Employment

I am applying for the position of:*

CounselorGroup LeaderLifeguard/Swim InstructorMaintenanceOther

First Name*

Last Name*

Email*

Phone*

Address*

City*

State*

Zip*

Are you under 18? * ---YesNo

Parent Email Fill out if under 18

Parent Phone Fill out if under 18

Education Include the name of the school, major/degree, and year graduated. (high school, college, grad school).

Related Work Experience Include the name/address of the company, your position, and the dates of your employment.

Camp Experience Include the name/address of the camp(s), your position(s), and the date(s) of your employment.

References Please list the name and PHONE NUMBER(S) of three individuals, not family members by birth or marriage, who are familiar with your work or who can give a character recommendation. Please include the name and address, type of position held/relationship and number of years known.

How did you hear about Miss Sue's? If someone referred you to us, please list their name below.

Age Group Preference:*

2-3 Boys & Girls3-4 Boys3-4 Girls4-5 Boys4-5 Girls

Activities Please list any activities you feel qualified to lead or assist.

Qualifications Please state or expand upon any special qualifications you may have for working with preschool age children or for particular activities (ex.Varsity sports, special achievements, experience working with children, etc).

When are you available for an interview?*

By checking this box you are stating that all of the information above is factual.

Yes

Send