Camp Agawak
Agawak
715.356.5383
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JOBS

WORKING AT CAMP AGAWAK
Simply fill out the employment application form below. We will contact you once we have reviewed your information.

General Information:
Name: Social Security No.
Sex: Male Female Date of Birth
Permanent Address: Phone:
City:
State:
Zip:
Country:
School/Business Address: Phone:
City:
State:
Zip:
Country:

 

Additional Information:
E-mail
Married? Yes No Engaged Children? Yes No
In case of Emergency: Contact:
. Relationship:
. Telephone:

Have you ever been arrested or convicted of a criminal offense or are you at present, the subject of a criminal investigation?

Yes No

If yes, please specify:

Have you ever been charged with or convicted of sexual abuse or molestation?

Yes No

 

Medical History
If you are accepted you are required to have a doctor confirm your medical history and fitness for the Camp Agawak program.
Any physical disabilities? Yes No

If yes, what are they?

Any allergies? Yes No

If yes, please specify:

Do you smoke? Yes No
Camp Agawak is a smoke free environment.   Are you prepared not to smoke for the summer on camp premises?  Yes No
Are you presently on any medication? Yes No

If yes, please specify:

Have you ever suffered a nervous breakdown, depression or other emotional disorders?

Yes No  

If yes, please specify:

Are you currently or have you ever received psychiatric care? Yes No

If yes, please specify:

Do you have any visible tattoos or body piercing? Yes No

If yes, please specify:

Have you ever suffered from an eating disorder? Yes No

If yes, please specify:

 

Education:
Years: School: Major Subjects: Degree Granted:
-
-

 

Past Employment (List previous two summers or years):
Dates: Employer: Phone: Nature of Work: Supervisor: Reason for Leaving:

 

Indicate any employer you do not wish us to contact and the reason:
Camp Experience:
Dates: Camp: Director: Phone: Camper or Staff:

 

Camp Experience(List two past supervisors and one person who is not related to you who have knowledge of your qualifications for the position for which you are applying):
Name: Address & City: Phone:

 

Position:
What type of position do you want at camp:
Salary Desired:
Dates Available: From To

 

In the following list, type 1 if you can teach and organize the activity as an expert; 2 for those activities in which you can assist in teaching; and 3 for those which are just your hobby.  Otherwise, leave the space blank.
Challenge
Climbing/Rappelling
Rope Course
Miscellaneous
Fishing
Arts & Crafts
Dramatics
First Aid
Piano
Photography
Outdoor Living
Hiking
Outdoor Cooking
Overnight Camping
Backpacking
Sports
Archery
Baseball
Basketball
Biking
Gymnastics
Football
Golf
Hockey
Running
Roller Blading
Soccer
Softball
Tennis
Volleyball
Waterfront Activities
Canoeing/Kayaking
Diving
Lifeguard Training
WSI
Sailing
Scuba
Swimming
Water-Skiing
Windsurfing

 

Do you have any certificates in any of the areas you selected above?

 

Answer these questions only if applying for a position requiring driving:
Do you have a valid driver's license?  Yes No State

 

What contributions do you think you can make at camp?
What contributions do you think a well-run camp can make to children?

 
Are you available for an interview?   Yes No Where?

I hereby certify that the answers and other information on this application are true and that I understand any misrepresentation or omission of facts on my part will be justification for separation from the company's service, if employed.

 Check this box if you agree to the above statement.



Your complete application form will be maintained in our active files for six (6) months from the date of application.   You may submit a new application at any time.

We are an equal opportunity employer, and we do not and will not discriminate on the basis of race, religion, national origin, sex, age, handicap, marital status, or status as a disabled veteran.  Information provided on this application will not be used for any discriminatory purpose.

 

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Camp Agawak | 7851 Agawak Road | Minocqua, Wisconsin 54548 | (715) 356-5383
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