Name *

First Name

Last Name

Phone Number *

(###)

###

####

Permanent Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

MM

DD

YYYY

Gender *

Male

Female

Dates Available

From

MM

DD

YYYY

To

MM

DD

YYYY

Harassment *

The camp’s policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, and other forms of harassment.

Have you ever been accused of harassment of any person including, but not limited to, workplace harassment?
(Note: a prior accusation is not an automatic bar to employment. The type of accusation and when it occurred will be evaluated by the camp before any decision is made.)

Yes

No

Criminal Record *

Have you ever been convicted of a crime, other than a minor traffic offense? If yes, please describe.
(Note: a prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated by the camp before any decision is made.)

Yes

No

I certify that the above information is accurate to the best of my knowledge. *

True