Junior Counselor Application

*First Name

*Last Name

*Summer camp work involves close contact with children. Have you ever been investigated, arrested or convicted of Child Abuse, Neglect or Related Charges?
YesNo

If yes, please explain. (An arrest or conviction record does not automatically disqualify a candidate; each person is evaluated based upon individual circumstances.)

*Camp work requires physically demanding activity including but not limited to hiking, running (during sports play) and lifting and carrying. Do you have any physical limitations that would prevent you from performing the work for which you are being considered?
YesNo

List camp-related or other relevant activities in which you have a moderate or high degree of expertise and tell where/how you developed this experience.

*List 3 personal references (persons not related to you whom you've known for at least 1 year; give names/emails/phone #'s)

*Write one to two paragraphs telling us why you would like to be a Junior Counselor at Camp Woodmont and why you would make a good member. Be sure to comment on anything not covered already.

I certify that all information given on this application is true and I authorize investigation of all statements and information given in this application. I understand that misrepresentation or omissions of facts is cause for dismissal. I have read and agree with the philosophy of Camp Woodmont as stated here and agree to abide by all policies, rules and regulations of the camp. I also authorize Camp Woodmont to secure an employment screening profile, including a criminal/background check and authorize the release of or securing of information for this purpose.