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STAFF APPLICATION

Hiram House Camp is an equal opportunity employer and does not discriminate because of race, sex, religion, age, marital status, national origin, or disability.

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Permanent Address
Current/School Address
Please include year and month.
Dates you are available to work
Check all that apply
Check all that apply
Check all that apply
Education
List the last two schools you have attended or are attending.
Employment
List all present and past employment, beginning with the most recent.
References
List four personal, professional references who a reference form can be sent by email regarding your work experience, character and ability. Do not include relatives, fellow students or friends of the family. If a reference does not have an email address, please click here to print a form to give them.
I authorize Hiram House to seek information regarding my services and character from the references listed below and unconditionally releases the organization from all liability, which might result from furnishing such information.
I authorize investigation of all statements contained within this application and release the camp and all others from liability in connection with same. I understand that, if employed, I will be an at-will employee, that the employee or employer is free to terminate the agreement at any time and for any or no reason, and that any agreement to the contrary must be in writing and signed by the director of the camp. I also understand that untrue, misleading, or omitted information herein may result in dismissal, regardless of time of discovery by the camp. I further give permission, in accordance with the laws of the State of Ohio, to be fingerprinted and undergo a criminal background investigation, and to undergo any legal drug or physical tests required by the employer.
I have read, understand and agree to follow all customer policies as a member of The Hiram House staff.