**Please mail in your job application.  Faxes are often too hard to read!

 
MT. HOOD SUMMER SKI CAMP, INC.
Employment Application
(print neatly)

NAME__________________________________ S.S.#_________________________

PERMANENT MAILING ADDRESS __________________________________________

CITY _________________________ STATE _______ ZIP CODE _________________

HOME PHONE_____________________ CELL PHONE ________________________

EMAIL _____________________________________________ AGE_________

PHYSICAL: Do you now have or have you ever had, within the last six months, any contagious or communicable diseases, or gastro-intestinal infections, or have you ever had hepatitis or salmonella?

YES _______ NO _____ If yes, explain _______________________________

SKIING OR SNOWBOARDING GOALS: Give a brief description. ___________________________________________________________________

What training or experiences have you had and what qualities do you possess that will create a more positive experience for our campers?____________________________________________________________________

_____________________________________________________________________

DRIVERS LICENSE #______________________________________  STATE _______

JOB APPLIED FOR________________________________________

YOUR AVAILABILITY: Camp starts May 30, 2010 and ends September 4th, 2010.

STARTING DATE_______________________ ENDING DATE _________________

WHICH YEAR(S) WERE YOU A CAMPER? ________________

EDUCATION: Last School Attended.

NAME___________________________________ LOCATION______________________

LAST GRADE COMPLETED______________________ G.P.A.____________________

TWO MOST RECENT JOBS: or references

COMPANY_______________________________LOCATION________________________

POSITION____________________________ PHONE __________________________

SUPERVISOR_________________________

DATES WORKED: FROM_________ TO ___________

REASON FOR LEAVING___________________________________ SALARY_________
 

COMPANY______________________________LOCATION________________________

POSITION____________________________ PHONE __________________________

SUPERVISOR_________________________

DATES WORKED: FROM_________ TO ___________

REASON FOR LEAVING___________________________________ SALARY_________

Are you Certified Lifeguard?  (circle)  YES   NO

Do you have a current Red Cross First Aid Card? (circle) YES   NO

What training or experiences have you had and what qualities do you possess that will create a more positive experience for our campers?____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

If you are applying for a Counselor position, I understand that as a vehicle driver, I may be subject to random drug testing.  Signature _____________________________ Date___________

I certify that the information in this application is correct to the best of my knowledge and understand that deliberate falsification of this information is grounds for dismissal in accordance with the policy of MHSSC. I authorize the references listed on the other side of this application to give you any and all information concerning my previous employment and pertinent information they may have, personal or otherwise and release all parties from liability for any damage that may result from furnishing same to you. I acknowledge that, if I become employed, I will be free to terminate at any time for any reason and MHSSC retains the same rights.

 

Date___________________________ Signature___________________________________

If you are applying for a "camper/staff"  or "camper/digger" positions, please fill out and send in both the employment application and camp application forms.