Personal Information
Full Name:
Name for Staff Pin:
Last School Attended:
Year of Graduation:
Current Employer:
Recent Internship or Practicum Experience (if any):
Most Permanent Address:
Preferred Telephone:
Preferred Email Address:
What size Staff polo shirt would you like this summer?
Current Certifications with Expiration Dates:
WSI Expiration Date:
CPR Expiration Date:
First Aid Expiration Date:
Lifesaving Expiration Date:
US Small Boat Instr. Expiration Date:
EMT Expiration Date:
High School Diploma    
Special Ed.    
State Teaching Cert.    
Number of summers at BDC/TFS:
The last summer you worked at BDC/TFS was summer:
The last position you held at BDC/TFS was:
If you did not work at BDC/TFS last summer or recently, what have you been doing in the summer?
Can you commit to returning to camp next season? Yes No
If you can not commit to BDC right now, what is holding you back? (Housing? An internship? Travel?) And when do you think that you will know for sure either way? (Late winter? Not until June?)
When you return to BDC, what would you love to do? Please be specific. Include age, hill, tent group, activity, co-counselor, etc. (Be bold, we really do want to know the specifics!)
In what ways do you think that you will be fantastic in the above position? What experience and/or expertise will you bring to this job at camp? (Be specific - this is an interview question!)
Tell us one thing that you accomplished or feel proud of since we last saw you.
Describe one of your fondest memories from last summer and tell us why.
Would you like to be considered for any of the BDC Extra Jobs? If yes, Which ones? Please tell us why you think you would be exceptional at this particular job and why you want to do this extra work.

Pre-Camp Set Up in June
Parking Lot
After Hours Cleaning Crew
Snack Prep/Clean Up
Yes No

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.
* I agree

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