General InformationWhat Position Are You Applying ForName First Last Date of Birth MM DD YYYY Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell PhoneHome PhoneSocial Security NumberEmail EducationHigh School NameGrade this coming SeptemberCollege NameYear this coming SeptemberCollege Return Date - must be mm/dd/yyyy format Date Format: MM slash DD slash YYYY College GradYesNoDid you attend Kenwal Day Camp?YesNoExtra Curricular Activities (Teams, Clubs, Volunteering Etc) Camp ExperiencePrevious Camp EmploymentCamp #1PositionDates EmployedCamp #2PositionDates EmployedCamp #3PositionDates EmployedPlease Check All Areas In Which You Would Feel Confident Working Archery Arts & Crafts Batting Cage Boating Computer Arcade Cheerleading Dance Drama Go Karts Gymnastics Karate Maintenance Mtn Biking Music Nature Obstacle Course Rock Climbing Tennis Bungee Jumping Slip N Slide Inflatables Water Park Swim: If You Can Teach Swim, Please List Your Qualifications /Certifications And Expiration Dates:Any Additional Qualifications: CPR, First Aid, Epi Pen, And AED: List Along With Their Expiration DatesGrade preferred:Please chooseNursery/Kindergarten1st2nd3rd4th5th & 6th7th & 8thCITXtreme Teen (12 Overnights)Write A Short Paragraph Telling Why You Would Be An Asset To Kenwal Day Camp Addtional InfoHave You Ever Been Convicted Of A Felony/Misdemeanor?YesNoHas Your Drivers License Ever Been Suspended?YesNo References List 3 References - NO RELATIVES OR FRIENDS Reference #1RelationshipPhoneReference #2RelationshipPhoneReference #3RelationshipPhonePermission To Conduct A Search Through The NYS DCJS * Required I agree.I Have Never Been Convicted Of Violent Crimes And Or Crimes Against Children. I Give Kenwal Day Camp Permission To Conduct A Search Through The NYS DCJS And I Agree That All Information Provided Is Accurate To The Best Of My KnowledgeWE ARE AN EQUAL OPPORTUNITY EMPLOYER AND DO NOT DISCRIMINATE ON THE BASIS OF RACE, CREED, AGE OR SEX.NameThis field is for validation purposes and should be left unchanged. Apply Now! for a funfilled summer at Kenwal! We are always accepting staff applications for all positions. Staff Application learn more about working at Kenwal Day CampHave Questions?Request Info!Looking for Forms?Staff Forms
