"Admin Job Application Emplyment California - PDF"
Girl Scouts Heart of Central California CAMP MENZIES RETURNING STAFF APPLICATION Your return to the magical land of Menzies is much appreciated! It’s the wonderful staff like you that makes Camp Menzies a splendiferous place for girls to be. After I receive your application I will call you for a brief interview to talk about your goals for this summer. Name_________________________________________________________________________ Camp Name____________________________Position Last Year_______________________ Present Address _______________________________________________________________ Until When? _______________________ Email Address______________________________ Permanent Address_____________________________________________________________ Day Phone (___) ________________Eve. Phone (___) _____________Best time to call______ Present Occupation_____________________________________________________________ Position desired (Please indicate 1st, 2nd, and 3rd choice) 1.____________________________2._________________________3._____________________ Dates available for employment this summer _______________________________________ Describe any training (leadership, recreation classes, etc.) that you have taken since last summer that will be helpful in your camp position. Describe any experience you have had with children since last summer, or any profound learning experiences you have had. 1 Why do you wish to return to camp? What is the positive thing that draws you there? If you could do one thing differently from last summer, what would it be? List all current certifications that you hold. Include those certifications that you plan on obtaining prior to camp and when. 1._____________________________________________________Exp.__________________ 2._____________________________________________________Exp.__________________ 3._____________________________________________________Exp.__________________ If you are applying for a new position, please give the enclosed reference forms to three people WHO ARE NOT RELATED TO YOU, that know of your skills as they relate to this position. Name Position Phone 1._____________________________________________________________________________ 2._____________________________________________________________________________ 3._____________________________________________________________________________ 2 I hereby authorize Girl Scouts Heart of Central California to contact any individuals or organizations identified in this application to verify information provided and to obtain additional reference information. I further authorize such individuals or organizations to release to you any and all information they have about me. I will not bring any claims against the Girl Scouts or against any individual or organization based upon references provided. I further understand, if offered employment, such employment is subject to receipt of satisfactory references. ________ (initials) I understand that this employment application and any other Girl Scout documents are not contracts of employment for any definite period of time, and that any individual who is hired may be terminated by the Girl Scouts at any time for any reason without advance notice. I understand that any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon by any prospective or existing employee. ________ (initials) I understand that I will need proof of citizenship or authorization to work in the United States. ________ (initials) Have you ever been convicted of a crime (other than traffic violations)? Yes _____ No _____ If yes, please state offense, date, and location. (A conviction will not necessarily be cause for disqualification) ______________________________________________________________________________________________________ If offered employment, I agree to authorize Girl Scouts Heart of Central California to perform a background search using a contracted agency. ________ (initials) I understand and agree that any offer of employment will be conditional upon the successful completion of a physical examination ________ (initials) Do you know of any reason why you would not be able to perform the essential functions of the job position for which you are applying with or without reasonable accommodation? Yes______ No ______ If yes, what accommodations might be necessary? _________________________________ I certify that all the information provided on this application is true and complete, and that I have not knowingly withheld any information, which might, if disclosed, affect my application unfavorably. I understand that any misrepresentation, omission of facts, or falsification on this application will be cause for rejection of the application and disqualification for employment, or dismissal after employment. Signature___________________________________________Date_______________________ #CM 4 - rev 12/08 - DT:jw 3