Running Brook Day Camp / Aspen Camp Online Staff Application

PO Box 540484  ●  Waltham, MA  02454-0484
 
 Tel. 781-893-9909  ●  Fax 781-893-8977

Please be sure to answer all of the questions.
Use the TAB key to move from field to field.
Hitting ENTER will automatically send the application.

Today's Date: 

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
Cell Phone
E-mail

Gender?

Male
Female

School Information:

Name of School
School Phone

Education:

Major Subjects
Years
Degree Granted

Past Employment:

Dates	Employer	Address	Nature Of Work

Volunteer or Community Service:

Dates	Agency / Organization	Duties

List 3 persons (not relatives) who have knowledge of your work:
 

Reference 1:

Name
Phone
E-mail

Reference 2:

Name
Phone
E-mail

Reference 3:

Name
Phone
E-mail

What is the position you are applying for ?

Salary Desired ?

Date Available From :

Date Available To :

Are you certified in any of the following areas?  (check all that apply)

WSI                                    
ALS                                    
ARC Advanced Cert.      
ARC First Aid      
CPR                                    
Life Guard Certified 
        

Have you ever been convicted of a felony including a sex-related or child abuse-related offence?

Yes
No

In the past five years, have you been convicted of a misdemeanor?

Yes
No

If you answered yes to either question above, please explain:

What contribution do you think you can make at camp?

What contribution do you think a well-run camp can make to children?