Camp Lohikan's Cooking Staff Application

* Required Information
Name:
E-Mail Address:

Current Address:
Street:
State:
Town:
Zip:
County:

Permanent Address:
Street:
State:
Town:
Zip:
County:

Current Phone:
Work Phone:

Best time to reach you:
Social Security Number.
Gender:

Date of Birth:
 
Month/Day/Yr
Height: in inches
Weight: in lbs

Age by next July:
Are you married?
# of Kids:
Are your Children coming with you?

    Age Sex     Age Sex
Age and Sex of Children
Child1:
 
Child2:
Child3:
 
Child4:
Child5:
 
Child6:

Is your spouse interested in working at camp?   Yes  No   If yes, please indicate what your spouse would like to do at camp:

Do you have a valid driver's license?
If yes, what is the state and #:

How did you learn about Camp Lohikan?
Search Engine:
 
Web Directory:
 
Other Source:

Earliest starting date available:
 
Month/Day/Yr
Latest ending date available:
 

Do you have any dietary restrictions?   If yes, please explain:

Do you smoke?
Are you currently taking any RX drugs for a medical condition or recurring disease?
Do you swim?

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.



Minimum Salary Expected:
   
(Please keep in mind that room, board & laundry services are provided and our camp season covers 50 work days and a one week orientation.)
 

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?
 
With what kitchen equipment have you worked?


Baking experience?
 
 
Vegetarian menu experience?
 
 
Salad Bar experience?
 
 
What is the extent of your food and supply ordering experience?
 
 
What is the extent of your kitchen management/supervisory experience?
 
 
Other experience/skills:
 

Section 3. Education:
 
High School/College/
Other		 Major Years as of June Degrees Granted

 

Section 4. Character References:
 
Please list names and telephone numbers of 3 people (not relatives) who have knowledge of your abilities, experience and character.
Reference 1      
Name:
Daytime Phone:
Address:
Evening Phone:
City:
Relationship:
State:
   
Zip Code:
   

 

Reference 2
      
Name:
Daytime Phone:
Address:
Evening Phone:
City:
Relationship:
State:
   
Zip Code:
   

 

Reference 3
      
Name:
Daytime Phone:
Address:
Evening Phone:
City:
Relationship:
State:
   
Zip Code:
   

 

Section 5. Previous Camp Employment:
 
If you have worked at a camp previously, please complete the following information for each camp employment.

 

Camp Director Reference 1:
Name:
Camp Name:
Address:
Job Held:
City:
Phone:
State:
Start Date:
Zip Code:
End Date:

 

Camp Director Reference 2:
Name:
Camp Name:
Address:
Job Held:
City:
Phone:
State:
Start Date:
Zip Code:
End Date:

 

Camp Director Reference 3:
Name:
Camp Name:
Address:
Job Held:
City:
Phone:
State:
Start Date:
Zip Code:
End Date:

 

Section 6. Employment History: Please list your employment for at least the past 3 years.
         
Date Employer & Phone No. City State Nature of Work

 

Have you ever been convicted of child abuse or a sexual abuse offense?

 

Have you ever been accused or convicted of a felony or misdemeanor? If yes, please explain:

 

 

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.