Camp Esquagama: Employment Application

Employment Application

Name:

*Email:

Present Address:

City:

State:

Zip:

Phone:

Cell Phone:

How Learn About:

Are you at least 18 years old:

YES
NO

Are you at least 15 years old:

YES
NO

Position Applying For

Camp Director
Office
Counselor

Head Cook
Maintenance
Counselor In Training

Cooks Helper
Program Director
Camp Nurse

Education

Education	Name & Location of school	Number of Years Completed	Diploma
High School	Name: Location:	1 2 3 4
College/University	Name: Location:	1 2 3 4
College/University	Name: Location:	1 2 3 4
Other Training or Education	Name: Location:	1 2 3 4

Certifications

Please check the certifications you have completed. List the expiration date.

First Aid (Exp: )

WSI
(Exp: )

CPR
(Exp: )

First Responder

Wilderness First Aid

Certified Food Manager
(Exp: )

Lifeguard Training
(Exp: )

Firearms Safety

Valid Drivers License
YES
NO

MN Boating

If you have worked at a camp before, state where, when, position(s) held & reason for leaving.

If applying for counselor, position desired: (List 1 for 1st choice, 2 for 2nd choice, 3 for third)

Archery	Crafts	Land Sports	Nature
Riflery	Waterfront	Boating	Dishwashing

Tell us about any experience you have working with children.

Please list other skills or qualifications that would help you in your chosen area.

Why do you want to join the Camp Esquagama staff?

Please list any dates you would be unavailable during the summer.

Employment History

Please list all employment within the last 5 years.

Month/Day/Year	Name and Address Of Employer (Include Supervisor's Name)	Salary	Position	Reason for leaving
From: To:	Phone: May we contact: YES NO
From: To:	Phone: May we contact: YES NO
From: To:	Phone: May we contact: YES NO

References

List the names of the three persons, not related to you, whom you have known for at least one year. By listing references you will be giving Camp Esquagama permission to contact any of them for more information.

Name	Address	Phone	Years Known

Privacy

Camp Esquagama is a tobacco-free, drug-free work environment. Tobacco, alcohol, and illegal drugs are not permitted. Criminal and medical checks, at the employee's expense, must be completed prior to hiring of all applicants.

In submitting this application, I verify that all information provided on this application is true and correct. I also agree to abide by all Camp Esquagama policies and guidelines and understand that failure to do so may result in termination of employment.

Camp Esquagama is committed to the policy that all persons shall have equal access to its programs, opportunities, and employment without regard to race, creed, color, sex, national origin, handicap, or sexual preference.

info@campesquagama.com

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