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NURSE APPLICATION

All items in red are required fields. Filling out all fields will give your application more attention.

First Name:
Middle Initial:
Last Name:
E-mail:
Gender:
Date of Birth: year (yyyy)
Name of College:
College Major/Degree
(RN - LPN - NP):
Year completed:
Which states
are you licensed in?
License Number:
Please list any certification you presently hold such as CPR, PALS, ACLS:
Your Current Mailing Address
Address line 1:
Address line 2:
City:
State/Province: Postal Code:
Country:
Current Phone Number:
Dates available:
Start:  year
Finish: year
What type of camp would you like to work at?
Type of Camp: Gender of Camp:

Would you consider working at a different type of camp than the one you selected?

Check if you would like us to forward your application on to other camps if we cannot find a good match for you.

What experiences do you have working with children? (List up to three and include other camp experiences.)
Position 1:
Duration:
Employer:
Employer Contact Information:
Describe Experience:
Position 2:
Duration:
Employer:
Employer Contact Information:
Describe Experience:
Position 3:
Duration:
Employer:
Employer Contact Information:
Describe Experience:
Please describe your assessment skills and experience you have in pediatrics and the emergency room?

Are you Flexible and willing to work long shifts if necessary?

Do you have children/spouse that will accompany you to camp (age/sex)? Do they have any special needs (diet / medication / housing)?

Do you have prior camp experience? What qualities do you bring to camp that will make you an asset to our community?

Would you like to provide any other information you think camp should know about you?
HAVE YOU EVER BEEN ARRESTED FOR AND/OR CONVICTED OF CHILD ABUSE?
How did you hear about GreatCampJobs.com?


If Advertising or Job Listing - Where?


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If Other - Explain:


Once the interview process begins you will be asked for three references other than your family members that know you on a professional or educational basis.

The statements in this application are true, complete and correct. I understand that any misrepresentation or omission of information shall be considered sufficient reason for withdrawal of an offer or subsequent termination of employment. I hereby authorize CampGroup LLC, to conduct a personal felony record search.

By electronic submission of this application to CampGroup LLC, I understand and agree to the conditions stated above.

Please type the code shown in the image:





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