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Voted Best Summer Camp 2010

request info about Hampton Country Day Camp

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Personal Information
   
First Name * Last Name *
Cell / Current Phone # Home Phone #
School Street Address Home Street Address *
School City Home City *
School State/Province Home State/Province*
School Zip Code Home Zip Code
School Country Home Country
Social Security Number Email Address *
* Required for US Citizens
Date of Birth * Gender
/ /
How Did You Hear About Us?  
High School Graduation Date
High School /
College Major
College
 
Current Year in College  
 
   

Camp Experience - As Either a Camper or Staff Member (Not Required For Placement)
   
Camp: Director:
Phone: Dates:
Salary:
   

Previous Employment
   
Employer's Name: Contact Person:
Phone: Dates of Employment:
Salary:
   
   
Employer's Name: Contact Person:
Phone: Dates of Employment:
Salary:
   


Housing
   
Will you have local housing? If so, where?
   
   

Position You Are Applying For:


Additional Skills Information
   

There may be an occasion where we will ask you to help out in a particular area. Consequently, we would like to know if you have a background in any or all of the areas listed below. Please select all of the areas that apply to you.

Please put 1 before the following activities you can organize and teach as an expert, 2 for those activities you can assist in teaching, and 3 for those in which you have had some useful experience.
1 = ability to organize & teach
2 = ability to assist in teaching
3 = possess some useful experience

1 2 3 Sports
Basketball
Softball
Soccer
Tennis
Golf
Hockey
Lacrosse
Baseball
Volleyball
 
1 2 3 Fitness
Running
Aerobics
Cheerleading
Martial Arts
 
1 2 3 Outdoor Activities
Science & Nature
 
1 2 3 Water Sports
Swimming
Water Aerobics
 
1 2 3 (Performing) Arts
Theater
Dance
Piano
Guitar
1 2 3 Crafts & Electives
Woodshop
Ceramics
Stained Glass
Macrame
Fabrics
Model Making
Tie-Dying
Jewelry Making
Painting
Rocketry
Candles
Silk-Screen
T-Shirt Design
Masks
Electronics/Robotics
Cooking
 
1 2 3 Support Services
Maintenance
Grounds
Carpentry
Plumbing
Chef/Cooking
Salads/Pantry
Web Design Skills
Digital Photography
 
Please let us know if you can teach or have talents in other areas (i.e. magic, juggling, etc.):
If you are applying for a specialty position, please indicate any training, teaching, coaching or other experience you have had in the specialty area.
 
Do you currently hold any of the following Certificates or Licenses? If so, please list expiration dates:
WSI First Aid
CPR/Type BLS
Comm. Drivers License (CDL)
 

Age Group Preference & Availability
     
Please indicate first and second choice.
1st choice of age group of campers you prefer:
3-5 6-8 9-10 11-15 Flexible
2nd choice of age group of campers you prefer:
3-5 6-8 9-10 11-15 Flexible
 
Please indicate the dates you are available for camp:
June - August , 2012
You must be available from mid June until August 17, 2012
 
Are you available to work at our HCDC post camp program from 8/20/12 - 8/31/12?
   
 

Please spend some time considering the following questions which will help us determine your ability to work at the position you have applied for.
 
What are your 3 best qualities?
 
Why would you like to work at HCDC?
 
What are the most important things for a counselor to teach a young child?
 
If you could change anything in your life, what would it be?
 
Who are your two heroes/heroines?
Describe an unforgettable experience that you have had with a child.
Who referred you to work at Hampton Country Day Camp?
 
Have you ever been convicted of a felony or misdemeanor?
 
Have you ever been involved in an incident involving sexual
or physical abuse to a child?
 
If you answered yes to either of the above questions, please explain the circumstances.
 
Do you have any physical condition or disease that would affect your ability to perform? If yes, please explain:
 
Staff members may be needed as bus counselors.
Are you willing to be a bus counselor?
 
PLEASE BE AWARE THAT WE CONDUCT BACKGROUND CHECKS ON ALL EMPLOYEES
 
Do you smoke? Yes No
 


Please review the above application before clicking the Submit button. Submitting this form will serve as your acknowledgment that the above information is correct.

I agree to allow Hampton Country Day Camp to do a background check and I affirm that all the above information is true to the best of my knowledge.*


 

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