Valley Mill Camp Job Application 2025 Valley Mill Job Application Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Date of Birth* MM slash DD slash YYYY If Under 18, Name of Parent or Guardian First Last Phone# of Parent or GuardianEmail of Parent or Guardian How long at current address?*Previous addresses (10 years)*Do you have a valid Drivers License?* Yes No Do you have a valid Commercial Drivers License?* Yes No Are you a US citizen, or do you have the right to work in the US?* Yes No Are there any reasons you may have difficulty performing the essential functions of the job you are applying for?* Yes No If Yes, Please explainValley Mill is a drug free, smoke free workplace, we drug test all of our employees randomly. I can comply to a drug free and smoke free environment* Yes No Have you ever been convicted or charged with any crime including sex related or child abuse offences?* Yes No If "Yes", please explain.EducationName of High School*Dates Attended*Graduated?* Yes No Name of College/UniversityDates AttendedDegree Earned? Yes No Other Education Program or CertificationsHave you ever served in the Military?* Yes No If Yes, what is your discharge status?Adventure Sports SkillsTell us your skill level or experience (none, beginner, intermediate, advanced, certified) for each of the following Adventure Sports: Rock Climbing, Kayaking, Canoeing. If you are not certified, please let us know if you are interested in becoming certified.First Aid SkillsTell us your skill level or experience (none, beginner, intermediate, advanced, certified) for each of the following First Aid Skills: First Aid/CPR, Wilderness First Aid, Lifeguarding. If you are not certified, please let us know if you are interested in becoming certified.Camp Activity SkillsTell us your skill level or experience (none, beginner, intermediate, advanced, certified) for each of the following Camp Activities: Archery, Air Rifle, Soccer, Swimming, Drama, Arts & Crafts, Basketball, Gymnastics, Pioneering. If you are not certified, please let us know if you are interested in becoming certified.Maintenance SkillsTell us your skill level or experience (none, beginner, intermediate, advanced, certified) in Grounds Maintenance (Carpentry, Automotive, etc)PlacementWhat position are applying for at Camp?*What department do you see yourself working in?* Boys Camp Girls Camp Junior Camp (4-5 Year-Olds) Maintenance Office What contributions do you see yourself making to Valley Mill Camp?*I am available 2025 Orientation Week (6/7 – 6/13)* Yes No I am available Nine Weeks of 2025 Camp (6/16 – 8/15)* Yes No I am available Tenth Week of 2025 Camp (8/18 – 8/22)* Yes No I have the following conflicts with the dates above:*Work ExperienceCompany 1Job TitleDates WorkedPay RateSupervisorContact InfoCompany 2Job TileDates WorkedPay RateSupervisorContact InfoPersonal ReferencesPlease Provide Three References (Non-Family)Reference 1* First Last PhoneEmail Reference 2* First Last PhoneEmail Reference 3* First Last PhoneEmail TransportationValley Mill Camp provides transportation to it's Campers, and may be able to extend this to employees – would you like ride the bus to and from Camp?* Yes No ReferralIf you were referred to Valley Mill Camp by a current Valley Mill Camp Employee, enter that person's name here.SignatureBy entering my name below, I certify that all answers given are correct and true to the best of my knowledge, and understand that false information can lead to rejection of this application, or termination of employment. Name* First Last