Merrowvista Returning Staff Application

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Welcome to the 2010 Returning Staff application for a seasonal position at Merrowvista!

This application contains 8 short sections and should take you approximately 20 minutes to complete. You may save your work at any time using the buttons at the bottom of the page and return to complete the form later. Fields that are required are marked with a red asterisk (*), and you will not be able to move to the next page until you type a response.

If you have any trouble with this form, please contact us at Merrowvista, (603)539-6607. We will contact you when we have read your application. If you do not hear a response with 48-72 hours, please call to be sure that the form was submitted. Thank you for your continued interest in our programs. We look forward to receiving your application.

General Information

Please tell us a little bit about yourself.






mm/dd/yyyy

mm/dd/yyyy












Current or College Contact Information








Permanent or Home Contact Information

Leave this section blank if you have only one address.






Position(s) Sought

Select all positions for which you are qualified and in which you are intersted. You can read more about these positions and their requirements on our website .


























Education

High School



College/University





Other Education



References

Please list one person who has worked with you (employer, professor, etc.) since you left Merrowvista who could serve as a reference.

Reference





(Rounded to the nearest year)

Certifications

Please indicate any current certifications you hold, including expiration date or the date you will be certified. CPR is required for all positions. If you are not currently certified, please indicate the date in which you plan to take a course.

Date your certification expires or date of a course you have signed up for.

Date your certification expires or date of a course you have signed up for.

Date your certification expires or date of a course you have signed up for.

Date your certification expires or date of a course you have signed up for.

Date your certification expires or date of a course you have signed up for.

Date your certification expires or date of a course you have signed up for.

Date your certification expires or date of a course you have signed up for.

Date your certification expires or date of a course you have signed up for.

Date your certification expires or date of a course you have signed up for.

Name of White Water Canoe Course


Personal Insight Questions

Please respond to the following question.

You may cut and paste a response or type in this box.

Skill Development

If you are applying for a position you have not previously held, please explain below.

You may cut and paste a response or type in this box.

Employment Eligibility



A conviction or court-martial is not necessarily a bar to employment. You may exclude minor traffic violations.




Personal Commitment

If selected for a leadership position with the American Youth Foundation, I will assume my responsibility conscientiously, give the camp and its directors my support and best effort, and at all times set the proper example for campers. I agree to abide by the American Youth Foundation’s policy prohibiting the use and possession of tobacco, alcohol and other illegal drugs on camp property. In addition, I will not be under the influence of such substances on camp property. Before commencing employment, I will obtain certification in CPR and First Aid, provide verification of a clear criminal history, provide three written letters of reference, furnish a current physical examination and health history form, furnish legal documentation of my eligibility to work in the United States, and complete any necessary forms (i.e. tax withholding forms, I-9, etc) required for employment and participation with the AYF.


State laws require a police record search on all adults working with children under the age of 18. Please indicate consent to such a search.

Please read carefully before submitting your application.

I hereby certify that my answers on this application are true and I understand that any information withheld or falsely provided by me in connection with the foregoing application may be grounds for rejection of my application or will subject me to immediate termination of employment. I understand this application is not an obligation to provide employment. The application will be kept active for 6 months and it must be renewed to be active for a longer period. I also recognize that my employment is based on receipt of satisfactory information from former employers or references. I hereby authorize the American Youth Foundation (AYF) without liability to contact prior employers (present employers, if authorized). I also authorize references given by me and authorize said employers or references to make full response to any inquiries by the AYF concerning this application for employment. Inasmuch as said information concerning my performance and conduct as an employee is furnished at my specific request and for my benefit, I hereby agree to hold harmless the AYF and all former employers and references listed on this application from any liability or claims of whatsoever nature. The employment relationship is by its nature a mutual one and I understand that just as I am free to terminate my employment at any time and at my option, with or without notice, AYF retains a similar right. I further certify that I have read the foregoing information and herewith knowingly make this authorization by setting forth my signature below.


As an Equal Opportunity / Affirmative Action Employer, the AYF will afford all qualified applicants consideration for employment without discrimination based on race, creed, color, sex, religion, national origin, ancestry, sexual orientation, age, veteran status, physical or mental disabilities.

The American Youth Foundation's Camp Merrowvista     www.ayf.com
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