*First Name*Last Name * Email Address:
Are you a returning CWG staff member? YesNo If Yes, what title/position did you hold and what activities did you teach or assist with?: Title/Position: Activities:
Current Address: Dates of this address: *Address*City*State*Zip*Telephone Do you live outside the United States? YesNo Please add additional international information here, including full address & country: PLEASE NOTE for all International staff for 2008: You must go through an approved international staffing agency in order to work at the camp, please email me directly for more information.
Permanent/Home Address: Same as above Address City State Zip Telephone
Other Information: Fax Email Address Age as of June 1, 2008: Date of Birth (MM/DD/YYYY): Male Female Marital Status: Single Married Divorced Separated Social Security Number: Driver's License Number: State issued: Do you have any violations? YesNo If yes, please explain: Do you have any children? YesNo Ages: Will they be coming with you to camp? YesNo Expected weekly salary range: to Do you smoke cigarettes? YesNo Do you have any dietary restrication? YesNo If yes, please describe:
Please note that Camp Winding Gap DOES NOT provide special meals for vegetarians, nor are there facilities to store or prepare your own meals.
Do you have any physical limitations which might limit your activity and/or participation while at camp?YesNo If yes, please describe: Do you have any allergies, or do you require any special medical treatment or attention while at camp?YesNo If yes, please describe: Have you ever been convicted of a crime?YesNo If yes, please explain (voluntary): How do you plan to transport to camp? Will you be keeping a private vehicle at the camp during your stay? Yes No
Staff bringing private vehicles must keep them parked in the designated staff parking area and use them only according to camp policies.
I give permission for Camp Winding Gap to request copies of personal records from my school, employer, and/or any other source which are necessary to properly conduct a background check.
What dates are you available for employment at camp? From to
Previous camp experience: I have never worked at a camp. I have worked at a camp. How many years? Most recent camp: Dates of employment From to Position/Title Name of camp Name of Camp Director Camp Address Camp Telephone I have never been a camper. I have been a camper. How many years?
School and Employment Information: Currently a college student. Name of College Major or Field of Study Indicate level completed as of Spring 2008: Freshman Sophomore Junior Senior Graduate Student
If you did not graduate from college, and if you are not currently in school, indicate last level of college you completed: Graduating High School Spring 2008 Professional/Currently Employed Date employment began: Position/Title Employer Company Name Employer Contact Person Employer Address Employer Telephone I currently hold a teaching certificate. State of issue: Year of issue: Number of years teaching:
Previous Employment: Dates of Employment Position/Title Employer Company Name Employer Contact Person Employer Address Employer Telephone
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