GENERAL INFORMATION
Name: *
Gender *	Male Female
E-mail: *
Telephone Number: *
Cellular Phone Number
Address: *
Driver's License Number *
DL Issuing State *
CITIZENSHIP & HISTORY
Are you legally eligible for employment in the US? *	Yes No
Are you a US citizen? *	Yes No
Have you been convicted of a felony in the last 7 years? *	Yes No
If yes, please explain.
Have you been convicted of a sex crime against a minor? *	Yes No
If yes, please explain.
Do you have a clean driving record? *	Yes No
If no, please explain.
POSITIONS AND CAMPS
Please mark all ages you feel comfortable working with. *	5-6 7-8 9-10 11-12 13-14 15-16 17-18
Mark any camp(s) for which you are applying.	Senior Camp (June 15 – July 5) Advanced Camp (July 6-12) Junior Camp (June 22-28) Youth Art Camp (June 23-27) Ceramics Camp (June 23-27) Youth Musical Theatre Camp (July 14-18)
EXPERIENCE
Do you have experience in the areas for which you are applying? *	Yes No
If yes, please describe.
In addition to normal duties, counselors and interns are required to take on responsibilities including, but not limited to: technical crew, office and administration, PR and marketing, photographer, video recorder, teaching assistant, and group warm-up leader.
Describe any experience you have that would make you an asset to Texas Arts Project. *
Describe one activity you would propose to do with a group of campers. *
Describe what you would do to ensure campers at any age are not homesick and what you would do should a camper become homesick. *
REFERENCES
Please provide 3 references: 1 professional, 1 academic and 1 personal. In addition, we require a letter of recommendation from at least one reference. Letters of recommendation from Summers @ St. Stephen’s employees will not be permitted.
Professional
Full Name *
Phone Number *
Business *
Years Acquainted *
Academic
Full Name *
Phone Number *
Business *
Years Acquainted *
Personal
Full Name *
Phone Number *
Business *
Years Acquainted *
PERSONAL INFORMATION
Please use this space to tell us anything else about you or your abilities.
DATES
Staff may be required to work multiple camps as some run concurrently. Counselors and Interns must be available for meetings and preparations as early as June 8th. There are mandatory orientations the Friday and Saturday preceding camp start date from 10am to 6pm. All counselors and interns must commit to a mandatory strike/clean-up the day following the conclusion of camp from 11am to 8pm.
Please list any known conflicts with the employment dates.
AGREEMENT
I hereby authorize St. Stephen’s School to thoroughly investigate my background, references, employment record, and other matters related to my suitability for employment. I authorize persons, schools, my current employer (if applicable), and previous employers and organizations contacted by SSES to provide any relevant information regarding my current and/ or previous employment and I release all persons, schools, employers of any and all claims for providing such information. I understand that misrepresentation or omission of facts may result in rejection of this application, or if hired, discipline up to and including dismissal.
.... *	Yes
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