FSA Sports Camp Staff Application

Name *
Name
Phone Number *
Phone Number
Permanent Address *
Permanent Address
Date of Birth
Date of Birth
Gender *
Dates Available
Dates Available
From
To
Provide a full record of education (High School and beyond). Please be sure to include graduation dates, majors/minors, and degrees if applicable.
Provide a record of employment — paid and volunteer. Please be sure to include any positions on camp staff.
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.)
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.)
I certify that the above information is accurate to the best of my knowledge. *