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Section
1. General Information:
| How did you learn
about Camp Lohikan? |
Search Engine: |
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Web Directory: |
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Other Source: |
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| Do you have any dietary
restrictions? If yes, please explain: |
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| Do you smoke? |
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Are you currently taking
any RX drugs for a medical condition or recurring disease? |
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Do you swim? |
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| Do you have any
condition that might limit your ability to watch over/safeguard
children or are there any reasons you may have difficulty in
performing any of the essential elements of being a camp staff
member? If yes, please explain. |
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Section
2. Professional Skills and Experience:
In this section we ask that you describe the extent of your cooking
skills and food service experience. We would specifically
like to know the cooking areas in which you have worked and the extent
of your knowledge.
| What foods have you
prepared in quantity? |
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| With what kitchen
equipment have you worked? |
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| Baking experience? |
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| Vegetarian menu
experience? |
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| Salad Bar experience? |
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| What is the extent of
your food and supply ordering experience? |
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| What is the extent of
your kitchen management/supervisory experience? |
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| Other experience/skills: |
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Section 3. Education:
Section
4. Character References:
| Please list names and
telephone numbers of 3 people (not relatives) who have knowledge
of your abilities, experience and character. |
Section
5. Previous Camp Employment:
| If you have worked at a
camp previously, please complete the following information for
each camp employment. |
Section 6. Employment History:
Please list your employment for at least the past 3 years.
| Have you ever been
convicted of child abuse or a sexual abuse offense? |
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| Have you ever been
accused or convicted of a felony or misdemeanor? If yes, please
explain: |
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The statements made in this
application are true, complete and correct. I understand that any
misrepresentation of information shall be considered sufficient
reason for withdrawal of an application with Camp Lohikan.
I hereby authorize Camp Lohikan or
its authorized representatives bearing this release or copy
thereof to obtain any information pertaining to my employment,
military, credit, criminal, driving record, workers compensation
claims, or educational records, including but not limited to
information concerning academic achievement, attendance,
disciplinary actions, criminal or civil court records, credit and
driving history, character, work habits, performance, experience
and reasons for termination of past employment. I hereby direct
you to release such information at the request of Lohikan or its
representatives.
By electronic submission of this
application to Camp Lohikan, I understand and agree to the
conditions set forth above.
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