Online Application

First Namerequired

Last Namerequired

Gender Male Femalerequired

Are you 18 or older? Yes Norequired

Are you 21 or older? Yes Norequired

If you are under 18, can you furnish a work permit? Yes No

If no, please explain:

I am over 18 years of age Yes No

Are you legally eligible for employment in this country? Yes Norequired

Best Contact Info/College Address

Street

Street2

City

State-- select --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Country

Home Phone

Cell Phone

E-mailrequired

Permanent Address

Street

Street2

City

State-- select --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip

Country

Phone

Education

Full Time Student? Yes No

College

Name

City

State-- select --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Country

Major Field of Study

Year graduated (or expected to graduate)

Aquatic Skills

Swimming Ability Weak Average Strong

Ability to handle watercraft Weak Average Strong

Do you have any aquatics or small crafts training? If so, explain.

Position Requested

What position are you applying for? -- select --Day Camp Counselor (no housing offered)Resident Camp Counselor (overnight camp)Camp NurseMaintenance & RepairOfficeKitchenLaundryHousekeepingrequired

First choice of camper age groupNo Preference4-56-78-910-1112-1314-17

Second choice of camper age groupNo Preference4-56-78-910-1112-1314-17

Why do you want to work as a camp counselor or other staff person at a camp with children?

How did you hear about Cape Cod Sea Camps?Please Select OneFriend (enter name ==>)CCSC WebsitePrevious CCSC ExperienceAmerican Camp AssociationInternetOther (enter name ==>)

Referred by other

Employment History

Experience 1

Employer

Location

Phone Number

Dates Employed

Job Responsibilities

Experience 2

Employer

Location

Phone Number

Dates Employed

Job Responsibilities

Experience 3

Employer

Location

Phone Number

Dates Employed

Job Responsibilities

Camp Experiences

If you have previously attended or worked at a camp, tell us about it.

Experience 1

Camp Name

City, State

Dates

What did you do there?

Experience 2

Camp Name

City, State

Dates

What did you do there?

Experience 3

Camp Name

City, State

Dates

What did you do there?

Your Specialties

• Please highlight the activities you feel qualified to lead or assist and use the arrows to move your selections to the right-hand columns.
• Please do not select any activities in which you have no prior experience.
• Once you have moved the activities, use the up and down arrows to place the activities in the order of your proficiency.
• You must select at least one activity you can lead or assist to proceed with your application.

Certifications

If you currently have, or have ever had, AMERICAN RED CROSS, YMCA/YWCA, CANADIAN RED CROSS, OR ELLIS ASSOCIATES CERTIFICATES in any of the following areas, please provide the expiration date. Otherwise, please leave the field empty.
Enter the date in the form "mm/dd/yyyy" (ex. 01/17/2005)

Lifeguard Training

WSI

LG Instructor

US Small Boat Instructor

Red Cross Sail Counselor

US Level 1 Dinghy Instructor

Archery Instructor

CMP Riflery Instructor

CPR

First Aid

Other

Other Date

Other

Other Date

References

List 3 references from individuals not related- at least 1 should be work-related; the other two should be from non-employers, such as teachers, coaches, etc...

Reference 1

Name

Phone

Relationship

Dates Known

Name

Phone

Relationship

Dates Known

Name

Phone

Relationship

Dates Known

Criminal Record

Do you understand that we do CORI Checks (Criminal Background) on all employees? Yes Norequired

I authorize Cape Cod Sea Camps to request information from any law-enforcement agency, including police and sheriff departments of this state or federal government, to the extent provided by state and federal, pertaining to any conviction(s) I might have had for violations of state or federal laws, including but not limited to convictions for crimes upon children.

 Yes Norequired

I hereby affirm that the information provided on this application (and any resume submitted) is true and complete. I understand that any false or misleading representations or omissions may disqualify me from further consideration for employment and may result in discharge if discovered at a later date. I understand that completion of this application does not assure me of a position with Cape Cod Sea Camps. I also understand that neither this application nor any other document constitutes a contract of employment for a specific term and that any employment relationship that may be established will be "at will" and may be terminated at any time, with or without cause, by me or Cape Cod Sea Camps. I understand that no representative of the Cape Cod Sea Camps has any authority to enter into any agreement for employment with me contrary to the foregoing. I hereby authorize Cape Cod Sea Camps to investigate all information pertinent to my application in order to determine my qualifications for employment. I hereby authorize all persons and organizations having information relevant to my application to provide that information to the Cape Cod Sea Camps and I hereby agree to hold harmless Cape Cod Sea Camps and all those providing information to it from any liability arising out of or as a result of the provision of use of such information. I understand that any offer of employment may be rescinded if my references are inadequate or unacceptable to Cape Cod Sea Camps.

 Yes Norequired

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