Camp Nashoba Day Staff Application

Items in red are needed to process your request!
Your Name:
Date:
Home Address:
Phone:
Cell:
Address September through May:
Phone:
Email:
Personal Website:
 
Are you 21 years of age or older?
 Yes  
Education: 
Name of High School:    Year graduated: 

Name of College:           Major Studies:    Year graduated: 
Extra-Curricular Activities:
Camp Experience:   Specify camper or staff, include dates
Prior work history for the previous 5 years including the employers name, address and telephone number and e-mail address of a person at each place of employment.
Place of Employment:    Contact Person:     Contact Info:

Place of Employment:    Contact Person:     Contact Info:

Place of Employment:    Contact Person:     Contact Info:

Place of Employment:    Contact Person:     Contact Info:

Place of Employment:    Contact Person:     Contact Info:

Do you have a current U.S. driver's license? Yes No
State   License Number 
Can you provide your own transportation to camp?  Yes No
References: Give names, full address, email address and current telephone numbers of 3 persons (not relatives) who have knowledge of your character , experience and ability not affiliated with Camp Nashoba.
Name
Address (City,State, Zip)
Telephone/Cell No.
Email address
1.
2.
3.
Do you have any current certifications? (Aquatics, Archery, Riding, Small Craft, First Aid) Yes
If yes, which?
  Expiration date 
What is your swimming ability?
Is there an age level which you feel most comfortable working? Least Comfortable? 
Activity Choice #1    Activity Choice #2 
Do you play a musical instrument? Yes  If yes, what?
The following is a list hospitalities offered at Camp Nashoba. Check which you are competent to teach, and those which you pursue as a hobby or interest.  (T = teach, H = hobby)
SKILLS AND CRAFTS
SPORTS
WATERFRONT
Animal Care
T H
Archery
 T H
Canoeing
 T H
Arts and Crafts
T H
Basketball
 T H
Diving
 T H
Basket Weaving
T H
Baseball
 T H
Instructional Swim
T H
Campcraft
 T H
Climbing Wall
T H
Kayaking
 T H
Candlemaking
 T H
Double Dutch
T H
Row Boating  
T H
Ceramics
 T H
Group Games
 T H
Sailing
 T H
Dance
 T H
Mini Golf
T H
Waterskiing
 T H
Drama
 T H
Riding
 T H
Wakeboarding
 T H
Fishing
 T H
Soccer
 T H
Windsurfing
 T H
Music
 T H
Tennis
 T H
Nature Crafts
T H
Other: 
Pottery T H    

Photography

 T H    
Woodworking T H    
Explain why you are competant to teach two of the above activities:
Can you commit to eight weeks of camp?  Yes    No
How did you hear about Camp Nashoba? 
A counselor is expected to participate fully with campers in all activities, including swimming and sports. Do you have any impairment, physical or mental, which interferes with your ability to perform the job for which you have applied?  
Are you available for an interview?  Yes 
If yes, where? 
Camp Nashoba provides equal opportunities to employees and applicants without regard to race, color, religion, sex, national origin, age, disability or veteran status.

All statements become part of any future employee personnel files.
Completion of this application form does not require Camp Nashoba Day, Inc. to offer employment for any part of the season. The camp encourages people of any ethnic or national origin, color, religion, sex, age or handicap to apply to the Camp. No questions on this application is intended to secure information to be used for discrimination.
I hereby authorize Camp Nashoba Day, Inc. to thoroughly investigate my background by CORI and SORI, references, employment record and other matters related to my suitability for employment.
10/2008

By pressing the "Send Application" button below you agree to the terms stated in the above paragraph, and confirm that all information that you are submitting is accurate. If you find that you misentered some information, please let us know what information you entered incorrectly via e-mail.


Camp Nashoba Day, Inc.
140 Nashoba Rd. Littleton, MA. 01460   
978-486-8088  info@campnashobaday.com