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Facility Employment Application

Camp John Marc is looking for part-time individuals to join our facility staff who are team players, have the ability to work a flexible schedule, follow direction, and to work independently.

Criteria for employment:

be at least 15 years old (with transportation to/from camp)
be able to safely lift 50 lbs. (with/without reasonable accommodation)
be legally eligible for employment in the US (proof of citizenship/immigration status will be required upon employment)
submit a criminal background check (individuals 18 years old and older)
Camp John Marc requires all employees, staff, and volunteers to receive the COVID-19 vaccine.

By checking this box, I agree that I have read and meet the above criteria.

Yes

Contact Information

Name

First Name

Last Name

Verify Email

Mailing Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Home/Physical Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Date of Birth

(mm/dd/yyyy)

Cell Phone

Home Phone

Driver's License Number

Write N/A if you do not have a DL and PERMIT if you are working on your DL.

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

Past Employment (list Dates of Job, Employer, Address, Phone #, Reason for Leaving):

From whom or how did you hear about Camp John Marc?

References

Please list the details of three (3) persons who have knowledge of your character, experience, and abilities. One reference must be a person of the opposite sex, one a family member, and the rest non-family members.

Reference # 1 Name

First Name

Last Name

Reference #1 Phone Number

Reference #1 Email

Verify Email

Reference # 2 Name

First Name

Last Name

Reference #2 Phone Number

Reference #2 Email

Verify Email

Reference # 3 Name

First Name

Last Name

Reference #3 Phone Number

Reference #3 Email

Verify Email

Have you ever been accused of, charged with, or convicted for any crime, including child molestation or any crime endangering a child?

Yes

If yes, please explain

Have you ever been charged with DUI or other motor vehicle offense?

Yes

If yes, please explain

Have you ever been fired or terminated for cause from any job, or have you ever been suspended or required to withdraw from a school?

Yes

If yes, please explain

COVID-19 Vaccine Card (front)

Please upload a copy of your vaccination card.

COVID-19 Vaccine Card (back)

Please upload a copy of your vaccination card.