Cooks and Medic Application
Thanks for applying to work at Pleasant Valley as a camp medic or cook.

If you are over the age of 18 Please Note that we will use your information to put you into a system that will send you an email requesting a criminal background check and may request additional awareness video training. You will receive a request in your email following the completion of this application. Please note that anyone over the age of 18 will not be eligible to serve or work for Pleasant Valley until you have successfully completed and passed this background check.

Email address *
Please acknowledge you have read the statement above by checking the box below *
Name *
First and last name
Your answer
Email *
Your answer
Mailing Address *
Your answer
Phone number *
Your answer
Gender *
Date of birth *
T-shirt Size
Which position are you interested in? *
Which camps are you wanting to work at? *
Please select any of the following certifications or licenses you have earned or possess. *
Is Your Certification Currently Active/Valid? *
When was your certification last valid? Please List Month, Day, Year or Put "Currently Valid" if still valid. *
Your answer
Please select your last completed year of education. *
Summer staff may help with camp programs in areas where they have any passions, skills, or abilities when not busy with main responsibilties - select any that describe you.
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