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Returning Staff Application
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, 2010? (*)



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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) (*)









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Check off which open houses you will be attending: (*)






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Please choose which committee you would like to be on from the following list. (*)

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PLEASE READ BEFORE SIGNING

We appreciate your interest in a position with the Girl Scouts of the Jersey Shore/Amity Acres Day Camp. If you have questions about signing the following statement, please ask the interviewer to explain.

STATEMENT OF APPLICANT

In an effort to attract the highest quality staff, I understand that as a part of the application process for employment with the Girl Scouts of the Jersey Shore, Inc. (GSJS), an extensive inquiry will be made concerning my prior employment, activities, character, and I fully consent to and authorize all such inquiries. In the event of my employment by GSJS, I will comply with all policies set forth in the personnel manual and with other policies established from time to time by the organization. I certify that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorable. I understand and agree that any misrepresentation or omission of facts would exclude my being considered for employment or, after employment, would be cause for termination of employment with GSJS. I understand that a background check will be processed. I hereby acknowledge that I have read and understand the above statements and that I voluntarily sign this application by checking the accept box below.

(*)

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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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