P.O. Box 287 Fort Washington, PA 19034
Email: summer@gacamp.org
Phone: 267.405.7321
Fax: 267.405.7184
Date of Application_____________________ Name___________________________________________ Date of Birth _________________ Permanent Address ____________________________________________________________ Street & Number
City
State
Zip
Second Address ________________________________________________________________ Street & Number
City
Phone_____________________________
State
Zip
Cell Number___________________________
Area Code & Number
E-mail____________________________________ Fax _______________________________ All Communication is done through E-mail
1st position or camp you are applying for: ____________________________________________ 2nd position or camp you are applying for: ____________________________________________ Have you graduated from High School?
Yes
No
If “NO” what grade are you in as of the date of this application?
please circle
Have you graduated from College?
Yes
No
9
10 11 12
please circle
College students: What year are you in as of the date of this application?
please circle
1
2
3
4
please circle
Work or Volunteer Experience – List any experience associated with working with children ages 3-18 Dates From ____________ To
Employer/Organization
Position
_________________________
________ From ____________ To
________ Education Year
School
Achievements
Page - 1 - of 3
Supervisor’s Name & Phone Number
What are your 3 greatest strengths? Give examples of each.
Describe your philosophy in working with children.
Describe a time when you handled a difficult situation with a child.
Page - 2 - of 3
Can Teach or Lead This---------
Do you have Experience In any of the Following Outdoor Games Music Theatre Dance Science Projects Preschool Activities Academics grades PreK-5 Academics grades 6-12 Driving a Van
Can Assist with This-------------
Willing to learn---------
Can Teach or Lead This---------
Can Assist with This-------------
Willing to learn---------Do you have Experience In any of the Following Tennis Basketball Ice Hockey Football Wrestling Baseball/Softball Lacrosse Art-Drawing/Painting Art-Clay and Sculpture
Other Hobbies/Skills
My signature indicates that the information provided in this application is true and accurate. _____________________________________________ Applicant’s Signature
_____________________ Date
Send your completed application to the address below (feel free to include a resume). Germantown Academy Attention: Summer Programs 340 Morris Road Fort Washington, PA 19034
Phone Number: 215-734-0481 Fax Number: 215-734-0482 Email: summer@gacamp.org Web Access: www.gacamp.org
All statements become part of any future employee files.
Page - 3 - of 3