Chestnut Ridge After School Staff Application
We are looking for people to LAUGH, PLAY, CLIMB, UNITE, CREATE, SMILE, DISCOVER AND EXPLORE! Staff members are positive, hard working, not afraid to get dirty and dedicated to making an positive impact on a child's life.

We are glad that you are considering serving on staff at Chestnut Ridge.  We are looking forward to the opportunity to get to know you better through this application.  Please complete each section thoroughly.
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Name *
Date of Birth *
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Current Address *
Phone *
Email *
Permanent Address, if different
High School and expected or actual year of graduation *
College and expected or actual year of graduation
Major
Camp Experience
Please include Dates, Camp Name/Director, Job Responsibilities and whether you were Staff or Camper.
Work Experience *
Please include Dates, Employer/Supervisor, Address/Phone and Nature of Work
Skills and Interests *
The After School Staff works closely together to ensure a fun, safe environment for kids to learn, play and explore after school. Please share with us the skills and gifts that make you a great candidate for this position.
Certifications
Current Basic First Aid and CPR are not mandatory for employment. If you are already certified, copies of certifications must be turned in or mailed to the office before you begin work.
References *
Please provide three references not related to you who have knowledge of your character, experiences, ability to work with children, etc. Make sure to include Name, Relationship, Phone and Email.
Harassment *
Chestnut Ridge's policy prohibits 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?
Required
If yes, please explain
Criminal Record *
Have you ever been convicted of a crime, other than a minor traffic expense?
Required
If yes, please explain
Employment at Chestnut Ridge assumes your honesty and integrity in the interviewing and hiring process as well as during the period of employment. We desire to ensure the safety and well being of each camper. Therefore, we will check references, past employment, run a criminal background check, and administer a drug test for each applicant. Your signature authorizes investigation of all statements herein, including any checks of criminal records, and releases Chestnut Ridge and all others   from liability in connection with same. If employed, you will be an at-will employee. Furthermore, untrue, misleading, or omitted information herein or in any other document completed may result in dismissal, regardless of the time of discovery   by the camp. *
Signature:
Date *
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