General InformationWhat Position Are You Applying For 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 Year this coming September College Return Date - must be mm/dd/yyyy format 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 ExperiencePrevious Camp EmploymentCamp #1 Position Dates Employed Camp #2 Position Dates Employed Camp #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 Addtional 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 Relationship PhoneReference #2 Relationship PhoneReference #3 Relationship PhonePermission 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.PhoneThis 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
