Please list any strengths, skills, firstaid, camp craft, or other certifications and their expiration dates in the following:

Have you ever applied for a job with us before?

Have you ever worked for us before?

Have you ever been convicted of any crime other than a minor traffic violation?

If yes, please explain:

How many days have you been absent from your work/school in the past year?

Are you mentally and physically able to perform the job for which you are applying?

If not, what accommodations are necessary?

Describe your experience working with individual with developmental disabilities.

Describe your experience with camping and/or related activites.

Have you ever been to a resident camp before?

If Yes, please give name, type of camp, appreciated dates, and indicate if you were camper or staff.

Please provide a brief statement as to why you would like to work at Camp Thunderbird.

Name of High School Attended:

Years Attended: Completed?

Name of College Attended:

Years Attended: Degree(s)/Field(s) of Study:

Degrees(s) Achieved:

Name of Graduate School Attended:

Years Attended: Degree(s)/Field(s) of Study:

Degrees(s) Achieved:

Name of Business/Trade/Correspondence School Attended:

Years Attended: Degree(s)/Field(s) of Study:

Degrees(s) Achieved:

Employer's Name:

Phone: Address: City:

State/Zip/Country: Position:

Dates Employed:

Responsibilities:

Reasons for leaving:

Employer's Name:

Phone: Address: City:

State/Zip/Country: Position:

Dates Employed:

Responsibilities:

Reasons for leaving:

Employer's Name:

Phone: Address: City:

State/Zip/Country: Position:

Dates Employed:

Responsibilities:

Reasons for leaving:

May we contact the employers listed above?

If not indicate which one(s) you do not wish us to contact:

References:

Name: Phone: Occupation:

Name: Phone: Occupation:

Name: Phone: Occupation:

Staff members must arrive for staff training on (date to be specified), and stay until the end of camp, (date to be specified). You will be required to sign a contract to work these dates.

The facts set forth in my application fro my employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for my dismissal. You are hereby authorized to make any investigation of my personal history and financial and credit record through any investigative credit bureau of your choice. In addition, I authorize the use of any information in this application to verify statements, and I authorize past employers, doctors, all references and any other persons to answer questions asked concerning my ability, character, reputation and previous employment record. I release all such persons from any liability or damages on account of having furnished such information