Employment Application

 
 

Application Form: (Must be 18 and U.S. citizen or able to obtain your own VISA to apply.)
 

You will need names, addresses and telephone numbers of your references and past/current employers to complete this application.    We will contact you within two weeks to notify you of your status and/or to arrange an interview.

 

Please read the following before completing this application.
We are an equal opportunity employer. In reading and answering the following questions, please keep in mind that none of the questions are intended to imply any limitations, preferences, or discrimination based on any non-job-related information. By completing this application, there is no assurance of employment. However, if a suitable opening occurs, this application will receive consideration. Use of this form does not indicate there are positions available.


General Information

 

Your Name: Social Security #
Address: City:
State/Province: Postal/Zip Code:
Country: Phone:
E-mail: How did you hear about us?
Permanent Address if different from above
 Address:
City
State/Province: Postal/Zip Code:
Country: Phone:
Are you 18 or older? yes   no If not, what is your birth date?

Please check all that you have an interest in applying for: 
 
Summer Employment

May 18th -August 9, 2009
Counselor/ Instructor- must love kids, possess strong teaching skills and be willing to teach a wide variety of topics if given lesson plans and time to prepare.  Must love animals and be willing to handle and care for all Ranch animals (including snakes, lizards and insects.)
 
Life Guard Counselor/ Instructor- must love kids, possess strong teaching skills and be willing to teach a wide variety of topics if given lesson plans and time to prepare.  Must love animals, and be willing to act as lifeguard for camp related aquatic activities.  Certification provided if necessary.
Camp Nurse - must be an LPN or RN

3 - 18 month Internship
Internship

 
Education
Education:  Years Type of School Name of School, City & State, and Major
High School  Graduation Date 
College  Graduation Date 
Graduate
Trade, Business or other
Course Interest

What subject areas would you be interested in teaching? (Lesson plans are provided for all subject areas.)        
ADOPT AN ANIMAL BOTANY ENTOMOLOGY PHYSICS SIGN LANGUAGE
Amazing Animals CHEMISTRY GEOLOGY POOL SCIENCE SURVIVAL SKILLS
ANIMAL SAFARI COMPUTER PRESENTATION JUNIOR VETERINARIAN POND STUDY SPY SCIENCE
ARCHERY CRAFTS PARAMEDIC POTTERY CULINARY SCIENCE
Employment History:  Please give complete full-time and part-time employment record for the past 5 years.
Most recent employer: 
May we contact this employer for a reference  yes   no
Name of person to contact
Address:
City, State, Zip:
Employer_Telephone_Number1:
Employed from (month/year)
Employed to (month/year)
Job Title
Supervisors Name
Reason for Leaving
Describe Work
2nd most recent employer: 
May we contact this employer for a reference  yes   no
Name of person to contact
Address:
City, State, Zip:
Employer_Telephone_Number1:
Employed from (month/year)
Employed to (month/year)
Job Title
Supervisors Name
Reason for Leaving
Describe Work
Additional employers, contact phone numbers, dates of employment, reason for leaving and job description.

 
May we contact this employer for a reference  yes   no
Name of person to contact
Additional employers, contact phone numbers, dates of employment, reason for leaving and job description.
 
May we contact this employer for a reference  yes   no
Name of person to contact
Camp Experience  
Have you ever worked at a camp, or attended a camp as a child?  Please summarize the experience. (How would this experience help you work at this summer camp?)
Other Experience  
Do you have any other experience that you feel would aid you in being a camp staff?

 
References 

References should have knowledge of your character and suitability to work at Bear River Ranch.  (Past supervisors or employers are preferred.)  Do not list relatives.
Name: 
How long have you known this person: 
Address/City/State/Zip: 
Telephone #
How do you know this person?
Name: 
Known how long: 
Address/City/State/Zip: 
Telephone #
How do you know this person?
Name: 
Known how long: 
Address/City/State/Zip: 
Telephone #
How do you know this person?
Background Information The existence of a criminal record will not necessarily bar you from employment.  The type of crime and how long ago it occurred will be considered.
Have you ever been convicted of any crime(s) other than a traffic violation in the last ten years? Yes   No
If yes, indicate the convictions, dates, and circumstances.
Please account for any time in the last five years that you were unemployed or not in school by stating the nature of your activities:
Certifications:    Check any certification that you have had

 

 

 Name of certification List Expiration dates
CPR
First Aid
Lifeguard Training
    (What type of life guard certification)
WSI
Other(s)
To Get To Know You

Do you have any experience  working with people with disabilities? If yes, please describe.  If no, what traits do you possess that would help you work with campers with and without disabilities?
 
I would make a great camp staff because. . .
 

 

I want the kids at camp to remember me as . . .

 

 

Write a biography including your background, responsibilities at home and elsewhere, goals, interests, education and any experience not mentioned before which you would consider relevant to this application. (Exclude information related to race, age, sex, religion, color, creed, ancestry, status with public assistance, disability, sexual orientation, local commission, or any other protected class defined by local, state, or federal laws.)


 Please read carefully before sending this application.
I understand that this application is for a position with Cub Creek Inc, at Cub Creek Science Camp or as an internship. Cub Creek Inc. complies with all laws prohibiting discrimination.  I certify that the information set forth in this application (and any accompanying resume) are true and complete to the best of my knowledge. I authorize Cub Creek Inc. to investigate all statements in this application and to secure any necessary information from all my employers, references and academic institutions. I hereby release all those employers, references, academic institutions and Cub Creek Inc. from any and all liability arising from their giving or receiving information about my employment history, my academic credentials or qualifications, and my suitability for employment at Cub Creek Inc.  I understand my offer of employment is contingent upon a receipt of a satisfactory report concerning my academic credentials, work history and employment references. I further understand that any falsification, misrepresentation, misleading, omission, or concealment of information on this application will be sufficient cause for rejection of my application if Cub Creek Inc. has not employed me, and for immediate dismissal if Cub Creek Inc. has employed me.  I understand that nothing in this employment application; in Cub Creek Inc. policy statements or personnel guidelines; or in my communication with any Cub Creek Inc. official is intended to create an employment agreement with me. No promise regarding employment has been made to me, and I understand that no such promise or guarantee is binding upon Cub Creek Inc. unless it is made in writing and signed by the Director.  In the event of my employment with Cub Creek Inc, I will comply with all rules, regulations and policies set forth in Cub Creeks personnel policy or other communications distributed by Cub Creek Inc. I also understand that Cub Creek Inc. has the right to modify its policies without giving me any notice of the changes.  

I hereby acknowledge that I have read and understand the preceding statement.  I further acknowledge my understanding that Bear River Ranch is a drug free and smoke free environment.  

 

 

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Cub Creek Science Camp

Located at Bear River Ranch

16795 Hwy E

Rolla, Missouri  65401

573-458-2125

Director@BearRiverRanch.com