JCC Camp Chi 2010 Employment Application

JCC Camp Chi

Winter: 5050 Church Street • Skokie, IL 60077 • 847.763.3551 •847.763.3680 (fax)
Summer: P.O. Box 104 • Lake Delton, WI 53940 • 608.253.1681 • 608.253.7328 (fax)
info@campchi.com • www.campchi.com

Completion of this forms requires a valid email address. If you do not have an
email address, download and complete this form and mail to the Winter address above.
 

Personal Information
Name  Male Female
Have you been previously employed by JCC Chicago?  Yes No        If yes, when?
Position(s) applied for: Primary:   Other Positions?
Availability Dates             From    To

Special Time Off Request    From    To

Reason

Email    * Required Field
 
Permanent Home Address
Street Address    
City State Zip

Telephone #

 Cell #
 		    
Temporary Address (if currently living away from home)
Street Address    
City State Zip
Telephone # Cell #    
           
School Attending
           
Are you 21 or older?  Yes No        If you are under 18, please provide your age
Are you legally eligible for employment in the United States?  Yes   No
Have you ever been convicted of a felony? Yes   No
If yes, please explain 
Do you require summer housing for family members other than yourself?  Yes   No
         

Educational  Information
School Name # of Years Major Degrees Received
High School
College
Graduate
Other
         
Are you interested in seeking an internship opportunity this summer?      Yes  No
       

How did you hear about Camp Chi?
Newspaper ad Magazine ad
Friend       Who? College career center or professor
Previous Camper    
Other?      Website          Which one?
           

Work History
  Position held Company Contact Info Dates worked Reason for leaving
1.
2.
3.
  May we contact the employers listed above? Yes  No  
  If no, please indicate which one(s) you do not wish us to contact:
           
           

Camp Experience
Have you ever been a camper? Yes  No If yes, where?
Have you ever worked at another camp? Yes  No If yes, where?
       

Camp-Related Experience
Please discuss any experience you've had working with children (list ages and your responsibilities).

 
Describe any leadership positions you have held.

 
Please describe any skills and experience you have that directly relate to the positon for which you are applying.
     
What, if any, current certifications do you hold?
First Aid CPR Red Cross Lifeguard Red Cross WSI
Bronze Medallion Ski Boat Driver Commercial Drivers license Canoeing & Boating
Wilderness 1st Aid Teaching Certificate Wilderness First Responder Other
 
Why would you be a fun person to work at camp?
 

References
1. Name   Position/Title
  Address City State Zip
  Phone Email        
  Relationship to applicant      Length of time known
           
2. Name   Position/Title
  Address City State Zip
  Phone Email        
  Relationship to applicant      Length of time known
           
3. Name   Position/Title
  Address City State Zip
  Phone Email        
  Relationship to applicant      Length of time known
                 
                 

Comments
Tell us more about you. Is there anything else we should know when considering you for employment?

Please Read and Sign Below


I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct without any mental reservation whatsoever. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. Any JCC offer of employment is conditional and subject to the results of any criminal conviction background check on you conducted by the JCC or on its behalf.

I hereby authorize Jewish Community Center of Chicago (“JCC”) to thoroughly investigate my references, work record, education and any other matters related to my suitability for employment and, further, authorize my former employers to disclose to JCC any and all of my employment records, including disciplinary reports and letters of reprimand, without giving me notice of such disclosure. In addition, I hereby release JCC, my former employers, their respective directors, officers, employees and agents, and all other persons from any and all claims, demands and liabilities arising out of or in any way related to such investigation or disclosure.

I understand and agree that if I am employed, my employment and compensation are for no definite or determinable period and may be terminated at any time, with or subject only to the express terms of any applicable collective bargaining agreement. I further understand and agree that no representative of JCC has any authority to enter into any agreement for employment for any specified period of time or to make any binding representations or agreements, whether oral or written, contrary to the foregoing. This application will remain active for only ninety (90) days. If you have not heard from JCC after 90 days and you will wish to be considered for employment, you will need to fill out and submit a new employment application.
The following typed name serves as my signature affirming this application:   

Date:
 

Standard EEO Statement

JCC Chicago is committed to the principle of equal employment opportunity for all applicants and employees in accordance with all applicable federal, state and local laws. No applicant or employee will be denied opportunities for employment or advancement because of race, color, creed, religion, sex, age, national origin, ancestry, marital status, unfavorable discharge from military service or disability in accordance with those laws.