Full Name:
Nickname:
Birthdate: (MM/DD/YY)
Social Security Number:
Permanent Address:
(Not School Address)
City:
State:
Zip:
Permanent Telephone:
Email Address:
Gender:
Male
Female
School Name:
School Address:
City:
State:
Zip:
Cellular Telephone:
Do you speak a second language?
Yes
No
Specify:
How did you hear about BDC?
Written Ad
Internet Search
School Job List
I am a BDC/TFS Alumni
Friend/Relative
Staff Member
Other:
Please give the name of staff member, friend, relative or alumni who referred you
Do you already have housing on Cape Cod?
Yes
No
Height:
Weight:
Hair Color:
Eye Color:
Smoker:
Yes
No
First day that you are available to work in June:
Last day that you are available to work in August:
Would you like to work in early June setting up
camp?
Yes
No
Would you like to work in late August putting
away camp?
Yes
No
Positions at Brewster Day Camp for which you would like to apply
(You may check as many as you would like and certainly more
than one.)
Tent Counselor for
year old children.
Activity Head for
activity.
Art Staff
Waterfront Staff
Swim Staff
Office Staff
Infant Swim
Toddler Staff
Preschool Staff
Please check as many of the activities listed below that you
have experience doing and with assistance could teach:
High School:
Graduation Year:
College:
Graduation Year:
Degree/Major
Graduate School:
Graduation Year:
Degree/Major:
Have you ever had a full-time (40 hr./wk.) summer job?
Yes
No
If yes, give dates and details:
Please complete the following information regarding three people
who will be completing references on your behalf. Please distribute
the BDC Staff Reference Form to each of these individuals for
their completion and return.
Name of Reference:
Your position or relationship to them:
Organization if any:
Address:
City:
State:
Zip:
Telephone:
Name of Reference:
Your position or relationship to them:
Organization if any:
Address:
City:
State:
Zip:
Telephone:
Name of Reference:
Your position or relationship to them:
Organization if any:
Address:
City:
State:
Zip:
Telephone:
Because we are a childcare provider, BDC is required by law to run a
background check on ALL of its employees and volunteers. Please disclose any incident,
no matter how minor or insignificant, and be prepared to discuss it during your interview.
In most cases, a YES answer will not prevent you from being hired. Thank you, in advance,
for your candor and honesty.
Have you ever been accused/convicted
of child abuse?
Yes
No
If yes, give dates and details
Have you ever been convicted of a
felony?
Yes
No
If yes, give dates and details
Have you ever been convicted of a
misdemeanor?
Yes
No
If yes, give dates and details
What is your comfort level in and around:
Canoes
No Experience
A Little Experience
Some Experience
A Lot of Experience
Expert
Kayaks
No Experience
A Little Experience
Some Experience
A Lot of Experience
Expert
Sunfish
No Experience
A Little Experience
Some Experience
A Lot of Experience
Expert
Why do you want to work at Brewster
Day Camp?
characters left.
List three things that you will contribute
to the BDC staff.
What teams have you worked with or
been a part of recently?
Name one personal strength and one
weakness:
Did you go to summer camp? If so,
what type of camp and for how long? What was your fondest memory?
What are your interests, hobbies?
With what age child do you feel most
successful working?
Years
What do you love about this age child?
What frustrates you most about this
age child?
What are the three most important
things for this child to learn and do at camp?
What else would you like us to know?
I hereby affirm that the information provided in this application
and any submitted material is true and complete. I understand
that any false or misleading representations or omissions may
disqualify me from further consideration for employment and
may result in discharge if discovered at a later date. I understand
that completion of this application does not assure me of a
position at Brewster Day Camp. I also understand that any employment
relationship that may be established will be "at will" and may be terminated at any time, with
or without cause, by me or Brewster Day Camp. I hereby authorize Brewster Day Camp
to investigate all information pertinent to my application in
order to determine my qualifications for employment. I hereby
authorize all persons and organizations having information relevant
to my application to provide that information to Brewster Day
Camp and I hereby agree to hold harmless Brewster Day Camp and
all those providing information to it from any liability arising
out of or as a result of the provisions or use of such information.
I understand that any offer of employment may be rescinded if
my references are inadequate or unacceptable to Brewster Day
Camp.
By clicking on the submit button, you are in essence providing
your signature.
When you have completed the application click
below.