First Name:
*
Last Name:
*
Email: *
Social Security Number :
Birth Date: (00/00/0000)
Current Year/Grade In School:
Please
list in order of preference
the three areas you would
most like to work in:
Preference
#1: *
Preference
#2: *
Preference #3:
Why should
you be chosen? *
Year last worked at Tamarack:
Position:
Home Address: *
City: *
State/Province: *
Zip/Postal Code:
Country:
Home Phone:
Cell Phone: *
Parents Names:
Parents Phone:
University/College Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Have you ever been convicted of any crimes, including, but not limited to, sex-related or child abuse-related offenses?
*
Yes No
If yes please indicate the conviction, dates and circumstances:
Are there any felony charges, *
Yes No
I understand that this organization has the right to secure criminal history as part of their pre-employment screening process using the information provided above. I understand that the Central Records division of the Michigan State Police, Lansing, Michigan, requires the above information. I authorize the Fresh Air Society to utilize the above information for the sole purpose of obtaining a criminal history file search. All information provided on this application form is true to the best of my knowledge.
* I have read and understand the paragraph above.
Yes No
I understand and agree that if employed, my employment with Tamarack Camps is "At Will" and may be terminated, by Tamarack Camps or by me, at any time, with or without prior notice, and for any reason whatsoever or for no reason, with or without cause and that the nature of my employment cannot be modified except in writing signed by the Director.
*
Yes No
