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2. FULL NAME
4. Address1
6. City
7. State
8. Zip
10. EMAIL
12. PHONE

    856-488-7868

14. DOB

    Must be 16 by June 1st

16. SCHOOL ATTENDING
18. CURRENT GRADE LEVEL
    -- Select One --9th10th11th12thFreshman (College)Sophomore (College)Junior (College)Senior (College)Not in School
20. POSITION APPLYING FOR
    -- Select One --Counselor Assistant Supervisor (18+)Supervisor (18+)
22. ARE YOU CURRENTLY EMPLOYED?
24. ARE YOU AVAILABLE WEEKDAYS LATE JUNE - EARLY AUGUST?
26. PLEASE LIST PRIOR WORK AND EXPERIENCE WITH CHILDREN
28. PLEASE LIST SPECIAL SKILLS, INTERESTS OR TALENTS YOU WILL BRING TO THE POSITION
30. ARE YOU CPR CERTIFIED?
32. PLEASE LIST 2 REFERENCES AND PHONE NUMBERS (NO RELATIVES)
34. TO QUALIFY FOR MORNING FUN CAMP:

    1. You must be 16 years of age by June 1.  

    2. You must provide your own transportation.

    3. In the event positions are still available, considerations will be given to 16 year olds who provide proof in writing from parent/guardian that transportation will be provided daily.

    4. You must be able to work all weeks of Morning Fun Camp (5-6 total weeks)

    5. You must attend our scheduled orientation prior to beginning of the program.

    
    

36. THE FOLLOWING APPLIES TO APPLICANTS 18 YEARS AND OLDER

    I do hereby authorize Cherry Hill Township to obtain criminal history record information as allowed by NJSA 5-1-20.6 and NJAC 13:59-12. I further understand that I may be hired provisionally for no longer than 6 months. My continued employment will be subject to approval by the Township of Cherry Hill based upon the results of the criminal history background check.

38. I HAVE READ THE ABOVE QUALIFICATIONS AND UNDERSTAND THEY ARE A CONDITION OF EMPLOYMENT

    SIGNATURE AND DATE

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41. Email address

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