New Staff Application - Cub Creek Science and Animal Camp

Applicant Information

Full Name *

First

Middle

Last

Sex *

Preferred Pronoun *

Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

Is the above address also your Permanent Address? *

Phone Number *

Email *

Do you have an current certifications?

CPR
First Aid
Lifeguard
Other

How did you hear about Cub Creek Science Camp? *

Getting to Know You

Tell us about yourself! Include any hobbies, interests, passions etc.

Have you ever worked at a summer camp? If yes, please summarize this experience including outstanding people and memories. If no, tell what you imagine working at a summer camp would be like.

What would you like most to gain or achieve from working with us this summer?

How would you like to be remembered this summer by your campers ?

Do you have any experience working with anyone with disabilities? If yes, please describe.

Education

All Cub Creek Inc Employees must have graduated from high school or earned a GED ( or equivalent) prior to working with us.

High School Graduation Date *

Are you currently attending College/University? *

College/University, City, State

Expected Graduation Date

Major & Expected Degree

Have you graduated College/University?

Graduation Date

Clubs/Interests/Extracurricular

Employment History

Please use Employer 1 as your current/most recent work experience. Employer 2 should be your place of work prior to that.

Employer 1 Company Name

Business Phone

Name of Supervisor *

First

Last

Starting Date

Ending Date

Job Title

Description of Duties

Reason for Leaving

May we contact this employer for a reference?

Employer 2 Company Name

Business Phone

Name of Supervisor *

First

Last

Starting Date

Ending Date

Job Title

Description of Duties

Reason for Leaving

May we contact this employer for a reference?

Please account for any time in the last 5 years that you were unemployed or not attending school by stating the nature of your activities

References

Please provide references who can speak of your work ethic and character. These should not be family members or close friends.

Reference (1) Name *

First

Last

How long have you known this person? *

What is your relationship to this person? *

Phone *

Reference (2) Name *

First

Last

How long have you known this person? *

What is your relationship to this person? *

Phone *

Disclaimers and Authorizations

Have you been convicted of any crime(s) in the last 10 years? *

You must pass a background check to qualify for employment. Do you authorize us, Cub Creek Inc. to perform a background check on you? *

I agree to Authorize.

I confirm that this application is truthful and that I authorize Cub Creek Science Camp to investigate the truthfulness of this application. I understand that providing false information intentionally on this application gives Cub Creek Science Camp the right to void employment or reject this application. * *

I confirm the information I provided is true.

Please read the following before submitting this application: Cub Creek Inc. an equal opportunity employer. In reading and answering the above questions, please keep in mind that none of the questions are intended to imply any limitations, preferences, or discrimination based on any non-job-related information. By completing this application, there is no assurance of employment. However, if a suitable opening occurs, this application will receive consideration. Use of this form does not indicate there are positions available.

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2019 Counselor Application

Applicant Information

Getting to Know You

Education

Employment History

References

Disclaimers and Authorizations

About Us

Programs & Activities

For Parents

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