Application For Employment


We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Position(s) Applied For (please check below): Application Date
Jr. Counselor (grades 10, 11, 12) Co Counselor (freshman college) Sr. Counselor (sophomore college +)
Aquatics Director Arts & Crafts Director Athletics Director
C.I.T. Director Lifeguard (must be certified) Maintenance Director
Music/Drama Director (part time, 2 days) Nurse/EMT Judaic Culture Director
Watercraft Director Nature Director (part time, 2 days) Teen Leaders Staff

General Information

Last Name
First Name
Middle Initial
Home Address

City

State

Zip Code

School Address

City

State

Zip Code
Home Telephone

School Telephone
E-mail Address
Social Security Number Date of Birth 

Education


Name of School

Major Yr. Completed As of June Diploma/Degree
& year obtained
High School
Undergraduate College
Graduate College

WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Employment Experience

Please list employment experiences beginning with your most current position.  Include any job-related military service assignments and volunteer activities.  You may exclude organizations that indicate race, color, religion, gender, national origin, disabilities, or other protected status.
1. Employer Date Employed
Address  From To
 
Phone Number 
Job Title  Hourly Rate/Salary
Supervisor’s Name  Starting Final
Reason for Leaving 

2. Employer Date Employed
Address  From To
 
Phone Number 
Job Title  Hourly Rate/Salary
Supervisor’s Name  Starting Final
Reason for Leaving 

3. Employer Date Employed
Address  From To
 
Phone Number 
Job Title  Hourly Rate/Salary
Supervisor’s Name  Starting Final
Reason for Leaving 

References

1. Name Phone 
Address
2. Name Phone 
Address
3. Name Phone 
Address

Additional Information

If you are under 18 years of age, can you provide proof of your eligibility to work? Yes No
Have you ever been a staff member at Camp Hadar? Yes No
If yes, please check the appropriate positions held at Camp Hadar.

Jr. Counselor years as Jr. Staff

Co Counselor years as Co Staff

Sr. Staff (includes counselor & lifeguard) years as Sr. Staff

Specialist years as Specialist

Maintenance years as Maintenance
Are you currently employed? Yes No
If yes, may we contact your present employer? Yes No
Current Employer 
Phone Number   Job Title 
Supervisor’s Name 
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?  (Proof of citizenship or immigration will be required upon employment) Yes No
Have you been convicted of a felony within the last 7 years?
(Conviction will not necessarily disqualify an applicant from employment) 		Yes No
If yes, please explain. 
Are you certified in First Aid? Yes Exp. Date No

Are you certified in CPR?

Yes Exp. Date No
Are you certified in Lifeguard Training? Yes Exp. Date No
Other?  Yes Exp. Date No
It is strongly recommended that all staff members be trained in Lifeguard Training, CPR, and First Aid.  If you are not presently certified in these areas, would you be willing to get certified? Yes No

Imagine that you are a parent of a child whom you are sending to camp.
Write about the qualities in a camp counselor that you would expect your child’s counselor to have.

Part 1: Imagine that you have been hired as a staff member at Camp Hadar. 
Why do you think that you were hired as a staff member?
What personal strengths and skills made you an excellent candidate as a staff member at Camp Hadar?
Part 2: Imagine that you have just completed your employment as a staff member at Camp Hadar.
Describe your experience.

 

Camp Hadar
P. O. Box 937

Andover, MA 01810
info@camphadar.org

Friendships & memories...

to last a lifetime!
© 2010 Camp Hadar. All rights reserved.