Piscataway Township Schools
Piscataway Community Education - Summer Enrichment Program Application
Email address *
*** All staff interested in working for camp must be 16 years old by 6/1/19***
Name *
First Name
Your answer
Last Name
Your answer
Address *
Your answer
Phone number *
Your answer
Year of High School Graduation (if currently in High School)
Your answer
Are you currently approved by Piscataway Board of Education? Is yes, location and Position ? *
Your answer
Position(s) applying for ( Check all that Apply):
Camp for Incoming Kindergarten – 8th grade is located at Piscataway High School
Before Care and Enrichment staff will work Monday through Thursday. All other positions work Monday-Friday.
Before Care
Counselor
Aide
Volunteer (Aide Only)
N/A
Before Care ( Morning Hours) 7AM-9AM
Enrichment Position (9 a.m. - 12)
Counselor
Aide
Volunteer (Aide Only)
N/A
Enrichment (Morning Hours) 9AM-12:00 Noon
*Enrichment Counselors Only*
Please see below for the Enrichment program. Fill out the form for EACH course you are interested in teaching. Please create a course that is engaging and fun for campers of all ages. Each course runs for a 2-week period, totaling 8 days for an hour and half per day. Be sure to include the age group the course would be appropriate for, as well as ideas/lesson plans.
Summer Camp Enrichment Opportunities
The Summer Camp Enrichment Program is accepting applications for instructors to teach fun and exciting classes. The program runs Monday – Thursday for 8 weeks starting July 1– August 22. The weeks are divided into 4 sessions and each session consists of a total of 8 days. The campers range from incoming kindergartners through grade 8 and they are grouped by grade level. Below is a list of classes that you may want to consider, but are not limited to, teaching.


Sports
• Archery
• Basketball
• Baseball/Softball
• Fencing
• Field Hockey
• Flag Football
• Group Games
• Gymnastics
• Martial Arts
• Soccer
• Swimming
• Tennis
• Volleyball
Creative Arts
• Ceramics
• Cooking
• Painting
Dance
• Aerobic (Zumba)
• Hip Hop
• Modern Dance
• Ballet
Performing Arts
• Creative Dramatics
• Musical Theater
• Puppetry
Miscellaneous
• Chess
• Cool Science
• Digital Photography
• Legos
• Robotics
• Rocketry
• Video Games
• Cheerleading
• Creative Writing

Class #1:
Class Name:
Your answer
Description
Your answer
Qualifications/Skills
Your answer
Years of Experience
Your answer
Class #2:
Class Name:
Your answer
Description
Your answer
Qualifications/Skills
Your answer
Years of Experience
Your answer
2019 Camp dates are June 26th - August 23rd
Do you have any conflicts with these dates *
If yes, please list them and explain?
Your answer
Related Experience - Previous Employment
Employer #1
Employer
Your answer
Town/State
Your answer
Position
Your answer
Phone Number
Your answer
Dates of Employment
Your answer
Employer #2
Employer
Your answer
Town/State
Your answer
Position
Your answer
Phone Number
Your answer
Dates of Employment
Your answer
Reference: Provide names of 3 references you are NOT related to and whom you have known for at least one year.
Reference One
Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Relationship
Your answer
Reference Two
Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Relationship
Your answer
Reference Three
Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Relationship
Your answer
Please check if you have any certifications:
Please check all grade levels of campers that you prefer to work with: *
Required
List any activities you have any experience or are interested in?
Your answer
Have you ever been convicted of a crime other than a traffic violation?
If yes, please explain:
Your answer
Fingerprinting will be required for anyone over the age of 18. You do not need to get fingerprinted if you are in HS or graduated June 2019
By Submitting this application you are ensuring that all information on this application in correct. If you are hired for a position at Camp, you understand that any false information may be cause for dismissal.
A copy of your responses will be emailed to the address you provided.
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