The Cornerstone School -> Connect -> Cornerstone Day Camp -> Camp Counselor Application
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Camp Cornerstone is a day camp located in Ocala that seeks to provide the best of summer camp experiences while incorporating STEM education to weekly activities. The camp is open to all interested students entering Kindergarten through 8th grade. Camp Counselors should like working with children and be able to work outside. Counselors may select either Session A, B or both for a total of six weeks. Counselors must work a minimum of 3 consecutive weeks. Counselors need to be available for staff training before the start camp. Staff training May 28th & May 29th.
Camp Session Selection(s)
Session A (June 4th-June 22nd)
Session B (June 25th-July 20th, excluding 4th of July Week)
Please complete this application accurately and thoroughly - Due Date April 1st
________________________________________________________________________________________________________________________________
Name (First & Last)
Birthdate*
(mm/dd/yyyy)
Gender*
 Male  Female
Grade Entering in the Fall
School attending in fall
Phone Number*
Email *
Address Line 1*
Address Line 2
City*
State*
Zip Code*
(ex. 06108 or 06108-0809)
Current GPA & Academic Program (EMIT,IB,AICE,AP, DUEL Enrollment)
Activities (Band, Dance, Sports, Clubs, Etc.)
________________________________________________________________________________________________________________________________
Parent/Guardian if under 18 or Emergency Contact if over 18
________________________________________________________________________________________________________________________________
(1)  Emergency Contact, Relationship and Phone Number
(2)  Emergency Contact, Relationship and Phone Number
Employment History (Most Recent)
________________________________________________________________________________________________________________________________
Position
Date of employment
Supervisors Name
Phone Number
Job Duties
Previous Camp Experience OR Experience Working with Children
Personal References (Include name, phone number and how you know the person.  One of your references needs to be a past or current teacher.)
________________________________________________________________________________________________________________________________
(1) Personal Reference
(2) Personal Reference
(3) Personal Reference
Certifications (CPR, First Aid, Life Guard, Etc.) 
________________________________________________________________________________________________________________________________
All applicants will go through a background check and will be drug tested.
Are you legally eligible to work in the United States?
Yes
No
Have you ever been arrested?
Yes
No
Additionally, The Cornerstone School requires all applicants must have a valid Social Security Card in order to be hired.  Please have your Social Security Card, or make arrangements to obtain one.   It is a requirement of employment.
 
If you have you have any questions please contact me at dpeterson@thecornerstoneschool.org
By signing below I confirm that all information on this application is completed to the best of my knowledge and is true and accurate. Please sign your full name, first and last.
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