Enroll by September 10 for the 2011 Summer and Save $600. See
Dates and Rates Page
for more Info.
Main Menu
Home
Campers Page
Activities
Parents Room
Forms
Our Staff
Employment
About River Way
Specialty Camps
News/Blogs Page
Events Page
Online Store
Media Room
Alumni
Contact Us
Enroll Now
Email Camper
Left Links
Left logos
Application
Upload Video
International Staff
Rules & Regulations
Reference Form
CIT/AP
Employment Application Form
Please wait a moment, while we validate your submission...
Please wait a moment, while we validate & submit your submission...
Position Applying For
Counselor
Junior Counselor
C.I.T.
Administrative
AP
Personal Information
Last Name
First Name
Middle Initial
Date of Birth
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Country
Please Select
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia-Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island (Australia)
Cocos Island (Australia)
Colombia
Comoros
Congo (Brazzaville),Republic of the
Congo, Democratic Republic of the
Cook Islands (New Zealand)
Costa Rica
Cote d'Ivoire (Ivory Coast)
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Indonesia)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia, Republic of
Germany
Ghana
Gibraltar
Great Britain and Northern Ireland
Greece
Greenland
Grenada
Guadeloupe
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte (France)
Mexico
Moldova
Monaco (France)
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
North Korea (Korea, Democratic People's Republic of)
Norway
Oman
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Island
Poland
Portugal
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts (St. Christopher and Nevis)
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia-Montenegro
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia (Falkland Islands)
South Korea (Korea, Republic of)
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau (Union) Group (Western Samoa)
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis and Futuna Islands
Western Samoa
Yemen
Zambia
Zimbabwe
*
Zip
Phone
Cell Phone
Alternate Phone
Email
Military Experience
YES
No
Military Dates (if served)
Are you under 18?
YES
No
If yes, can you provide proof
of your eligibility to work?
YES
No
Drivers Licence #
Drivers Licence State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Drivers Licence Class
Drivers Licence Expiration Date
Parental Information
Name
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Zip
Phone
Previous Employement (list last employer first)
Company Name & Supervisor
Address/Phone #
Duties, Type of Work
Dates Worked
Full time student?
YES
No
Full time next fall?
YES
No
Type
Name of School
Location
(Complete Mailing Aaddress)
Years
Major & Degree
High School
College
Please give names of three references (employers, coaches, teachers, etc...) and how you know them
Name
Address
City
ZIP
Phone #
Relationship
Any traffic violations in the last 3 years?
YES
No
If yes, please explain
Have you ever been convicted of a felony, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?
YES
No
If yes, please explain
School Clubs,
Certificates With Exp. Date,(I.E) CPR, First AID, etc
Extracurricular Activities
Hobbies
Certificate
Expires
Camp Experience
Name of Camp
Phone
City
State
Zip
Position
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Columbia (District of)
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Please select all activities for which you have a history of teaching
administration
animal care
archery
artscrafts
badminton
baseball softball
basketball
bbguns
canoeing
cheerleading
culinary arts
dance
dance type
digital photography
drama
english
fishing
football
frisbee
geocaching
gocarts minibikes
golf
gymnastics
horseback riding
karate judo
lifeguarding
music dj
newspaper editing
overnight camping cookouts
paintball
physical fitness
riflery
rocketry
ropes course
singing recording
skateboarding
snorkeling
soccer
swimming
tennis
video editing - filmmaking
vocal recording
volleyball
wakeboarding
water aerobics
waterskiing
wave-runners
western
wrestling
yearbook
yoga
Please select any activity for which you have practical experience
administration
animal care
archery
artscrafts
badminton
baseball softball
basketball
bbguns
canoeing
cheerleading
culinary arts
dance
dance type
digital photography
drama
english
fishing
football
frisbee
geocaching
gocarts minibikes
golf
gymnastics
horseback riding
karate judo
lifeguarding
music dj
newspaper editing
overnight camping cookouts
paintball
physical fitness
riflery
rocketry
ropes course
singing recording
skateboarding
snorkeling
soccer
swimming
tennis
video editing - filmmaking
vocal recording
volleyball
wakeboarding
water aerobics
waterskiing
wave-runners
western
wrestling
yearbook
yoga
List other activities you have had experience in that are not listed above
List musical instruments you play
I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT THE MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR IS CAUSE FOR DISMISSAL AT ANY TIME WITHOUT PREVIOUS NOTICE. I HEREBY GIVE WESTERN CAMPS, INC. PERMISSION TO CONTACT SCHOOLS, ALL PREVIOUS EMPLOYERS (UNLESS OTHERWISE INDICATED), REFERENCES, AND OTHERS, AND HEREBY RELEASE WESTERN CAMPS, INC. FROM ANY LIABILITY AS A RESULT OF SUCH CONTACT. I ALSO UNDERSTAND THAT I MAY BE ASKED TO SUBMIT TO A DRUG TEST AND A BACKGROUND CHECK.
I agree
Send Application
Preview
or
Reset
