Employment Application - Summer Camp Staff - Boy Scouts Of America Page 2
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Highest Degree: ____________________________________________________________________________
❏
❏
(Attach information about
GPA: ____________________________
Graduated:
Yes
No
other degrees or diplomas
Major: _____________________________________________________________________________________
earned or in progress on a
separate sheet. Also include
School: ____________________________________________________________________________________
technical or business training.)
Location: __________________________________________________________________________________
Licenses and
License or Certificate: _______________________________________________________________________
Certifications
Issue Date: ___________________________
License No. (if applicable): ___________________________
(Attach information about
other licenses or certifications
(Date Format–mm/dd/yyyy)
on a separate sheet.)
Issued by: _________________________________________________________________________________
State/Country: _____________________________
Expiration Date: ___________________________
(Date Format–mm/dd/yyyy)
Prior Work Experience
Include any employment prior to today’s date, even if that employment has not ended. For more than two employers,
submit the information in the same format on another sheet. Include military experience as if an employer, including
branch, rank, and date of discharge.
Last Employer: ____________________________________________________________________________________________________
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❏
May we contact your current employer? Yes
No
Address: ___________________________________________________________________________________________________________
City: _________________________________________ State: _________________ Zip Code: ___________________________________
Supervisor Name:__________________________________________ Phone: _________________________________________________
Start Date: __________________ End Date: __________________
Ending Pay Rate:________________ per__________________
(Date Format–mm/dd/yyyy)
(Date Format–mm/dd/yyyy)
Ending Position or Rank: ____________________________________________________________________________________________
Reason for Leaving*: ________________________________________________________________________________________________
Previous Employer: ________________________________________________________________________________________________
Address: ___________________________________________________________________________________________________________
City: _________________________________________ State: _________________ Zip Code: ___________________________________
Supervisor Name:__________________________________________ Phone: _________________________________________________
Start Date: __________________ End Date: __________________
Ending Pay Rate:________________ per__________________
(Date Format–mm/dd/yyyy)
(Date Format–mm/dd/yyyy)
Ending Position or Rank: ____________________________________________________________________________________________
Reason for Leaving*: ________________________________________________________________________________________________
*Have you ever been terminated or asked to resign from any job? _____________________ If so, give details on a separate sheet.
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Parent category: Business