Apply for Seasonal Support Staff

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Seasonal Support Staff
ID:2026
Department:Facility Staff
Contact Information
* First Name:
* Last Name:
Preferred or Nick Name:
* Date of Birth:
* Gender:
Preferred Pronouns:
* Email:
* Phone:
* Mailing Address Line 1 (Permanent address):
Mailing Address Line 2:
* City:
* State:
* Zip:
Health & Education
* How did you hear about Camp John Marc?
* Birthdate:
* Please list previous experience:
* High School Attended:
* Date of High School attended:
Upload resume:
Please list any certifications you have:
Position Apply For:
* Please choose the position you are applying for:
Cook
Dishwasher
Housekeeping Assistant (Summer Only)
Facility Assistant (Summer Only)
Seasonal Dates Available for Work
* Please list the date you are able to start work
Employment History
Please list any previous employment:
* Employer Name/Company #1
* Employer Phone number
* Nature of Work
* Dates Employed
* Reason for leaving
Employer Name/Company #2
Employer Phone number
Nature of Work
Dates Employed
Reason for leaving
Emergency Contact
* Emergency Contact Name (First and Last)
* Emergency Contact Phone
* Emergency Contact Relationship to You
Facility Reference

Please list the details of three (3) persons who have knowledge of your character, experience, and abilities. One reference must be a person of a different gender, one a family member, and one non-family members. Please note, current contact information is required for all references.

* Name of Reference #1 DIFFERENT GENDER
* Reference #1 Phone Number
* Reference #1 Email
* Relationship (Personal or Professional)
* Name of Reference #2 FAMILY MEMBER
* Reference #2 Phone number
* Reference #2 Email
* Relationship (Personal or Professional)
* Name of Reference #3 NON-FAMILY MEMBER
* Reference #3 Phone number
* Reference #3 Email
* Relationship (Personal or Professional)
Legal Information
* Please list all previous addresses since 18 years of age :
* Do you have a current, unrestricted driver's license?
Yes
No
If NO, please explain:
* Have you ever been fired and/or terminated from a job, or have you ever been suspended or required to withdraw from a school?
Yes
No
If YES, please explain:
* Have you ever been accused of, charged with, and/or convicted of any crime, including child molestation or crime endangering a child?
Yes
No
If YES, please explain:
* Have you ever been charged with a DUI and/or other motor offense?
Yes
No
If YES, please explain:
Authorization and Acknowledgement

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if my application for employment is accepted, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to accept my application. If I am approved for employment, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

* Signature:
* Today's Date:

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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