Camp SWONEKY Application 2012
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
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.
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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Camp SWONEKY    605 Middleboro Road    Oregonia, OH 45054
Phone - 1.513.932.1794      Fax - 1.513.932.8831