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2022 FCLC SUMMER DAY-CAMP APPLICATION - Rackcdn...

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2022 FCLC SUMMER DAY-CAMP APPLICATION Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or in the presence of a non-related medical condition or disability. (please print) Name:____________________________________________ Date: ____________ Address: _______________________________________________________________________ City: ______________________ State: _____ Zip: ____________ Phone #: ________________ Birth date: _____________

Are you a US citizen?: _____ Yes _____ No

Have you applied here before? _____ Yes _____ No Position applying for (Circle One): _Volunteer

Counselor

College Intern

Other__

If other please

list: _______________________________________________________________ Are you available to work the entire 9 weeks of Summer-Day Camp?: _____ Yes _____ No “No” please provide the dates you are available below:

(If you checked .

_____ June 13-17

_____ June 20-24

_____ June 27 - July 1

_____ July 6-8

_____ July 11-15

_____ July 18-22

_____ July 25-29

_____ August 1-5

_____ August 8-12 Have you had any special training (First Aid, CPR, etc)?: _____ Yes _____ No Employer 1 _______________________________________________________________________________________Address: ________________________________________________________ Phone #: ______________ City: _________________________________________ State: _____________ Zip: __________________ Job Title: __________________________ Supervisors’ Name: __________________________________ Reason for leaving: ______________________________________________________________________ Dates of Employment: From ____________________________ to ______________________________ ———————————————————————————————————Employer 2 _______________________________________________________________________________________Address: ________________________________________________________ Phone #: ______________ City: _________________________________________ State: _____________ Zip: __________________ Job Title: __________________________ Supervisors’ Name: __________________________________ Reason for leaving: ______________________________________________________________________ Dates of Employment: From ____________________________ to ______________________________

APPLICATION SUBMISSION INFORMATION Please submit your application to work/volunteer at FCLC Summer Day Camp one of the following ways.

Option 1) You may PRINT OUT your completed form, then scan it. Once you have done this, you may email your completed application form to [email protected] Option 2) You may turn in a physical copy of your application to the FCLC front office during office hours (Tuesday-Friday, 8:30am-2:30pm) Option 3) You may submit a physical copy of your application to Charlie Young at FCLC on a Sunday from 8am-12:30pm (church service hours), or from 6pm-8:30pm (712 grade youth group hours).