SUMMER ADVENTURES CAMP - Counselor / Leader-In-Training (LIT) Application
EFFECTIVE MONDAY, APRIL 15, WE ARE NO LONGER ACCEPTING COUNSELOR AND LIT APPLICANTS FOR OUR SUMMER CAMP.

PLEASE EMAIL OUR DEPARTMENT WITH ANY QUESTIONS: communityed@medwayschools.org
PERSONAL INFORMATION
Thank you for completing this application to express your interest in our Summer Adventures Camp paid and volunteer opportunities.  For new applicants, the Community Education Department will review your application and reach out via email.  For returning staff, we will be in touch with you regarding next steps in preparation for the summer.  
First and Last Name *
Are you applying for a Camp Counselor or Leader-In-Training position?
Clear selection
Age 

 *
Date of Birth  *
MM
/
DD
/
YYYY
Cell Phone Number  *
Email Address *
Name of High School  *
Current Grade Level  *
Name of College, if applicable *
Course of Study *
Years Completed? *
EMPLOYMENT HISTORY
#1 Employer's Name (Name of Business) *
Dates of Employment  *
Immediate Supervisor - Name, Job Title, Cell Phone, Email Address  *
May We Contact As A Reference?
Clear selection
#2 Employer's Name (Name of Business) *
Dates of Employment *
Immediate Supervisor - Name, Job Title, Cell Phone, Email Address *
May We Contact As A Reference? *
DESCRIBE YOUR EXPERIENCE
What experiences have you had working with children?


 *
What activities have you been involved in that you think would be helpful as a Camp Counselor or as an LIT (Leader-In-Training)? 

 *
WAIVER
The information provided in this application is for employment and is true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.  

I authorize investigation of all statements contained in this application and the release of any pertinent information regarding my education, past employment history and background. I authorize Medway Public Schools to obtain any information from schools, employers or individuals relating to my activities. This information may include, but is not limited to: academics, achievement, performance, attendance, personal history and discipline. I understand that the information released is for Medway Community Education/Medway Public School’s use only.  

In the event of a medical emergency, my family and I give permission for First Aid to be administered and, if necessary, to transport to the nearest emergency facility.  

SIGNATURE  *
Please enter your full legal name
TODAY'S DATE  *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Medway Public Schools. Report Abuse
Google Forms