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CAMP NUHOP, INC.

JOB APPLICATION

Date of Application______

PLEASE CHECK POSITION DESIRED

____ Counselor ____ Counselor-in-Training ____ Waterfront Director

Name______Social Security Number______

Birth Date______Driver's License Number______

Permanent Address (street)______

(city)______(state)______(zip) ______(phone)______

School/Business Address (street)______

(city)______(state)______(zip) ______(phone)______

(cell phone)______Email Address______

This job requires extensive walking and physical activity. Would you be able to fulfill these requirements for periods of six hours or more?______

Smoking or smokeless tobacco is not permitted while on duty. Could you comply with this policy?______

Work Experience

Please list below all work experience. Start with most recent. Circle any camp related experience.

Employer / Position / Date / City/State / Phone

Campus Life

College or University Attended______

Date graduated or when you will graduate______

What is your major field of study?______Minor?______

Please use the space below to tell us about yourself. Include your family, interests, clubs, organizations, etc. We are interested in you!

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Personal Assessment

Have you ever attended a camp as a camper?______If so, what camp?______

Why do you want to be a counselor at Camp Nuhop?______

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What unique contributions will you bring to the Camp Nuhop staff that make you stand out from other applicants?______

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Describe any experience (personal, paid, or volunteer) you have with individuals with disabilities. ______

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Describe any experience you have leading others.______

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Have you ever been accused of or involved in an incident involving sexual or physical abuse of a child?______

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Please check any current certifications you have

_____CPR _____Life Guard _____Water Safety Instructor

_____1st Aid _____WFR _____Other:______

All applicants must be interviewed. Two letters of reference must be received prior to the interview. Please list the names of the two persons from whom professional and character references are being mailed.

Name Relationship Phone

______(____)______

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As a camp staff employee, I will be giving up a great deal of privacy and comfort, working long and demanding hours, and adhering to camp policies which may be limiting and not necessarily reflect my way of living. If hired, I will accept all responsibilities as described in the job description.

(Signature) ______