First Name (& Camp Name in parenthesis) (*)
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Last Name (*)
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Current Address (*)
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City (*)
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State (*)
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Zip Code
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Phone (*)
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Cell Phone (*)
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Permanent Address (*)
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City (*)
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State (*)
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Email Address (*)
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Alternate Email
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Are You lawfully authorized to work in the United States? (*)
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Do you hold a current driver's license? (*)
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Will you be at least 18 years of age by June 1, 2012? (*)
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Staff TShirt Size Requested, if hired (*)
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Certifications
Do you hold any certifications? For example, CPR by Red Cross.
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Do you know of any reason why you would not be able to perform the essential functions of the job position for which you are applying with or without reasonable accommodations? (*)
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If yes, please describe.
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Have you ever been convicted of a crime? (*)
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If yes, please describe.
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Date of conviction and location
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Choose first choice for position (*)
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Choose second choice for position
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Choose third choice for position
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What age group are you interested in working with? (Check all that apply.) (*)
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Select the weeks you are available to work. (Check all that apply) (*)
Check off which open houses you will be attending: (*)
I hereby acknowledge that I have read and understand the above statements and that I voluntarily sign the application. (*)
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I agree to begin the interview process by submitting this application with the understanding that if I am hired I am expected to attend STAFF TRAINING at a date to be decided soon. (*)
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