3 employers, supervisors, or teachers whose knowledge of you is appropriate to position desired.

Please check the boxes of the positions which you are applying for.

The 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.