Camp Marimeta for Girls - About Marimeta

Staff Application Form

Fill out the form below and click "Submit"

General Information

Full Name
E-mail address

Age:

Birthdate:

Sex: female
male

Marital Status:

Social Security #:

School Address
School Phone

City State Zip

Home Address
Home Phone

City State Zip

Education (College - Major - Years - Degree):

Number of years in college as of this June:

Camp Experience: (as an Employee and/or Camper). List most recent first (with dates):

Work Experience: (as an employee). List most recent first:

Have you ever been arrested for a crime other than a minor traffic offense?
No
Yes

If Yes, please explain:

Activities - in the following list select:

Waterfront: 1 - 2 - 3 Swimming Diving Waterskiing Sailing Windsurfing Canoeing Fishing Boat Driving
Sports: 1 - 2 - 3 Archery Basketball Cheerleading Field Hockey Golf Group Games Gymnastics Riflery (.22) Self Defence Soccer Softball Tennis Track Volleyball Other:	Arts and Crafts: 1 - 2 - 3 Ceramics Drawing Copper Enameling Handicrafts Jewelry Leather Macrame Metal Painting Paper Mache Puppetry Weaving Woodworking Other:
Pioneering: 1 - 2 - 3 Campcrafts Firebuilding Hiking Outdoor Cooking Overnight Trips Other:	Miscellaneous: 1 - 2 - 3 Camp Newspaper Music Nature Study Radio Secretarial Other:
Dance: 1 - 2 - 3 Ballet Folk Jazz Modern Social Other:	Dramatics: 1 - 2 - 3 Costuming Directing Stagecraft Storytelling Other:

List the activities you would like to teach in order of your preference:

1st:

2nd:

3rd:

4th:

Details of offices held, teams joined, trophies etc.. proficiency attained in your best activities.

Do you hold any certification in any of the above activities? ie: W.S.I. etc...

Please Answer the Following:

Why would you make a great counselor? What contributions would you make at Marimeta?

Please list two references (not relatives):

Name:

Address:

Telephone:

Relationship:

Name:

Address:

Telephone:

Relationship:

By submitting your application for employement, you certify that all questions have been answered truthfully.

Date of application