Date___________ Fun Under The Sun Summer Day Camp Pierce College Job Application Please indicate position desired: Counselor_____ Jr. Counselor (under 18) ______ Sports Specialist _____ Crafts Specialist _____ Performing Arts Specialist ____ Cooking Specialist___ Extended Care Worker____ Personal Information: Last Name: _____________________Middle Initial: ______ First Name: ____________ Home Address: _____________City: _____________________ St: ___ Zip: ________ Home Phone: ( ) ___________Page/Cell: ( ) __________Email _______________ If you are under 18 years of age, do you have a work permit? _________ Student I.D. Number: _______________ Have you ever applied here before? Yes ___ No ___ If yes, give date _______________ Can you submit verification of your identity and legal right to work in the United States? Yes ___ No ___ If you are not a citizen, what is your status? ______________________________ Have you ever been convicted of a crime(Including sex related and child abuse related offenses)? Yes ___ No ___ If yes, please explain when, where and disposition. _____________________________________________________________________ _____________________________________________________________________ Past Camp Experience: Camper at: _____________________Dates attended: __________________________ Camper at: _____________________Dates attended: __________________________ Related Work Experience: Company Name: _______________________ Address: _____________________________ Job Title: _____________________________ Supervisor: ____________________ Phone: ________________________ Reason for leaving_______________ Company Name: _______________________ Address: _____________________________ Job Title: _____________________________ Supervisor: ____________________ Phone: ________________________ Reason for leaving_______________ (over) Skills and Miscellaneous Information: Honors and/or awards: ____________________________________________________ ________________________________________________________________________ Volunteer/Community Services: ______________________________________________ ________________________________________________________________________ What are your hobbies/interests that you can share at camp? _____________________ ________________________________________________________________________ What are your greatest assets? ____________________________________________ How do you use them to your advantage? ______________________________________ ________________________________________________________________________ What is your greatest achievement and why? __________________________________ ________________________________________________________________________ Why would you like to participate in this program? _______________________________ ________________________________________________________________________ What do you hope to contribute? ____________________________________________ ________________________________________________________________________ What do you hope to gain? _________________________________________________ References: List three (3) references (not related to you) Name: _______________Phone #: ______________ Relationship: ________________ Name: _______________Phone #: ______________ Relationship: ________________ Name: _______________Phone #: ______________ Relationship: ________________ I hereby certify that all the statements I have made are true to the best of my knowledge and belief, and I hereby authorize Fun Under the Sun Summer Day Camp to investigate any and all information contained on this application. I understand that if any of the statements made above are not true, I am subject to immediate dismissal. If hired, I agree to submit to fingerprint and background check. I further certify that I am authorized to work in the United States and can prove my eligibility for employment by submitting the necessary documentation. Please Complete, Sign and Return This Application Along With One Letter of Recommendation To: Fun Under the Sun Summer Day Camps 2633 Lincoln Blvd. #314 Santa Monica, Ca 90405 or Fax (818) 907-8221 For more information call (818) 907-8259 _____________________________________________ Signature of Applicant (Parent signature if under 18) _______________ Date