three personal references. Each
confidential reference form must be mailed by your personal reference to the address at the top of the form.
You may view and print the staff confidential reference form in HTML
format. If for some reason you cannot download the reference form, contact Jonathon
Rondeau to receive copies of the reference form by mail.
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Please list three references you will mail:
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Reference 1:
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| Name: |
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| Position: |
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| Phone: |
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| Address: |
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Reference 2:
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| Name: |
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| Position: |
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| Phone: |
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| Address: |
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Reference 3:
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| Name: |
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| Position: |
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| Phone: |
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| Address: |
|
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Applicant’s Statement |
| I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation
of all statements contained in this application for employment as may be necessary in arriving at an employment
decision. I understand his application for employment shall be considered active for a period of time not to exceed
45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether
or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise
defined by applicable law, any employment relationship with this organization is of an “at will” nature, which
means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without
cause. It is further understood that this “at will” employment relationship may not be changed by any written document
or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or interview(s)
may result in discharge. I understand, also, that I am required to abide by all League policies. |
Name of applicant: |
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Date: |
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