Apply for Camp Counselor - Berwick Academy

Summary
Title:	Camp Counselor
ID:	1176
Contact Information
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Berwick Academy Faculty/Staff Reference (only for current Berwick Academy students)

I certify that answers given herein are true and complete. I authorize Berwick Academy to contact, obtain and verify accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability Berwick Academy and its representative for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time Accepting applications does not necessarily mean that current openings exist. All offers of employment are conditioned on the satisfactory outcome of any required job-related medical examination and/or injury, and upon the applicant being able to perform the essential functions of the position with or without reasonable accommodation.

I understand that neither this application nor any offer of employment from the employer constitutes an employment contract unless a specific written document to that effect is executed by the employer and employee. The applicant understands that employment at Berwick Academy is terminable at will, with or without cause.

I understand that false or misleading information given or omissions in this form or in the application or interview process may result in denial of or termination from employment. I also understand that I am required to abide by all rules and policies of the employer, which it may change in its sole discretion.

Equal Opportunity Employment

We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

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Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.

Gender:

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	American Indian or Alaska Native (Not Hispanic or Latino) A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
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	Two or More Races (Not Hispanic or Latino) All persons who identify with more than one of the above races
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Veteran Status: (Please check all that apply)

	Individual with a Disability An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
	Vietnam Era Veteran A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
	Disabled Veteran 1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
	War/Campaign/Expedition Veteran A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
	Armed Forces Service Medal Veteran A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
	Recently Separated Veteran Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
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