Summer Camp Employment Application
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
Gender
*
Male
Female
Not Listed
Prefer not to answer
Full Social Security Number
*
*Utilized to run background check which is required for employment
Have you been convicted of a crime (misdemeanor or felony)
*
Yes
No
Have you ever been substantiated for child abuse/neglect?
*
Yes
No
Do you consent to a background check prior to employment?
*
Yes
No
Are you CPR/First Aid Certified?
*
Yes
No
Education
*
High School Graduate
Currently Enrolled in College
College Graduate
Other
High School Attended
College Attending (Graduated)
College Major
Have you previously worked at any of the locations below? Check all that apply
Boys & Girls Clubhouse
Creekside
Needham
Northwood
Webb
Union
Custer Baker Intermediate School
Summer Conflicts (Vacation, summer class, other job, etc. Please describe and provide dates if known.
Have you previously been employed by a Boys & Girls Club? If yes, please enter the name of the Club.
Character Reference #1 (Please include name, email & phone number)
*
Character Reference #2 (Please include name, email & phone number)
*
Submit
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