EMPLOYMENT APPLICATION
FOR CAMP HILLARD
BOX 1226
SCARSDALE, NEW YORK 10583
Phone: (914) 949-8857; Fax: (914) 949-5843
staff@camphillard.com

Please fill out this application and press "submit" to send us your application. If you would prefer to print out the application in Microsoft Word and submit via fax or mail, click here to download.

A PERSONAL INTERVIEW IS REQUIRED.

Counselor Position Applied For
(General or Specialty: if specialty, please specify):
Last Name:
First Name:
Sex:
Home Address:
City: State: Zip: Home Phone:
E-Mail Address: Age as of this JULY 1:

School Name:
School Address:

EDUCATIONAL BACKGROUND
(Please list most recent first and work backward):
Colleges Attended/ Attending Class Year of
Graduation
Degree

Major Course of Study:
Minor Course of Study:

College Extra-Curricular Activities:

High School Attended/Attending Present Class Year of Grad.

High-School Extra-Curricular Activities:

If High-School Senior, what are your plans for the Fall?

Work Experience
(Start with current, or most recent job, and work in reverse order)
Summer Employment: (related or unrelated to camp)
Position Organization Name Year Salary City & Phone
Winter Employment: (full time or part time)
Position Organization Name Year Salary City & Phone

Camper Experience
Camps Attended Year(s) Age(s) Favorite Activities

Swim Information and Certifications
Swimming Ability:

Please check below any American Red Cross certifications you currently hold,
along with expiration dates.

CPR/FPR - Exp. Date
COMMUNITY FIRST AID - Exp. Date
RESPONDING TO EMERGENCIES - Exp. Date
LIFEGUARD TRAINING - Exp. Date
WATER SAFETY INSTRUCTOR - Exp. Date
OTHERS - Please Specify

Miscellaneous Information
Check any of the following you would be interested in (Extra Salary):
BUS OR VAN COUNSELOR
DRIVING A CAMP VEHICLE (Must be 23 years old or older)
PARKING / TRAFFIC CONTROL
SWIMMING POOL VACUUMING & MAINTENANCE (7:30-8:50 a.m. daily)
TRANSPORTING CAMPERS IN YOUR OWN CAR (Must be 23 years old or older)
Year and make of Car
Numbers of Campers
SPRING MAINTENANCE
SPRING ADMINISTRATIVE WORK

Check off below those sports/activities in which you have significant experience and feel you would be able to organize and teach:
Archery Gymnastics Newspaper
Arts & Crafts Hockey Photography
Basketball Horseback Rocketry
Ceramics Jewelry making Soccer
Chess Music (Specify Instrument) Softball
Dance
Theater
Golf Nature Study Tennis

If you have worked with children before, what age groups have you worked with?

Please use the space below to tell us of any other qualifications
you have working with young children.

Do you require transportation to camp?

How did you hear of this job?

REFERENCES
Please list 3 references - preferably at least one person who employed you, and a school reference (advisor, guidance counselor, teacher, coach, etc.). No more than one personal reference. No reference should be related to you.
Name of Reference Phone E-mail Title

THANK YOU FOR YOUR INTEREST IN CAMP HILLARD!