Full Name:

Contact Information

Steet

City

State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip

E-mail address

Phone

Position(s) you are applying for:

Education

Counseling Skills

Certificates There are mandatory licensure/certificates for nurses, drivers and lifeguards. Proof of these credentials must be provided before a contract will be offered. Please list any documentation (i.e. CPR, Commercial Drivers' License, Lifesaving, First Aid or Nursing License).

Please answer the followings

1. Why do you want to work at Camp Horizons? 2. The positions at camp may include some heavy lifting, vigorous activities, and long hours. Are there any reasons why you might have difficulty performing any of the essential elements of the job for which you are applying? Yes     No If yes, what: 3. Have you been convicted of any crime of violence against minors or adults? Yes     No If yes, describe in full: 4. Have you been convicted of a crime within the last 7 years?? Yes     No 5. How did you find out about Camp Horizons?

Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
I understand this application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all the Policies & Procedures of Camp Horizons.

Name of applicant:
Date: