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(fields marked with an '*' are required)

The applicant warrants that the following information is true and complete. Accurate but brief answers are essential, as statements and references will be carefully checked. Lack of camp experience is not an obstacle to employment. Point O'Pines is accredited by the American Camping Association.

First Name:*
Last Name:*
Email:*
If you have a photo of yourself available, you can attach it here:
Gender:*	Female Male
Date of Birth (optional)	Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
Home Address
Street Address:
Street Address Line 2:
City, State, Postal Code:
Country:
School Address
Street Address:
Street Address Line 2:
City, State, Postal Code:
Country:
Home Phone:
School Phone:
Cell Phone:
Best number to call:	Home School Cell
Best time to call:
Are you a United States citizen?*	Yes No
If no, are you eligible to work in the United States?	Yes No
How did you hear about Point O'Pines Camp?
Earliest starting date available:
Latest ending date available:

Education
College	Major	Years completed as of next June	Degree granted

If you are currently in college, what are your Spring Break dates?

Previous camp or other employment (list last employer first)
Dates	Employer	City/State	Nature of work
Please indicate any employers you do not wish us to contact and the reason:

References
Give the names and telephone numbers of three persons (not relatives or friends at college) who have knowledge of your character, experience and ability. References must be able to substantiate your work ethic and ability to work with children and adults. These references can be the same people you have chosen to provide written references.
Name	City/State	Phone Number	How Reference Knows You

What position are you applying for:*

1st Choice:
2nd Choice:
3rd Choice:

Camping is strenuous and demanding. You will need excellent physical, emotional and mental health. Are there any physical limitations or psychological problems that could influence your job performance?*

Yes

No

If yes, please explain:

Have you ever been convicted for any crime including sex related or child abuse related offenses?*

Yes

No

What age group do you prefer to work with?

7-10

11-12

13-15

No preference

Do you possess a valid driver's license?

Yes

No

If yes, provide State:
and License Number:

Can you swim?

Yes

No

If yes, rate your swimming ability:

Below Average

Average

Strong Swimmer

Did you ever attend camp as a camper?

Yes

No

If yes, where and what years?

What qualities or characteristics do you possess that will make you a valuable member of the Point O'Pines community?*

What are your expectations for your work experience at Point O'Pines?*

List any experience, skills, certifications, awards, etc. relevant to this application.

Program Areas

Please put 1 before the following activities you can organize and teach as an expert, 2 for those activities you can assist in teaching, and 3 for those in which you have had some useful experience.

Arts & Crafts Basketry N/A 1 2 3 Ceramics N/A 1 2 3 Copper Enameling N/A 1 2 3 Drawing N/A 1 2 3 Jewelry N/A 1 2 3 Leather N/A 1 2 3 Metal N/A 1 2 3 Painting N/A 1 2 3 Paper Mache N/A 1 2 3 Sculpture N/A 1 2 3 Sketching N/A 1 2 3 Weaving N/A 1 2 3 Wood N/A 1 2 3 Visual Arts Magical Arts N/A 1 2 3 Photography N/A 1 2 3 Video N/A 1 2 3 Wilderness Camp Craft N/A 1 2 3 Fishing N/A 1 2 3 Hiking/Backpacking N/A 1 2 3 Orienteering N/A 1 2 3 Outdoor Cooking N/A 1 2 3 Overnight Trips N/A 1 2 3 Ropes Course N/A 1 2 3 Administrative Camp Driver N/A 1 2 3 Computer Skills N/A 1 2 3 Infirmary Assistant N/A 1 2 3 Office Experience N/A 1 2 3 Web Site Manager N/A 1 2 3 Horseback Riding Dressage N/A 1 2 3 English/Hunt Seat N/A 1 2 3 Stable Management N/A 1 2 3 Team Sports Badminton N/A 1 2 3 Basketball N/A 1 2 3 Field Hockey N/A 1 2 3 Group Games N/A 1 2 3 Lacrosse N/A 1 2 3 Soccer N/A 1 2 3 Softball N/A 1 2 3 Volleyball N/A 1 2 3

Individual Sports Archery N/A 1 2 3 Golf N/A 1 2 3 Gymnastics N/A 1 2 3 Martial Arts N/A 1 2 3 Tennis N/A 1 2 3 Fitness Aerobics N/A 1 2 3 Weight Training N/A 1 2 3 Waterfront Canoeing N/A 1 2 3 Row Boating N/A 1 2 3 Sailing N/A 1 2 3 Swimming N/A 1 2 3 Water-skiing N/A 1 2 3 Windsurfing N/A 1 2 3 Dance Ballet N/A 1 2 3 Choreography N/A 1 2 3 Hip Hop N/A 1 2 3 Jazz N/A 1 2 3 Modern N/A 1 2 3 Tap N/A 1 2 3 Food Service Cook N/A 1 2 3 Dining Room N/A 1 2 3 Dishwashing N/A 1 2 3 Theater Arts Costuming N/A 1 2 3 Directing N/A 1 2 3 Scenery Design N/A 1 2 3 Set Design N/A 1 2 3 Sound and Light N/A 1 2 3 Music Piano Accompanist N/A 1 2 3 Improvising N/A 1 2 3 Sight Reading N/A 1 2 3 Transposing N/A 1 2 3 Miscellaneous Cooking N/A 1 2 3 Juggling N/A 1 2 3 Other N/A 1 2 3 N/A 1 2 3 N/A 1 2 3

Certifications
Do you have, or have you ever had, any of the following certifications or experience?
Certifications	Dates
Lifeguard Training (LGT)
Water Safety Instructor (WSI)
CPR
First Aid
Small Craft
Swim Team

The statements in this application are true, complete and correct. I understand that any untrue, misleading or omission of information, herein or in other documents completed by the applicant, shall be considered sufficient reason for withdrawal of an offer or subsequent termination of employment.

By electronic submission of this application to Point O'Pines Camp, I understand and agree to the conditions stated above.

Please note: Processing may take some time. DO NOT hit submit multiple times. If after a few minutes you do not see a "thanks" message, hit submit again.