Seasonal Employment Application
PERSONAL INFORMATION
Please answer each question completely. All information is required.
Name (First, Middle, Last) *
Your answer
Social Security Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age as of June 15, 2019 *
Your answer
Cell Phone Number *
Your answer
Email Address *
Your answer
Permanent Mailing Address (tax forms will be mailed here) *
Your answer
Current High School/College/Employer *
Your answer
Major/Course of Study
Your answer
Expected Year of Graduation
Your answer
GENERAL INFORMATION
Please understand that no specific answers preclude your consideration for a position.
Are you fully available from Saturday, June 15-Friday, August 16, 2019 *
If you answered no to the question above, please give dates and explanation for when you are not available.
Your answer
Do you have a legal right to work in the United States? *
Camp Susan Curtis will conduct a criminal background check that includes the National Sex Offender Registry. Have you ever been convicted of a crime other than a minor traffic violation? *
If you answered yes to the question above, please provide the date and a brief explanation.
Your answer
Camp Susan Curtis prohibits all forms of harassment by or toward our employees including sexual, racial, religious, and other forms. Have you ever been accused of harassment of any individual? *
If you answered yes to the above question, please provide a brief explanation.
Your answer
Are you permitted to carry a concealed weapon in the State of Maine? *
EMPLOYMENT EXPERIENCE
You may email a resume to tmulks@susancurtis.org for this section as long as all information is available.
Employment/Volunteer Experience 1-Please list Company, Position, Supervisor Contact Info, Dates Worked, Reason For Leaving
Your answer
Employment/Volunteer Experience 2-Please list Company, Position, Supervisor Contact Info, Dates Worked, Reason For Leaving
Your answer
Employment/Volunteer Experience 3-Please list Company, Position, Supervisor Contact Info, Dates Worked, Reason For Leaving
Your answer
Your answer
CERTIFICATIONS
Please list any certifications you hold, relevant to camp, that will be valid through August 2019. Lifeguard, Archery, First Aid, etc.
Certifications (with dates)
Your answer
REFERENCES
3 Reference Forms are required. These are part of the Application Packet.
INTEREST INVENTORY
Please check the position or positions you are most interested in. Not all positions may be available.
Please rank the areas you are most interested in with 1 as Highest and 5 as Lowest. This is interest...not skill or experience.
1
2
3
4
5
Creative Arts
Environment, Nature, Outdoor Skills
Ropes Course & Teambuilding
Sports & Games
Waterfront
Please list a talent/interest/activity/hobby you enjoy that you would be willing to share with campers during a 70 minute activity period. We encourage more than one.
Your answer
Prior to camp starting we offer Certifications at CSC and other locations. Please check below anything you would be interested in pursuing. We pay for most certifications or offer a discounted rate.
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