CampCo Mini Application

Your Name:

Phone Number:



Have you interviewed with CampCo in the Past?:

Are you or will you be 18 years old by June 1st, 2017?

Are you or will you be 25 years old by June 1st, 2017?

Employment History:

List most recent or current employer first. Please include, Employer, Job Title, Summary of duties, Salary, Dates worked, Reason for leaving, Supervisor name/phone number and if we may contact.

Employer 1:
Employer 2:
Employer 3:


List at least 2 references other than the employers listed above, who are not related to you, who can tell us about your qualifications, responsibility level, etc... (professor, co-worker, etc...). Please include their name, how you know them and their phone number.

Reference 1:
Reference 2:
Reference 3:

Please provide us with a brief description of your Education:

Special Skills:

List Special skills that you have that may be helpful in working with children. Examples: Speak a 2nd language, art classes, sports activities, etc...

Swimming Skill Level (only needed for Summer Staff):

What is your swimming skill level & comfort? Are you at a swimming level that you can comfortably swim twice the length of a standard pool? Are you comfortable swiming in a lake? Are you comfortable swimming in water 6 feet or deeper? Do you have any water/lifesaving certifications?


Considering school, jobs, other commitments, what hours of the day are you regularly UNAVAILABLE to work 2017/2018 School year?







What is the first date you are available to work?

What is the last date you are available to work?

Have you ever been convicted of a felony?


Applicants called in to interview will be required to fill out the Full CampCo Application at or prior to the time of interview.