2. 

3. Vernon Township Summer Camp: Counselor Application

7. Camp Counselor Job Description

   The day camp counselor is a part time position, working directly under the supervision of the camp supervisors and/or the Township Recreation Director. The camp counselor is responsible for a variety of duties including maintaining good communication with parents, supervision of a camp group, and assisting in the preparation of daily materials for activities.

   Commitment

   Day camp runs for 7 weeks. Counselor orientation will be held June 8^th, 9^th, and 10^th. The 9^th will be the only evening commitment for the summer as we will be having parent-camper orientation. The first day of camp is June 13^th and runs through July 29^th. Counselors work from 8:30am to about 2:30pm daily. Camp is a short commitment; therefore, we do not allow time off for vacations and expect all other appointments or activities be done outside of camp hours. Daily attendance is required. 

   Essential Functions

   • Always ensure the safety of campers and report all accidents to supervisors.
   • Responsible for the direct leadership of a group of up to 8 children.
   • Responsible for leading a group through planned daily activities including: Arts and crafts, small group activities, large group activities, swimming, and lunch.
   • Required to maintain good communication with parents/caregivers of campers and keep them informed of activities and child’s progress.
   • Responsible for setup and cleanup of camp as required by camp supervisors.
   • Required to adhere to general rules and policies of Vernon Township.

    

11. We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, citizenship status genetic information or any other legally protected status.

13. First Name*
14. Last Name*
16. Address
18. City
19. State
20. Zip Code
22. Email Address*
23. Phone Number*
27. If you are under 18 years of age, can you provide required proof of your eligibility to work?

    1. Yes
    2. No
29. Have you ever been employed with Vernon Township before?

    1. Yes
    2. No
30. If yes, give date.
32. Are you currently employed?

    1. Yes
    2. No
33. If yes, may we contact your present employer?

    1. Yes
    2. No
35. Do any of your friends or relatives work here?

    1. Yes
    2. No
36. If yes, please list names here.
38. Are you prevented from becoming employed in this country because of visa or immigration status?

    1. Yes
    2. No

    (Proof of citizenship or immigration status will be required upon employment)
40. Have you ever been convicted of a felony?

    1. Yes
    2. No
41. If yes, please explain.
45. Education
47. Elementary School
49. High School
50. Number of Years Completed
52. Undergraduate College
53. Major/Field of Study
54. Diploma/Degree
56. Graduate/Professional/Other
60. Describe any experience working with children.
62. Describe any specialized training, apprenticeship , skills and extra curricular activities:
66. Employment Experience
68. Previous Employer #1
69. Dates Employed
71. Address
72. Job Title
74. Responsibilities
76. Supervisor
77. Telephone Number(s)
79. Reason for Leaving
83. Previous Employer #2
84. Dates Employed
86. Address
87. Job Title
89. Responsibilities
91. Supervisor
92. Telephone Number(s)
94. Reason for Leaving
98. References

    Please provide 3 references.

100. Name
101. Email Address
102. Phone Number
104. Name
105. Email Address
106. Phone Number
108. Name
109. Email Address
110. Phone Number
114. Applicant's Statement

     I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of my application and that if hired I may be released from employment. I understand that the company may require me to successfully complete a pre-employment drug and alcohol test as a condition of employment and that continued employment may be based on the successful completion of similar tests. I understand that the company may as part of the hiring process request an investigative consumer report from a third party entity or agency including information concerning my character, general reputation, personal characteristics, credit records, and mode of living. I may make a written request to the company to provide me with additional information regarding the nature and scope of any such report. I understand that employment with your company is “at will” and nothing in the interview or hiring process, this application, or your company policies are intended to create an employment contract between myself and the company. Employment may be terminated by either party at any time for any reason with or without notice. 

116. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

     1. I agree.
118. Electronic Signature*
Leave This Blank:


120. 1. Receive an email copy of this form.
121. Email address

     This field is not part of the form submission.

122. Submit

* indicates a required field