Legal Name
*
First Name
Last Name
Gender Identity
Male
Female
Non-Binary
Preferred Name and/or Pronouns
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Date of Birth
*
MM
DD
YYYY
Driver's License Number and State
Phone
*
(###)
###
####
Name
First Name
Last Name
Phone
(###)
###
####
Name
*
First Name
Last Name
Phone
*
(###)
###
####
Type(s) Attended
Institution Name(s)
Year(s) Attended
Hobbies and Interests
What are two things you dislike and/or struggle with?
Describe yourself in 3-4 words (ex.: extrovert, perfectionist, outgoing, quiet, etc.)
Current Certifications (Not Expired)
Are any of your current certifications about to expire? If so, which one(s)?
Describe any other specialized training you have.
Other Relevant Work
If currently employed, can we contact your current employer?
*
If yes, what is your employer's name and contact information?
Name
*
First Name
Last Name
Email or Phone Number
*
Name
*
First Name
Last Name
Email or Phone Number
*
Check all the days when you will be available to work:
*
Are there any specific dates that you will not be available? If yes, please list.
Ideal Number of Hours/Week:
*
Available Start Date
*
MM
DD
YYYY
What type of role are you applying for?
Seasonal/Temporary
Continuing
Other
Primary Position of Interest
*
Counselor (18+)
Assistant Counselor
Support/Rover
Lifeguard
Archery Instructor
Housekeeper (16+)
Host (18+)
Lead Cook (18+)
Prep Cook (16+)
Dishwasher
Other
If other, please put job title here.
Have you ever been investigated for or convicted of an offense involving child abuse, sexual abuse, or drug/alcohol abuse?
*
If yes, when?
MM
DD
YYYY
Are you legally authorized to work in the United States and in the State of Washington?
How did you hear about camp?
*
Social Media
Website
Referred by Camp Staff
Community
School
Other
Virtual Signature
*
The above information is true and correct to the best of my ability. I give permission for you to check police records and child protective agencies about information regarding child or sexual abuse. I also authorize the references listed to give you any and all information deemed pertinent that they may have, personal or otherwise, and I release all parties from all liability for any damage that may result from furnishing such information to you.
Type your full legal name
*
Today's Date
*
MM
DD
YYYY
