Downloadable form

Position(s) applying for: ____________________ Paid ____ Volunteer ____ Date __________

Name: ___________________________________ SSN# _______________________________

Address: ______________________________ City: ___________State: ________ Zip: ________

Phone: _______________________ E-mail Address: _________________________________

Dates available to work: From ________to _______.

Do you have a valid driver's license? __ Yes __ No

Will you need reasonable accommodations (Americans with Disabilities Act) to perform the essential functions of the job(s) you are applying for? __Yes __No.

If so, explain what you will need in order to be able to do the job: ____________________________________________________________.

Education Years High School/College College Major Degree Granted

Work Experience: Provide a full record of all employment for the last 10 years paid and volunteer and explain any gaps. Use separate sheet if needed.
Start & End Dates Employer & Supervisor Address & Phone Nature of Work Reason for Leaving

Personal References – Give information for 3 persons (not relatives) who know your character, experience, work habits, abilities, etc.
Name Address & City Phone

What contribution do you think you can make at camp? (List skills, talents, expertise)

What contributions do you think that a well run camp can make to children?

I understand that I must sign a separate document (Disclosure & Authorization Form 2) that will authorize a criminal and/or other background check as a condition of my employment.





Mail with Disclosure & Authorization Form.
To: Three Links Youth Camp,
c/o Joy Maestretti, 112 Palin Ave. Galt, CA. 95632

If accepted, a physical examination may be required. All statements become part of any future personnel files and are treated confidentially.