CAMP NUHOP, INC. staff
JOB APPLICATION photo
Date of Application____________________________
PLEASE CHECK POSITION DESIRED
____ Counselor ____ Counselor-in-Training ____ Waterfront Director
Name__________________________________________ Social Security Number_______________________
Birth Date____________________________________ Driver's License Number________________________
Permanent Address (street)___________________________________________________________________
(city)_________________________ (state)_________ (zip) ____________ (phone)______________________
School/Business Address (street)_______________________________________________________________
(city)_________________________ (state)_________ (zip) ____________ (phone)______________________
(cell phone)______________________ Email Address______________________________________________
This job requires extensive walking and physical activity. Would you be able to fulfill these requirements for
periods of six hours or more?__________
Smoking or smokeless tobacco is not permitted while on duty. Could you comply with this policy?__________
Work Experience
Please list below all work experience. Start with most recent. Circle any camp related experience.
Employer Position Date City/State Phone
Campus Life
College or University Attended_________________________________
Date graduated or when you will graduate_________________________
What is your major field of study?___________________________ Minor?________________________
Please use the space below to tell us about yourself. Include your family, interests, clubs, organizations, etc. We are
interested in you!
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Personal Assessment
Have you ever attended a camp as a camper?_______ If so, what camp?____________________________________________
Why do you want to be a counselor at Camp Nuhop?___________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
What unique contributions will you bring to the Camp Nuhop staff that make you stand out from other applicants?________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Describe any experience (personal, paid, or volunteer) you have with individuals with disabilities. _____________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Describe any experience you have leading others.___________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Have you ever been accused of or involved in an incident involving sexual or physical abuse of a child?___________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________
Please check any current certifications you have
_____CPR _____Life Guard _____Water Safety Instructor
_____1st Aid _____WFR _____Other:__________
All applicants must be interviewed. Two letters of reference must be received prior to the interview. Please list the names of
the two persons from whom professional and character references are being mailed.
Name Relationship Phone
_____________________________ ________________________ (____)________________
_____________________________ ________________________ (____)________________
As a camp staff employee, I will be giving up a great deal of privacy and comfort, working long and demanding hours,
and adhering to camp policies which may be limiting and not necessarily reflect my way of living. If hired, I will accept all
responsibilities as described in the job description.
(Signature) _________________________________________________