Camp Summertime

Employment Application

818-706-7335 / 805-375-2267 ~ P.O. Box 420, Agoura, CA 91376

mark@campsummertime.com

All staff may be needed to work at either of the following locations:

1. Calamigos Ranch, Agoura Hills/Malibu

2. California Lutheran University, Thousand Oaks

First Name	*
Middle Name
Last Name
Camp Position Applying For Sr. Group Counselor (must be minimum college age) Specialist / Instructor Horseback Instructor Lifeguard / Water Safety Instructor Director(must have Bachelor's degree) Office Staff Maintenance Gymnastics Specialist Tennis Specialist
Current Address
Street
City
State
Zip Code
Home Phone
Cell phone
Email Address
Drivers License Number / State
Summer Address / Where you will be living after June 9, 2023
Street
City
State
Zip Code
Dates of availability
Age groups you would like to work with		4 - 5 yrs 6 -8 yrs 9 -11 yrs 12-14 yrs
Education History
High School Name and dates attended
College Name and dates
College major and degree/date if completed
Other Certifications completed
Why do you want to work at a camp?
Why did you choose our camp to apply and work for?
What was your favorite teacher or role model and why?
List anyone that you know that has worked for Camp Summertime
Activity Experience: Put a 1(have played before), 2(can assist teaching) or 3(can lead activity)
Swimming		1 2 3
Soccer		1 2 3
Archery		1 2 3
Boating		1 2 3
Fishing		1 2 3
Rock Wall / Climbing		1 2 3
Music		1 2 3
Arts and Crafts		1 2 3
Ceramics		1 2 3
Leather		1 2 3
Song Leading		1 2 3
Volleyball		1 2 3
Marine Science		1 2 3
Video/Photography		1 2 3
Basketball		1 2 3
Hockey		1 2 3
Baseball		1 2 3
Zip Line / Ropes Course		1 2 3
Go Carts		1 2 3
Hiking		1 2 3
Horseback Riding		1 2 3
Leadership / Team Building		1 2 3
Fossil Study		1 2 3
Camp Experience
1 Camp Name and Dates Attended
2 Camp Name and Dates Attended
Will you be getting the Covid-19 vaccine prior to June 1, 2023?		YES NO
If you have already received the Covid-19 vaccine, list dates received.
Most Recent Work Experience
1 Employer: list dates, address, phone, supervisor email address
2 Employer: list dates, address, phone, supervisor email address
3 Employer: list dates, address, phone, supervisor email address
References / Must have supervised you in some way / Teachers, Coaches, Employer
1 Reference / Name, Address, Phone , email address(required)
2 Reference / Name, Address, Phone, email address(required)
3 Reference / Name, Address, Phone, email address(required)
1. Has your name ever been placed on the Central Registry of child abuse?	*	yes no
2. Have you ever been convicted of a felony?	*	yes no
3. Have you ever been convicted of driving under the influence of alcohol or a controlled substance?	*	yes no
Please explain any questions you answered yes in the 3 questions above
In order to safeguard the well-being of our campers, Camp Summertime will investigate the accuracy of all information provided during the application process. This investigation may include, but is not limited to, reference checks with past employers, the military, educational institutions, volunteer organizations, civic groups, and law enforcement agencies. As an applicant submitting this form, you consent to a professionally-conducted background check. Please note that Camp Summertime employees may be required to cooperate with random substance abuse testing.
Is there anything that would prohibit you from complying with this lifestyle and these policies?		yes no
If you checked yes or require any special accommodations to perform your duties, please explain:
Enter Security Code	*
By submitting this form,(hit the Agree and Submit button) I certify that all information I provided on this application and all other information provided as part of the application and interview process is correct and true.