Application For Employment

Applicants for all positions at New Jersey Camp Jaycee, Inc. are considered without regard to race, color religion, sex, national origin, age, marital or veterans status, or the presence of a non- Job related medical condition or disability.

* Indicates a required field

General Information

* Full Name:
* Email Address:
* Present Mailing Address:
* City:
* State:
* Zip:
Present Phone:
Are you over 18? Yes
No
Gender: Male
Female
Best time to call (am/pm):


Employment Experience
List most recent experience first

Employer #1 (Most Recent)
Employer's name:
Phone:
Address:
City:
State:
Zip:
Position:
Supervisor's Name:
Dates Employed (from - to):
Major Responsibilities:
Reason For Leaving:


Employer #2
Employer's name:
Phone:
Address:
City:
State:
Zip:
Position:
Supervisor's Name:
Dates Employed (from - to):
Major Responsibilities:
Reason For Leaving:


Employer #3
Employer's name:
Phone:
Address:
City:
State:
Zip:
Position:
Supervisor's Name:
Dates Employed (from - to):
Major Responsibilities:
Reason For Leaving:


Camping Experience

Camp Name:
Camp Address:
Supervisor:
Number of years as camper:
Number of years as staff:


Education



Positions Desired

Please Check All Boxes Which Apply
General Counselor Health Care RN
Program Activity Counselor Lpn Lifeguard
Support Staff Sports Driver
Dance Office Nature
Kitchen Music Laundry
Arts & Crafts Maintenance


Staff members are expected arrive for staff training on Sunday, June 18, and stay until the end of camp August 19, 2006.

Will you be available to work the entire season?
Yes
No

Please answer the following:

1. What do you hope to gain by working at Camp Jaycee?


2. What contributions can you make for children and adults with special needs?


3.Have you been convicted of a crime in the past 10 years
Yes
No

If yes, describe in full:


4. The positions at camp include heavy lifting, strenuous activities, and very long hours. Are there any reasons that you might have difficulty in performing any of the essential elements of the job for which you are applying?
Yes
No

If yes, give details:


References

List 3 individuals who can judge your qualifications for this position.
(Please include: Name, Address, Phone, and Relationship)


Agreement

By dating this application and sending it to New Jersey Camp Jaycee, Inc, I certify that the answers given herein are true, complete, and to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I give permission for previous employers to share employment information.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment with this organization is an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by a written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in dismissal. I understand, also, that I am required to abide by all rules and regulations of New Jersey Camp Jaycee, Inc.

* Name of applicant:
* Date:

I have read everything in the above application, and I fully understand this information.