2019 TheEdgeCamp Employment (Camp Counselor)
*** Please call or email Ms. Julie for an interview.
* Required
Email address
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Your email
First Name:
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Your answer
Last Name:
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Your answer
Contact Number: (Cell number please)
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Your answer
Home Address:
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Your answer
Birth date:
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MM
/
DD
/
YYYY
Gender:
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Male
Female
Social Security Number
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Your answer
Highest grade completed
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Your answer
School:
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Your answer
GPA: (Most recent)
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Your answer
Previous work experience: (most recent listed first)
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Your answer
Why are you interested in TheEdgeCamp Counselor Position?
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Your answer
What is your experience working with school age children?
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Your answer
Other experience applicable to working at summer camp?
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Your answer
Special Interests (leisure, academic, career...)
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Your answer
Please provide your AVAILABLE weeks to work.
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Week 1; 6/10-14
Week 2; 6/17-21
Week 3; 6/24-28
Week 4; 7/1-5
Week 5; 7/8-12
Week 6; 7/15-19
I am able to work from 9 am to 4 pm.
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Yes
No
Required
I am able to work during PM Extended Care, 4pm
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Yes
No
Required
Want camp lunch? (Provided)
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Yes
No
Required
T-shirt Size: (Provided)
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Youth L
Adult S
Adult M
Adult L
Adult XL
Required
Sweatshirt Size: (Provided)
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Youth L
Adult S
Adult M
Adult L
Adult XL
Required
Emergency Contact Name:
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Your answer
Family Doctor Number:
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Your answer
Health Plan:
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Your answer
Policy Number:
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Your answer
Health History:
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Chronic Asthma
Frequent Colds
Physical handicap
Attention Deficit Disorder
Heart Condition
Frequent Stomach Upset
Epilepsy or Nervous Disorder
Diabetes
Hay Fever
Allergic reaction to Insect Stings
Food Allergies
Other
None
Required
Please give details on any health issues checked above:
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Your answer
Any activity restrictions:
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Yes
NO
Required
If yes, give details
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Your answer
Photo Release
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Yes, I agree to authorize The Edge Camp to use my likeness in a photograph for promotional purposes
No, I do not agree to authorize The Edge Camp to use my likeness in a photograph for promotional purposes.
I acknowledge that the above information is accurate to the best of my ability.
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A copy of your responses will be emailed to the address you provided.
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