| First Name (*) |
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| Last Name (*) |
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| Home Address (*) |
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| City (*) |
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| State (*) |
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| Zip Code (*) |
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| Home Phone |
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| Cell Phone |
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| Email (*) |
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| Date of Birth (*) |
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| Age (*) |
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| Gender (*) |
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| Are you legally allowed to work in the U.S.? |
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| Do you use tobacco? (*) |
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| Do you use non prescribed substances? (*) |
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| Do you use intoxicating drink? (*) |
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| Are you currently in school? (*) |
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| Emergency Contact (*) |
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| Emergency Contact Information (*) |
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| Educational Background (*) |
Educational Level, Institution, Major, Degree |
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| Work Experience (List up to three employers including:Position, Employer, Supervisor(s) Name, Company Phone Number, Type of work you did) (*) |
Please include any camp experience you may have. |
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| Position Desired: First Choice (*) |
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| Position Desired: Second Choice (*) |
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| Position Desired: Third Choice (*) |
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| If applying for a counselor position, what age group would you prefer to work with? |
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| I hold certification/training in the following areas (You will need to show proof of certification): (*) |
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| If hired, are you available to work the entire camp season (June 6 - July 31) (*) |
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| Please specify what traning/certification(s) you possess |
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| What art skills do you possess? |
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| Please specify what art training/skills you possess? |
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| What music skills do you possess? |
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| Please specify what music training/experience you possess? |
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| Select the areas in which you are proficient enough to lead or instruct: (*) |
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| Reference 1: Cannot be a friend or family friend. (*) |
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Please include references Name, Mailing Address and phone number |
| Reference 2: Cannot be a friend or family friend (*) |
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| Reference 3: Cannot be a friend or family friend (*) |
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| Essay 1: With the positions that you chose, why do you want to work at Camp SWONEKY? (*) |
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| Essay 2: What's your personal testimony? What are your spiritual values? (*) |
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| Name of Church you Attend (*) |
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| Pastor's Name (*) |
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| Church Phone Number (*) |
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| How did you hear about our camp? (*) |
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| Type Letters Shown on Right |
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