Camp DiscoveryGainesboro, TennesseeSummer Employment

Date Received: ______(office use only)

Camp Discovery APPLICATION FOREMPLOYMENT

Last Name __________________ First Name _________________ Middle ______________Age ____ Date of Birth ________Male____ Female____ Social Security # ________________Street Address _____________________________ Phone w/area code ____________________City ________________ State _____ Zip Code ________ County ___________________Ever been convicted of any crime relating in any manner to children and or your conduct withthem? ____YES ____No (if yes, please explain on back of sheet)Position applying for: ____*Counselor ____Cabin Supervisor ____Art Teacher ____Music Teacher____Lifèguard ____Waterfront Director ____**Kitchen Manager ____**Kitchen Staff ____Recreation Director*Counselors are EXPECTED to participate WITH their campers. Applying for this position lets usknow that you will be willing to participate in swimming, art, recreation, night activities, etc**If applying for positions working with food, please inform us of any health issues/problemswhich could hinder your performance or pose a public health problem. (Explain on back)EDUCATION High School _________________________ Phone# ___________________City ___________________ State County ______________________College or University __________________________________ Major ________________Minor _________________ Degree(s) earned __________________Post Graduate Study

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College or University ____________________ Degree(s) ____________

List recent job experiences (last three). Include dates, supervisors, phone numbers, andaddresses.List clubs, activities, churches, or other organizations in which you have been a part. Listpositions in which you served in a leadership role also.Will you have weekly transportation to and from camp? ____yes ____no

Do you have a driver’s license? ____yes ____no License number __________________

This job will be strenuous and will require walking, and/or standing for long periods of time. Arethere any physical limitations which will not allow you to perform strenuous work activities? ____no____yes (if yes, please explain on back)If you are under 18 please provide parent/guardian signature _______________________Most jobs will require you to lodge at Camp Discovery in counselor quarters Sunday evening untilFriday morning.

Camp Discovery directors reserve the right to dismiss staff at anytime deemed necessary.

The opportunity to work the full summer camp schedule is determined by number of special needs clients applying for summer camp. We try to allow everyone to work the full summersession, but if numbers are lower than expected counselors may be asked to take a week off. CampDates for summer 2010 are as follows:

Dropoff on Sunday is 1:00 CST and pick-up on Friday is noon CSTWeek 1 May 30-June 4Week 2 June 6-11Week 3 June 20-25Week 4** June 27-July 2*Week 5 July 4-9Week 6 July 11-16** 18 yr. old and younger week * June 27-July 2: Stay Over Weekend