Staff Application
What location(s) are you interested in working at?
New York
| Arizona
| 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:
Single
Married
*
Date of Birth:
(M/D/Y)
*
Age By July 1st:
Years
*
Height
(feet/inches)
:
*
Weight:
Do you have children (sex/age):
Accomodations required for your children at camp?
No
Yes
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?:
N/A
Freshman
Sophmore
Junior
Senior
Graduate
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 #