Camp Spring Creek
44 Walnut Avenue
Spruce Pine, NC 28777
[email protected]
Phone: 828-766-5032
CAMP SPRING CREEK APPLICATION FOR EMPLOYMENT
Camp Spring Creek is committed to providing equal opportunity in compliance with applicable
federal, state and local laws. Camp Spring Creek is an equal opportunity employer, committed to
hiring employees of any race, color, gender, religion, sexual orientation, and national or ethnic
origins. No question in this application is intended to elicit information in violation of any such law
nor will any information obtained in response to any question b\e used in violation of any such law.
PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE.
First Name:
Middle Initial:
Last Name:
Name by which you are commonly known:
Address:
City:
Home Phone:
State:
Zip:
Alternative Phone:
E-mail Address:
Social Security Number:
Date
of Birth:
Month cook,
Day
Ex. tutor,
counselor,
etc. Year
Age:
Sex: M or F
Camp Spring Creek Employment Application
Marital Status: S or M
T-Shirt Size:
Driver’s License Number:
State:
Auto Insurance Company Name:
Policy Number:
Previously employed at Camp Spring Creek? Yes: _______
No: _______
Have you ever been convicted of a misdemeanor or felony (except minor traffic
violations)? If yes, please give date(s) and a brief explanation:
Yes: _______
No: _______
Are you authorized to work in the U.S.? [If employed, you must show documents
that prove your identity and employment eligibility as required by the Immigration
Reform and Control Act of 1986.]
Yes: _______
No: _______
EDUCATION AND SKILLS
Name of School:
Location:
Major/Program
Degrees Conferred
(High School)
Please describe you computer ability including knowledge of software:
Camp Spring Creek Employment Application
2
EMPLOYMENT HISTORY
[Please list your last three employers, starting with the most recent. If you were
self-employed, please give company name and/or brief explanation. Attach
additional sheets if necessary.]
Employer:
Salary:
Employer:
Salary:
Employer:
Salary:
Address/Phone:
Title/Duties:
Address/Phone:
Title/Duties:
Address/Phone:
Title/Duties:
Supervisor:
Reason for Leaving:
Supervisor:
Dates:
Reason for Leaving:
Supervisor:
Dates:
Reason for Leaving:
May we contact your present employer? Yes: _______
Camp Spring Creek Employment Application
Dates:
No: _______
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REFERENCES
[Give no fewer than three references, other than relatives or previously listed
employers, who are capable of judging your ability to perform the kind of work for
which you have applied.]
Name:
Address:
Telephone:
May we contact your references? Yes: _______
Relationship/Years
Known:
No: _______
Activities: In the following list write “lead” by those activities you can organize and
teach as an expert and put “assist” by those which you can assist in teaching.
Nature:
Music and Performance:
Animals
Birds
Botany
Conservation
Flowers
Geology
Ecology
Insects
Reptiles
Weather
Other
Singing
Song Leading
Theater
Story Telling
Guitar
Piano
Banjo
Drums
Other Instruments
Arts & Crafts
Backpacking
Hiking
Outdoor Cooking
Camp Stove Use
Rock Climbing
Knot Tying
Other
Hand Pottery
Painting
Drawing
Weaving
Basketry
Camp Spring Creek Employment Application
Outdoor Living Skills:
4
Natural Materials
Other
Land Sports:
Archery
Soccer
Group Games
Ultimate Frisbee
Other
Miscellaneous:
Technology
Mac Technology
Assistive Technology
Gardening
Native American Skills
Creative Writing
Web Page/Photographer
Office Work/Typing
Commercial Bus Driver
Other
Aquatics:
Swimming
Canoeing
Life Guarding
Fly Fishing
Fly Tying
Tubing
Water Skiing
Kayaking
Other
Please list in order of skill and preference the three activities you are most qualified
to lead and/or assist. Describe your teaching experience, qualifications gained, and
personal standards of proficiency gained in connection with your three activity
choices.
1st Choice:
2nd Choice:
3rd Choice:
A position at Camp Spring Creek goes beyond general camp skills. It is a
demanding job which uses interpersonal skills and personal resources. Please
answer the following questions relating them to the specific position for which you
are applying.
Camp Spring Creek Employment Application
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1. How would you describe yourself (background, strengths, and weaknesses)?
2. Why are you interested in working for a camp, specifically Camp Spring
Creek?
3. Describe your experience(s) working with children.
4. What contribution do you think you can make to insure a cohesive and
purposeful program at Camp Spring Creek?
SUPPLEMENTARY INFORMATION
An application form sometimes makes it difficult for an individual to adequately summarize a
complete background. If you desire, you may use the space below to summarize any additional
information necessary to describe your full qualifications for the specific position for which you are
applying.
PLEASE READ CAREFULLY AND SIGN: I certify that, to the best of my knowledge and belief, the
answers given by me to the foregoing questions and the statements made by me in this application
are correct and complete. I understand that misrepresentation or omission of facts in this
application or in the interview process will be sufficient grounds for refusal to hire me or termination
without notice should I be employed. I hereby give Camp Spring Creek the right to investigate all
references (unless otherwise stated herein), education, previous employment, criminal records, and
other background data. I further release Camp Spring Creek from any liability from the disclosure of
the information contained herein.
Applicant’s Signature:
Camp Spring Creek Employment Application
Date:
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