| Personal Info: |
| Your Name * |
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| Gender * |
Male
Female
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| Age * |
Are you 18 or older?
Yes
No
Are you 21 or older?
Yes
No
If you are under 18 and it is required, can you furnish a work permit?
Yes
No
If no, please explain:
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| Are you legally eligible for employment in this country? * |
Yes
No
(all staff are required to present proof of citizenship or immigration status upon employment)
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| Best Contact Info / College Address * |
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| Permanent Address |
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| Education Background:
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| Full time student? * |
Yes
No
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| College |
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| Major Field of Study |
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| Year graduated (or expected to graduate) |
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| Aquatic Skills: |
| Swimming Ability |
Weak
Average
Strong
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| Ability to handle watercraft |
Weak
Average
Strong
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Do you have any aquatics or small crafts training? If so, explain. |
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| Position Requested: |
| What position are you applying for? * |
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| First choice of camper age group |
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| Second choice of camper age group |
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| Why do you want to work as a camp counselor or other staff person at a camp with children? |
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| How did you hear about Cape Cod Sea Camps? |
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| Employment History:
Please list your work history for the previous five(5) years.
You may include verified work performed on a volunteer basis. |
| Experience 1 |
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| Experience 2 |
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| Experience 3 |
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| Camp Experiences: If you have previously attended or worked at a camp, tell us about it.
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| Experience 1 |
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| Experience 2 |
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| Experience 3 |
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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.
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Please do not select any activities in which you have no prior experience.
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Once you have moved the activities, use the up and down arrows to
place the activities in the order of your proficiency.
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You must select at least one activity you can lead or assist to proceed with your application
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| 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)
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| 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 |
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| Reference 2 |
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| Reference 3 |
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| Criminal Record: |
| Have you ever been convicted of a felony? * |
Yes
No
If so, give date and details:
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| Have you been convicted of a misdemeanor within the last five years? * |
Yes
No
If so, give date and details:
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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
No
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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 agreeement 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
No |
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