DESIRED POSITION
ARTS AND CRAFTS SPECIALIST DAY CAMP COUNSELOR SUMMER CAMP SUPPORT STAFF

Assistant Director should email resume to: mmires@umd.edu
PERSONAL INFORMATION
UNIVERSITY ID (If UM Student):
NAME
CURRENT ADDRESS
CURRENT LOCAL PHONE
CELL PHONE
SUMMER ADDRESS
SUMMER PHONE
E-MAIL ADDRESS
DATE OF BIRTH
HAVE YOU EVER BEEN CONVICTED OF A CRIME, OTHER THAN A MINOR TRAFFIC OFFENSE?
YES NO
EDUCATION
COLLEGE
(ATTENDING OR GRADUATED)
COLLEGE GRADUATION DATE
(ANTICIPATED OR PAST)
MAJOR OR DEGREE EARNED
PREVIOUS WORK EXPERIENCE
ARE YOU CURRENTLY EMPLOYED BY CRS?
Yes No
IF YES, WHO IS YOUR SUPERVISOR?
WILL YOU BE EMPLOYED BY ANY OTHER DEPARTMENT ON CAMPUS THIS SUMMER?
Yes No
IF YES, WHAT DEPARTMENT?
PREVIOUS EMPLOYER #1
COMPANY
JOB TITLE
DESCRIPTION
OF DUTIES
DATES
REASON FOR LEAVING
SUPERVISOR
SUPERVISOR'S PHONE NUMBER
FULL-TIME PART-TIME
PREVIOUS EMPLOYER #2
COMPANY
JOB TITLE
DESCRIPTION
OF DUTIES
DATES
REASON FOR LEAVING
SUPERVISOR
SUPERVISOR'S PHONE NUMBER
FULL-TIME PART-TIME
 
PREVIOUS EMPLOYER #3
COMPANY
JOB TITLE
DESCRIPTION
OF DUTIES
DATES
REASON FOR LEAVING
SUPERVISOR
SUPERVISOR'S PHONE NUMBER
FULL-TIME PART-TIME
CAMP EXPERIENCE
CAMP EXPERIENCE
NAME OF CAMP
CAMPER COUNSELOR OTHER 
DATES
EXPERIENCE WITH CHILDREN
LIST ANY EXPERIENCE (WORK OR VOLUNTEER) WITH CHILDREN?
ACTIVITIES
Enter a "1" for activities you can organize and teach, a "2" for activities you can assist with, or a "3" for activities you have an interest in.
1 2 3 BADMINTON
1 2 3 ORIENTEERING
1 2 3 BASKETBALL
1 2 3 PAINTING
1 2 3 CAMPING
1 2 3 POTTERY
1 2 3 CHILDREN'S GAMES
1 2 3 PUPPETRY
1 2 3 CLOWNING OR MAGIC
1 2 3   ROCK CLIMBING
1 2 3 CREATIVE DRAMA
1 2 3 SOCCER
1 2 3 DANCE
1 2 3 SOFTBALL
1 2 3 ECOLOGY/RECYCLING
1 2 3 SWIMMING
1 2 3 FOOTBALL
1 2 3 TABLE TENNIS
1 2 3 GYMNASTICS/TUMBLING
1 2 3 TENNIS
1 2 3 HIKING
1 2 3 VOLLEYBALL
1 2 3 MARTIAL ARTS
1 2 3 WEIGHT LIFTING
CERTIFICATIONS
AMERICAN HEART ASSOCIATION CPR AMERICAN RED CROSS ADULT CPR/AED
AMERICAN RED CROSS INFANT/CHILD CPR AMERICAN RED CROSS FIRST AID
OTHER  
REFERENCES
REFERENCE NO. 1 – NAME
RELATIONSHIP TO APPLICANT
DAYTIME PHONE
REFERENCE NO. 2 – NAME
RELATIONSHIP TO APPLICANT
DAYTIME PHONE
REFERENCE NO. 3 – NAME
RELATIONSHIP TO APPLICANT
DAYTIME PHONE
QUESTIONS
How did you find out about TERP Quest employment?

Are you available to work 35-40 hours/week from JUNE 30 through August 8, 2008?

Yes No
Are there any days during this 6-week period when you are NOT available to work?

Will you be in College Park and available for interviews March 24 through April 5?

Yes No

Why do you want to work for TERP Quest Summer Day Camp?

APPLICANT STATEMENT
By my submission, I attest that the statements in this application are true and complete.  I authorize the University of Maryland to investigate all information in this application.  I understand that untrue, misleading, or omitted information may result in my dismissal, regardless of the time of the discovery by Campus Recreation Services. 

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