Staff Application
  What location(s) are you interested in working at?  
  New York  |  California  |  Georgia  |  Shane Diet Resorts  
PERSONAL INFORMATION
* Denotes mandatory MALE   FEMALE
* Full Name: Appl. Date:
* Home Address: Soc Sec #:
  * Phone #:
* City * Cell Phone:
* State * Email Address:
* Zip Code: Single/Married:
* Date of Birth:   (M/D/Y) * Age By July 1st:   Years  
* Height (feet/inches): * Weight:
Do you have children (sex/age): Would you like your children
to attend Camp Shane?
COLLEGE/UNIVERSITY INFORMATION
Are You Currently A Student  No   Yes    
  If not, what is your present occupation    
   
  If yes, please provide your school information below  
School Name: If student, what year?:
Address At School: School Phone:
  Best Time To Call:
City: Date Leaving College For Spring Break:
State: Date Leaving College For Summer Break:
Zip Code:    
EDUCATION
College: Major Studies:
Year Graduated: Degree:
  * Career Objectives    
   
HOBBIES/INTEREST/ACTIVITIES/EXPERIENCE
  EXTRA-CURRICULAR INTERESTS: Varsity, Instruments, Clubs, Cultural, etc  
   
 
  PREVIOUS CAMP, EMPLOYMENT, COACHING, TEACHING OR LEADERSHIP EXPERIENCE  
  Place Position Year Salary Director Name Phone #  
   
   
   

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