Summer Teen Tech Camp Employment Application 2019
Courses run the Weeks of July 8, July 15, July 22, and July 29
From 9:00 am to 1:00 pm (Staff hours 8:45 am - 1:15 pm)
Culinary Camp runs from 8:30 am to 3:00 pm (Staff hours 8:15 am - 3:15 pm)
The date of your application will automatically be recorded when submitted.
Last Name *
Your answer
First Name *
Your answer
Street *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Please enter your preferred phone # *
Your answer
Please enter an additional phone #
Your answer
Please enter your email address (accessed over the summer) *
Your answer
Position(s) applying for: *
Required
If applying for an Instructor position, please enter certification(s) held (if any):
Your answer
Program(s) applying for (Instructor Only):
NOTE: for Other, please specify proposed course
Weeks Available to Work (check all that apply)
Are you currently employed at Rockland BOCES? *
Required
If you answered YES to the above question, please submit the name of the program/school where you work:
Your answer
Current position within Rockland BOCES:
Your answer
If not Rockland BOCES, current school district employed at:
Your answer
Years with current district (if not Rockland BOCES):
Your answer
Position held (if not at Rockland BOCES):
Your answer
If not a Rockland BOCES employee, please list two individuals, including at least one supervisor, for references:
Reference 1 Name:
Your answer
Reference 1 Position:
Your answer
Reference 1 Place of Employment:
Your answer
Reference 1 Contact Phone #:
Your answer
Reference 1 Contact email:
Your answer
Reference 2 Name:
Your answer
Reference 2 Position:
Your answer
Reference 2 Place of Employment:
Your answer
Reference 2 Contact Phone #:
Your answer
Reference 2 Contact email:
Your answer
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