Employment Application

Outta Bounds Events Inc.
"Enriching the lives of families and children in
the community by providing quality activities,
camps, and events for school-age youth."

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Summer Camp Counselor Application

Name:		Date:
Address:
City:		State:
Zip:
Home Phone:	Cell Phone:
Email:

Hourly wage desired:

US Citizen:

Age 18 or above:

College graduate:

CPR certified: By whom:

1st aid certified: By whom:

Presently employed: If so, where:

May we contact your present employer:

Employer Contact Name: Ph. Number:

Can you perform the essential functions of the job you've applied for with or without reasonable accommodations?

Dates of availability:

From: To:

Hours of availability:

	From	To
Monday
Tuesday
Wednesday
Thursday
Friday

Personal References:

Name	Relationship	Phone Number

Employment History
Please list most recent job first and include paid and volunteer positions.

Employer:		Job Title:
Phone Number:		Supervisor:
Start Date:		End Date:
Duties and Responsibilities: Reason for Leaving:

Next Job

Employer:		Job Title:
Phone Number:		Supervisor:
Start Date:		End Date:
Duties and Responsibilities: Reason for Leaving:

Next Job

Employer:		Job Title:
Phone Number:		Supervisor:
Start Date:		End Date:
Duties and Responsibilities: Reason for Leaving:

Early Childhood Education Units:

Class	Units	School

Education (High School and beyond):

Years	School	Major	Degrees Granted

What are three words that describe your personality, and what importance do they play in working with youth?

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

What contributions do you plan to make at camp?

Check any talents and interest you would bring to the program.

	Rock climbing		Sewing
	Soccer		Cooking
	Swimming		Painting or Drawing
	Football		Puzzles and Challenges
	Baseball		Children’s Arts and Crafts
	Basketball		Scrap booking
	Hockey		Public speaking
	Volleyball		Music
	Group Games		Dance
	Paintball		Computer and Internet
	Fitness, Health and Nutrition		Sign Language
	Science and Nature		Photography / Video
	Camping		Fishing
	Hiking		Foreign Language
	Lifeguard		Woodworking
	Bicycling (have a bike)		Singing
	Skateboarding or Rollerblading		Snowboarding or Skiing

Last chance to sell yourself for the job. (special trainings, certifications, experience)

Harassment

Outta Bounds Events Inc.'s policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, and other forms of harassment. Have you ever been accused of harassment of any person including, but not limited to, workplace harassment?

(Note: a prior accusation is not an automatic bar to employment. The type of accusation and when it occurred will be evaluated by the camp before any decision is made).

Criminal Record

Have you ever been convicted of a crime, other than a minor traffic offense?

If yes, please describe. (Note: a prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated by the camp before any decision is made).

In typing my name below, I agree to provide any documentation needed to verify my application information, and declare that all of the information provided is true. I authorize investigation of all statements herein, including any checks of criminal records and release the Outta Bounds Events Inc. and all others from liability in connection with the same. I understand that, if employed, I will be an at-will employee. I understand that any agreement must be in writing and signed by the designated camp official. I also understand that misrepresentations or falsifications herein or in other documents completed or submitted by the applicant will result in dismissal, regardless of the date of discovery by Outta Bounds Events Inc.

Name:

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Serving the communities of Ladera Ranch, Mission Viejo, Las Flores, Laguna Niguel, San Juan Capistrano,
Rancho Santa Margarita, San Clemente, Dana Point, Lake Forest, Aliso Viejo and surrounding areas.

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