GENEVA Staff Application

Directions

Thanks for expressing interest in joining our year around team. We're excited that you're applying and look forward to learning more about you! To to help us do so, please answer the following questions:

Your Information

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you 18 years old or older?*

Are you currently authorized to work in the United States?*

Do you have a valid driver's license?*

Highest Level of Education Completed*

Describe any previous involvement with GENEVA.*

Previous Work Experience

Employer Name*

Position*

Dates of Employment*

Reason for Leaving*

Do you want to include another previous work experience?*

Employer Name*

Position*

Dates of Employment*

Reason for Leaving*

Do you want to include another previous work experience?*

Employer Name*

Position*

Dates of Employment*

Reason for Leaving*

Resume

You can use this field to upload a copy of your resume if you'd like.

Max. file size: 128 MB.

Background Information

Have you ever been convicted of or pled guilty or no contest to any criminal offense of of any kind?*

Please provide a written explanation including dates that led you to mark yes for the previous question.*

Have you ever participated in or been accused, convicted, or pled guilty or no contest to abuse or sexual misconduct?*

Please provide a written explanation including dates that led you to mark yes for the previous question.*

Are you aware of any traits or tendencies that you possess that could pose any threat to children or youth?*

Please explain further what led you to mark yes for the previous question.

Do you have a chronic/recurring illness or current infectious disease?*

Please explain further what led you to mark yes for the previous question.

Do you have any physical limitations or allergies that may require accommodations to perform your job?*

Please explain further what led you to mark yes for the previous question.

References

Reference #1: Please include this reference's name, relationship to you, phone number, & email address.*

Reference #2: Please include this reference's name, relationship to you, phone number, & email address.*

Reference #3: Please include this reference's name, relationship to you, phone number, & email address.*

Consent*

I give GENEVA Camp & Retreat Center permission to contact each of the references that I provided in this application.

Verification - Carefully Read This Section Prior to Signing Below

The information in this application is correct to the best of my knowledge. I authorize investigation of all statements herein and release the camp and all others from liability in connection with the same. I understand that, if employed, I will be an at-will employee and that any agreement to the contrary must be in writing and signed by the Executive Director of GENEVA. I authorize any references listed in this application to give any information (including opinions) that they may have regarding my character and fitness for working. I waive any rights that I may have to inspect any information provided about me by any person or organization identified by me in this application. I also understand that untrue, misleading, or omitted information herein may result in dismissal regardless of the time of discovery. I further state that I have carefully read the foregoing release, know the contents thereof, and sign this release as my own free act. This is a legally binding agreement.

Signature