Hosted by the College of Optics and Photonics
4000 Central Florida Blvd., Bldg. 53
Orlando, Florida 32816-2700
407-823-6890 || mcdonald@creol.ucf.edu 		Summer Camp 2008


July 13-25, 2008

















STAFF, COUNSELOR AND JUNIOR COUNSELOR APPLICATION
TEACHERS USE A DIFFERENT FORM
Pre-employment background inquiry release is required
I am applying for:
Name
First Last
Address
City
State
Zip
Home Phone
Cell Phone
Fax
Email
Confirm Email
Race
If Some Other Race, please enter
Gender

Awards and Recognitions Received

Memberships,  organizations and community service
Would you be available to work July 13-25, 2008?  
Have you ever been convicted of a felony or misdemeanor?
If yes please explain
Educational Background
High School Name
Location (City, State)
Graduation Date
College Name
Location (City, State)
Graduation Date
Degree
Major
Previous Employers and Addresses
Indicate if you do not want us to contact an employer.  List the most recent employer first.
Employer 1
Employer Name
Supervisor Name  
First Last
Supervisor Phone
Supervisor Email
Address
City
State
Zip
Employed  
from to
Position
Reason for Leaving
Employer 2
Employer Name
Supervisor Name  
First Last
Supervisor Phone
Supervisor Email
Address
City
State
Zip
Employed
from to
Position
Reason for Leaving
Employer 3
Employer Name
Supervisor Name  
First Last
Supervisor Phone
Supervisor Email
Address
City
State
Zip
Employed
from to
Position
Reason for Leaving

 

I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND IF EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.

IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE CAMP’S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH CAUSE, AND WITH NOTICE, AT ANY TIME, AT EITHER MY OR THE CAMP’S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE CAMP.

 

Applicant’s Digital Signature  (By typing your name here you agree to the above statement.) Date