Country Club Community Outreach Center

Serving the Community • Empowering Youth • Strengthening Families
Summer Camp Employment Application

Applicant Information

Name
Address

Position Applying For

Checkboxes

Availability

Are you available for the full camp season (June 1 – August 21, 2026)?
Days Available

Education

Highest Level of Education Completed
Relevant Certifications

Employment History

Experience With Youth

Do you have experience working with children?
Preferred Age Group

Skills & Interests

Skills & Interests
Check all that apply

Background Information

Have you ever been convicted of a felony?

Note: Background checks are conducted for selected applicants.

References

Emergency Contact

Emergency Contact Name

Statement of Interest

Required Agreements & Acknowledgments

Drug-Free Workplace Statement

The Country Club Community Outreach Center is committed to maintaining a safe, healthy, and productive environment for all staff and participants. The unlawful use, possession, distribution, or being under the influence of drugs or alcohol while on duty, on program premises, or during any camp-related activity is strictly prohibited.

Drug-Free Workplace Acknowledgment

Child Safety Policy Acknowledgment

The safety and well-being of all youth participants is our highest priority. All employees are expected to maintain appropriate boundaries, follow supervision guidelines, and immediately report any suspected abuse, neglect, or unsafe behavior.

Child Safety Policy Acknowledgment

Code of Conduct Agreement

As an employee of the Summer Camp Program, I agree to conduct myself in a professional, respectful, and responsible manner at all times. This includes:

  • Treating all campers, staff, and families with respect
  • Demonstrating positive leadership and role modeling
  • Following all program rules, policies, and staff directives
  • Maintaining appropriate behavior, language, and attire

Failure to comply with the Code of Conduct may result in disciplinary action, up to and including termination.

Code of Conduct Agreement

Applicant Certification

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that false or misleading information may result in disqualification or termination.

By typing your full name, you are providing an electronic signature.

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