Sports & Swim / Horseback Riding Position ApplicationSports & Swim / Horseback Riding Position Application About YouName* First Last Email* Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Please list all languages you speak, starting with your first language.Are you legally authorized to work in the United States?*YesNoGender*MaleFemaleDate of Birth*(mm/dd/yyyy) Staff must be at least 20 years old at the start of camp.Minimum Salary(for 9-week committment)How did you hear about Appel Farm?Education & ExperienceSchool / College 1Dates AttendedDate of GraduationDegree / MajorAdd Additional Schooling? YesSchool / College 2Dates AttendedDate of GraduationDegree / MajorAdd Additional Schooling? YesSchool / College 3Dates AttendedDate of GraduationDegree / MajorCamp ExperienceList any camp experience.Recent Work ExperienceEmployer 1LocationTime FramePositionNature of WorkAdd Additional Work Experience? YesEmployer 2LocationTime FramePositionNature of WorkAdd Additional Work Experience? YesEmployer 3LocationTime FramePositionNature of WorkReferences3 employers, supervisors, or teachers whose knowledge of you is appropriate to position desired.Reference 1LocationPhoneEmail AddressRelationship to YouReference 2LocationPhoneEmail AddressRelationship to YouReference 3LocationPhoneEmail AddressRelationship to YouCounselor PreferencesIn addition to the duties for the positions listed below, most of our staff are Bunk Counselors, living and working with a group of campers. Please check each group of campers, listed below, with which you are interested in living.Bunk Counselor 4th, 5th, 6th Graders 7th, 8th Graders 9th, 10th Graders 11th, 12th Graders I do not want to live in a bunk with campers.Bunk Head 4th, 5th, 6th Graders 7th, 8th Graders 9th, 10th Graders 11th, 12th GradersLeadership positions are available for each of our departments and bunk areas. Please check any leadership positions for which you would like to be considered.Department Head Music Theater Performance Technical Theater Dance Visual Arts Photography Video Sports & SwimInstructor, Camp Life, and Administration PositionsPlease check the boxes of the positions which you are applying for.Sports, Swim & Horseback Riding Sports Instructor Swimming Instructor & Lifeguard Swim Instructor Lifeguard Horseback Riding InstructorSports Specialties Tennis Soccer Other Group SportsPlease list any other group sportsCertifications Current Swimming Instructor Certification and Lifeguard Certification Will Be Certified Before CampCertifications Current Swim Instructor Certification Will Be Certified Before CampCertifications Current Lifeguard Certification Will Be Certified Before Camp(full-time, or part-time positions available for instructors in other departments)Please describe additional specialties in sports and swimApplication QuestionsDo you have any religious or other obligations requiring time away from camp? Please explain.*Please add any biographical information in order for us to get to know you better.*What are your concerns about the job at this point?*Why do you want to work at Appel Farm, and what contribution do you think you can make?*Please upload your resume as a Word or PDF fileAuthorization and ReleaseThe Staff Member hereby authorizes APPEL FARM ARTS & MUSIC CENTER or authorized representatives of the company bearing this application to obtain and release any information pertaining to his/her background, for employment or volunteer purposes, and hereby fully releases and discharges Camp or other source providing information from all claims and damages arising out of or relating to any investigation of my background for said purposes.Authorization* The above information is true to the best of my knowledge.Please Note: Appel Farm is a strict non-smoking community. Appel Farm Arts & Music Center is an equal opportunity employer and hires without discrimination based on race, creed, color, national origin, nationality, ancestry, age, sex, sexual orientation, marital status, atypical cellular or blood trait, liability for service in the armed forces in the United States, or mental or physical disability subject only to conditions and limitations applicable alike to all persons.PhoneThis field is for validation purposes and should be left unchanged.