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Join Our Team!

Fill out the Staff Application below and one of our team members will be in touch shortly.

Thank you for your interest in employment at Park Shore Country Day Camp and School. Please fill out the following information. We will review your application and contact you if we have a position that meets your qualifications.

Personal & Contact Information
Name*
First Last
Social Security #
Address*
Street Address City State ZIP Code
Home Phone*
Cell Phone
Email*
School Name (if applicable)
School Address (if applicable)
Street Address City State ZIP Code
School Phone (if applicable)
Birth Date*
Marital Status
Gender
Educational Background
High School*
Graduation Date*
College 1
Graduation Date
Major(s)
College 2
Graduation Date
Major(s)
Grad / Professional School
Graduation Date
Major(s) / Degree(s)
Current School Year*
Employment History
Most Recent or Current Position
Name of Business
From
To
City & State
Supervisor
Weekly Salary
Positions
Phone
Reason for Leaving
2nd Most Recent Position
Name of Business
From
To
City & State
Supervisor
Weekly Salary
Positions
Phone
Reason for Leaving
3rd Most Recent Position
Name of Business
From
To
City & State
Supervisor
Weekly Salary
Positions
Phone
Reason for Leaving
Experience With Children
Please list all experience with children in school, clubs, etc.
Camp or School Experience
Please list all camp or school experience as both an employee and/or a camper.
Most Recent Experience
Name of Camp or School
Years Employed / Attended
Supervisor
Weekly Salary
Positions
2nd Most Recent Experience
Name of Camp or School
Years Employed / Attended
Supervisor
Weekly Salary
Positions
3rd Most Recent Experience
Name of Camp or School
Years Employed / Attended
Supervisor
Weekly Salary
Positions
Extracurricular Activities
Please list the extra-curricular activities (sports, theatre, etc) in which you are or have been involved with. Kindly include hobbies and/or community service.
High School Activities
College Activities
Credentials & Certificates
First Aid
Standard First Aid*
- Yes
- No
First Aid for Coaches*
- Yes
- No
Responding to Emergencies*
- Yes
- No
Water Safety Instructor*
- Yes
- No
Nassau County Lifeguard Certification*
- Yes
- No
American Red Cross Lifeguard Training*
- Yes
- No
Certifications
CPR For The Professional Rescuer*
- Yes
- No
Training In The Use Of A Defibrillator*
- Yes
- No
Commercial Driver License*
- Yes
- No
If you have any of the above certifications, please list the expiration dates.
Park Shore Day Camp Experience
I would like to work at:*
- Camp
- School
Check all that apply
Are you available to work the full 39 days of the camp season?*
- Yes
- No
The 2017 camp dates are June 26th - August 18th, 2017.
Please list the camp dates and reasons you are unable to work:*
Camp Positions*
- Counselor
- Group Leader
- Specialist
- Coach
- Lifeguard
- Nurse
- Security
- Kitchen Staff
- Bus Driver
- Maintenance
Please check all positions you might be interested in
School Positions*
- Teacher
- Teaching Assistant
- Specialist
- Bus Driver
- Maintenance
Please check all positions you might be interested in
Please list any special talents you would like to let us know about:
If you are hired to work in a group at camp, what is your preference? (Please place your choices in order from most desired to least desired.) We will try our best to follow the order you select, however, please understand there is no guarantee.
Select 1st Choice*
Select 2nd Choice*
Select 3rd Choice*
List any camp or school aged children you may have, indicate their names, genders, and ages:
If you were referred to Park Shore by someone please list his/her name and your relationship:
References
Please do not use family members or friends as references. We would like objective recommendations from all references. Please include name, address, phone number, and relationship.
Reference 1
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Relationship*
Reference 2
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Relationship*
Reference 3
Name*
First Last
Email*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Relationship*
Background History
Have you ever been arrested, indicted, or convicted for any of the following: Please answer all.
Child Abuse*
- Yes
- No
Sexual Abuse*
- Yes
- No
Drug Possession*
- Yes
- No
DWI*
- Yes
- No
DUI*
- Yes
- No
If yes to any of the above, please be specific as to the dates, reasons, and outcomes:
Optional: Upload Resume / Cover Letter
Cover Letter
Accepted file types: pdf, doc, docx, rtf, txt, Max. file size: 50 MB.
Resume
Accepted file types: pdf, doc, docx, rtf, txt, Max. file size: 50 MB.
NOTE: ALL EMPLOYEES UNDER 18 YEARS OF AGE WILL ALSO BE REQUIRED TO SUBMIT VALID WORKING PAPERS. (NOTE: THIS IS A NYS LAW) ALL EMPLOYEES UNDER 21 YEARS OF AGE MUST HAVE A BIRTH CERTIFICATE ON FILE IN OUR OFFICE. (OUR OFFICE WILL MAKE A COPY) By clicking on the submit button you are in essence providing your signature and certify that all the information provided on this application is true and free of falsehood as well as giving the permission to conduct a background check. In the event that the applicant is hired, the terms of this application shall be incorporated into and become part of your employment agreement.
It is Park Shore’s policy that you will not be discriminated against or harassed because of your race, color, natural origin, sexual orientation, genetic information about an applicant/employee, citizenship status, religion, age, sex, disability, veteran status, marital status, political affiliations or any other protected status.
Digital Signature*
- I Agree To The Terms Above
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Comments
This field is for validation purposes and should be left unchanged.

Visit Us

450 Deer Park Road

Dix Hills, NY 11746

Contact us

info@extremesteamcamp.com

Tour Hours

M-F: 10am - 3pm

S-S: 11am - 2pm (February - June)

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Park Shore Country Day Camp

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Park Shore Country Day School

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