General InformationWhat Position Are You Applying For i.e. counselor, lifeguard, specialist, etc. Name First Last Date of Birth Month Day Year Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell PhoneHome PhoneSocial Security Number Email EducationHigh School Name Grade this coming September College Name If in college, what year will you be in this coming September College Return Date MM slash DD slash YYYY College Grad Yes No Did you attend Kenwal Day Camp? Yes No Extra Curricular Activities (Teams, Clubs, Volunteering Etc) Camp/work ExperiencePrevious Camp/work EmploymentJob #1 Position Dates Employed Job #2 Position Dates Employed Job #3 Position Dates Employed Please 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 Additional InfoHave You Ever Been Convicted Of A Felony/Misdemeanor? Yes No Has Your Drivers License Ever Been Suspended? Yes No References List 3 References - NO RELATIVES OR FRIENDS Reference #1-i.e. teacher, mentor, supervisor. Please include name of business/school/camp/etc. Relationship PhoneReference #2-i.e. teacher, mentor, supervisor. Please include name of business/school/camp/etc. Relationship PhoneReference #3- i.e. teacher, mentor, supervisor. Please include name of business/school/camp/etc. Relationship PhoneI was recommended to work at Kenwal by: First Last Permission 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
