Employment Application – Summer Camp Counselor

Employment Application - Summer Camp Counselor
Address *
All employees must be at least 18 years old. Are you at least 18 years old? *
Have you ever been convicted of a crime? (Exclude minor traffic infractions. DUI’s must be noted.) *
Are you prevented from lawfully being employed in the country because of Visa or Immigration status? (Proof of citizenship will be required upon employment.) *
This position is needed from June 14th through August 5th. Will you be able to work during this timeframe?
Were you previously employed with Heart of the Valley?

Employment History: (Please include any relevant volunteer experience.)

Education/ Skills:

Other courses, trade certificates or studies:

Professional References:

Professional References:

Statement of Interest:

Employment Requirements:
 Ability to work at a computer.
 Be on time for scheduled hours.
 Courteous customer service to all clients at all times.
 Able to lift 50 lbs unaided and safely.
 Able to work with dogs and cats.
 Ability to work with various personalities and get along with all staff members.
 Considerate of volunteers and respectful of their compassion.
 Ability to withstand loud noises, odors, animal hair, and dander.
 Physical ability to stand on hard floors for extended periods of time.
 Able to withstand the physical stress of bending and stooping continually.
 Able to follow direction given by supervisors.
Your signature below indicates you have read and agree to the following
I certify that the information contained in this application is true and complete. I
understand that providing false or misleading information, misrepresentation or
willful omission of facts during the application or interview process may result in
withdrawal from consideration for employment or immediate discharge if already
hired, regardless of when discovered. I authorize Heart of the Valley, Inc. to
investigate all statements in this application and to conduct a thorough
investigation of my past employment, education and job related activities. I
indemnify HOV against any liability which may result from conducting such an
investigation. All employers, educational institutions and references listed are
hereby authorized to give you any and all information regarding my employment
and character and are hereby released from any and all liability which may result
from furnishing such information.
By signing the acknowledgement that I am 18 years of age or older and am
physically able to perform the duties mentioned above, I am also signing that I
understand and accept that Heart of the Valley, Inc. is a Drug Free Workplace. I
understand that as a condition of employment I may be asked to submit to a
urinalysis or blood test at the expense of Heart of the Valley, Inc. This test may
test for drugs such as, but not limited to, cannabinoids, cocaine, opiates,
amphetamines, phencyclidine, barbituates, methaqualone, benzodiazepines,
methadone, propoxyphene, and any other substance illegal under federal or state
law. The drug test will be performed by a reputable drug testing company or
hospital. The results of the test will remain confidential and will not be disclosed
to anyone other than you, Heart of the Valley, Inc., and the person and/or entity
conducting the test. If your test results are positive for any of the drugs
referenced above, Heart of the Valley reserves the right to not hire you.
Updated 11/2018
I understand that personal property carried by me to and from Heart of the Valley
Animal Shelter may be inspected by an authorized Heart of the Valley
I understand this application is not a contract of employment.
Would you like to include a Resume or Cover Letter?

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