Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone Number *

(###)

###

####

Background Information *

Do you grant us permission to run a pre-employment background check? Anything other than a clean background check could make you ineligible for employment at camp.

Yes

No

Have you ever been convicted of a felony? *

Yes

No

Certifications & Licenses

Red Cross Lifeguard

CPR/AED

First Aid / Wilderness First Aid

Wilderness First Responder

Commercial Boat Driver (NH or other)

I, the applicant, warrant the truthfulness of the information provided in this application. *

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.