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Please Note: If you press enter while filling out this
form, it will automatically send this form to us. Use tab to move
between fields.
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Full Name: |
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Email: |
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Permanent Address: |
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Dates and Time Expected at this address: |
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Street and Number: |
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City: |
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State: |
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Country: |
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Zip |
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Phone: |
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Cell Phone: |
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School or Winter Address (if
any) |
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Dates and Time Expected at this address: |
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Street and Number |
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City: |
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State: |
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Country: |
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Zip: |
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Phone: |
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Staff Shirt Size:
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Small
Medium
Large
XLarge
XX Large
XXX Large
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Education: |
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School 1 |
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Years Attended: |
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School: |
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Major Subjects: |
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Degree Granted: |
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School2 |
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Years Attended: |
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School |
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Major Subjects: |
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Degree Granted: |
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Past Employment (List last 3 Employers) |
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Employer: |
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Employer Address: |
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Dates Employed: |
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Employer Phone: |
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Direct Supervisor: |
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Nature of Work: |
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Reason For Leaving: |
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Employer: |
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Dates Employed: |
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Employer Address: |
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Employer Phone: |
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Direct Supervisor |
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Nature of Work: |
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Reason for Leaving: |
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Employer: |
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Employer Address: |
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Dates Employed: |
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Employer Phone: |
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Direct Supervisor: |
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Nature of Work: |
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Reason for Leaving: |
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Indicate any employer you would not like us to contact at this time.
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Camp Experience: |
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Camp Name: |
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Camp Address: |
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Dates: |
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Director: |
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Camper or Staff: |
Camper
Staff |
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Camp Name: |
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Camp Address: |
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Dates: |
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Director: |
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Camper or Staff: |
Camper
Staff |
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References. Please provide names and contact information
for 3 persons (not relatives) having knowledge of your character,
experience and ability. Give each of these individuals a reference form
available on this site |
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Name: |
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Address: |
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Phone: |
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Type of Reference: |
Professional
Personal |
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Name: |
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Address: |
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Phone: |
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Type of Reference: |
Professional
Personal |
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Name |
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Address |
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Phone: |
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Type of Reference: |
Professional
Personal |
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Drivers License: |
Yes
No |
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License State: |
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Difficulty with Duties: |
Yes
No |
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If Yes: |
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Position Desired - First Choice |
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Position Desired - Second Choice |
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Age Group Most Desired to Work With: |
Junior
Teen
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Desired Salary: |
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Considering the camp program and positions applying for, select
"3" next to those activities you can organize and teach,
"2" for those activities which you can assist in teaching and
"1" for those which you have no experience or knowledge. |
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Recreational/ Outdoor Skills |
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Softball: |
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Soccer: |
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Archery: |
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Hiking: |
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Field Games: |
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Volleyball: |
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Outdoor Living Skills: |
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Low Ropes: |
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High Ropes: |
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Other: |
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Nature/ Agriculture |
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Barnyard Animal: |
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Pond Studies: |
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Environmental Education |
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Gardening: |
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Other: |
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Creative Arts: |
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Painting: |
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Nature Crafts: |
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Song Leading: |
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Story telling: |
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Play Directing: |
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Instruments: |
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Please List Instruments Played |
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Other: |
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Waterfront: |
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Life guarding: |
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Swim Instruction: |
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Kayaking: |
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Canoeing: |
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Water Games: |
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Other: |
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Other Activities: |
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Evening Programs: |
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Campfire Program: |
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Please List Certifications and Special Training (First Aid, CPR, Lifeguard
Training, Archery, Ropes Course etc) listing dates received and expired: |
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What contributions do you think you can make at camp? |
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What contributions do you think a well-run camp can make to children? |
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Have you ever been convicted of a crime ? |
Yes
No |
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If yes, please explain. Be very specific if the instance involved a
child.: |
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Write a brief biographical sketch including specialized training, or
experience working with youth or other fields that might have bearing on the
position for which you are applying. |
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I Agree |
Important: By clicking this checkbox
signifies my agreement that to the best of my knowledge, the above
information is factual and accurate. Further, I release Camp Howe to
reference this information for it's accuracy. |
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