Returning Staff Application - Black Bear Lake Day Camp

Name*

First

Last

Gender

Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Do you live at school?

Year in School Sept. 2024

Email Address You Check Most Often*

Cell / Work Phone*

Will you be 18 Years or older as of June 24, 2024?

Yes
No

The Camp season is from June 24th - August 16th 2024. Are you available to work the entire 8 weeks (39 days)?

Yes
No

Describe one of your fondest memories from last summer and tell us why.

Would you like to be considered for any of the BBL Extra Jobs?

Yes
No

If yes, Which ones?

Pre Camp Set Up In May
Pre Camp Set Up In June
Before Care
After Care

Authorization*

I Agree

I authorize investigation of all statements herein and release and all others from liability in connection with the same. I also authorize BBL to conduct necessary background checks, including criminal investigations to determine my fitness for the position applied for. I understand that, if employed, I will be an at-will employee and that any agreement to the contrary must be in writing and signed by the director of the camp. I also understand that untrue, misleading, or omitted information herein may result in dismissal, regardless of the time of discovery by the camp. In addition, I have never been the subject of an investigation relating to the physical or sexual abuse of another person.

ELECTRONIC SIGNATURE*

(Please type name)

DATE*

(Please type date)

I consent to my submitted data being collected and stored.*