South Breeze Day Camp

Staff Application

Personal Information

APPLICANT: PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING THIS APPLICATION FORM.

I authorize South Breeze Day Camp to obtain information concerning former employers and others, and I release all concerned from any liability in connection therewith.

I declare that my answers to the questions in this application are true and complete to the best of my knowledge and belief. I understand that any false statements, or omissions of facts called for, appearing on this or any other employment form will be sufficient reason not to hire me, and if discovered after my employment, may result in immediate dismissal.

If employed, I will abide by the rules, regulations, and statements of policy which now exist, or which may, from time to time, be added to, modified, or changed, as circumstances warrant, at the sole discretion of the company.

I understand that this application for employment is not a contract and is not intended to confer or create contractual rights of any kind or nature. If employed, employment is on an at-will basis and may be terminated any time and for any reason, with or without cause, by either the employee or South Breeze Day Camp.

Please note that an employment offer and your continued employment with South Breeze Day Camp are contingent upon your background check

Name *

Phone number *

Email address *

Confirm Email address *

Gender *

Address *

College/University Name

Major

Graduation Date

High School Name *

Graduation Date *

Employment History Organisation 1 *

Start Date *

End Date *

Work performed *

Reason for leaving *

Employment History Organisation 2

Start Date

End Date

Work performed

Reason for leaving

Reference One Name *

Reference One Email *

Reference One Phone number *

Reference Two Name *

Reference Two Email *

Reference Two Phone number *

Required training and employment dates: June 12-14. Camp June 15- August 7 I am available at these times. *

Yes

If no, please explain below:

Do you have any health limitations that would affect your ability to perform any tasks? *

Yes

If yes, please explain below:

Have you ever been convicted of a crime or are any criminal charges currently pending against you? *

Yes

If yes, please explain below:

Have you ever been involved directly or indirectly in an incident of actual or attempted child abuse (sexual or otherwise), sexual abuse or another similar moral impropriety? *

Yes

If yes, please explain below:

This is to inform you as part of our procedure for processing your application based on information herein; an investigative report may be made whereby information is obtained through personal interviews with third parties. * I HAVE READ AND UNDERSTAND THE ABOVE *

Please select at least one option.

I allow this website to store my submission so they can respond to my inquiry. *

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