Please provide all information as completely as possible. If you have any trouble with the form or have any questions, e-mail the Associatie Director or call (410) 643-4171. * Denotes required fields.

Personal Information
* First Name
  Middle Initial
* Last Name
*
Current Address, City, State, Zip
*
Permanent Address, City, State, Zip
*
Current Phone (xxx-xxx-xxxx)
*
Permanent Phone (xxx-xxx-xxxx)
 
Primary E-mail Address
 
Secondary E-mail Address
*
Gender
 
Desired Position
*
Dates of Availability
* Will you be at least 18 years old by June 1 of the summer in which you are applying to work? Yes No

Education History
*Please list your high school and college educational history here starting with the most recent. Note degrees granted and majors.

Training and Job History
*Please list all paid and volunteer work experience you have had in the past five years. List company name, address, phone number, name of supervisor, and dates of employment as completely as possible.

References
List three character references. These references should include people who have seen you work with children, people familiar with special skills that you might use at camp, and at least two people who have known you for more than one year. If you are currently in school, please include at least one faculty or school administrator reference. Please include a full address, city, state, zip code, phone number, and how this person knows you. Work supervisors may be used as references. In addition, download a reference form to send to each of your three references. Have the reference fill out the form and send mail it to Camp Wright, 400 Camp Wright Lane, Stevensville, MD 21666, Attention: Associate Director
*1.
*2.
*3.

Conviction Statement
* Have you ever been convicted of a felony or do you have felony charges pending against you? Yes No
* Have you ever been convicted of a felony or misdemeanor (other than minor traffice violations), or are there charges pending against you? Yes No
* Have you ever had a substantiated child abuse, child sexual abuse, or child neglect case against you? Yes No
* Is there a petition pending naming you in juvenile, civil, or criminal court concerning child abuse, child sexual abuse, or child neglect? Yes No
  If you checked "Yes" to any of the above, please provide information relating to the conviction, offense, or pending charge:

Applicant's Statement
I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained herein and the references listed herein to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand that I am required to abide by all rules and regulations of the employer.

Typing your initials and your driver's license ID # below means that you understand and agree with the terms in the statement above.
* Initials and driver's license ID #  
  Parent/Guardian Initials if Applicant is Under 18
* Date (mm/dd/yy)