Staff Application

Staff Application

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Attach a Recent Photo of Yourself *

Max file size: 20MB

Home Phone *

Email (yours or a parent's) *

Cell *

Text *

Yes No

Name of Current School *

Current Grade *

References (teacher and someone that you’ve worked for)

Teacher Name *

First

Last

Teacher Phone *

Employer Name *

First

Last

Employer Number *

Please list some of your hobbies. *

Do you enjoy sports? Which ones? *

Do you play musical instruments? Which ones? *

Why do you want to be a counselor at LakeView? *

For which months of the summer would you be interested in working? *

First Half Second Half Either Half Both

What age/grade(s) would you like to work with? (no guarantees) *

Have you worked with us in the past? *

Yes No

Did you work in any other camp? Which one(s)? *

Do you own any electronic devices (iPad etc.) *

Yes No

Do you have a smart phone? *

Yes No

Who would you like to work with? (no guarantees) *

Are you on any medications? Which one(s)? *

Submit