Returning Staff Application

Returning Staff ONLY may apply for a summer position using this form.

* required field

* First Name and Last Name
* Date of Birth
* Email Address
Permanent Mailing Address
* Address Line 1
Address Line 2
* City
* State
* Zip
Country
Current Mailing Address (if different from above)
Address Line 1
Address Line 2
City
State
Zip
Country
Dates you will be at current address
* Home Phone (please include area code)
School/Work Phone (please include area code)
Cell Phone (please include area code)
* List the summers you’ve worked as Perlman Camp STAFF (i.e. 2001-2003)
* What position(s) would you like to be considered for?
* What date are you available to arrive at camp?
* Are you available for the full summer (June 22 – August 15)? Yes   No
* Are you available for the first session only (June 22 – July 27)? Yes   No
* Are you available for Life Guard, Archery and or Ropes Course Training (June 15 – June 21)? Yes   No
* Are you available for Pre-Camp Setup (June 1 – June 21)? Yes   No
* Would you like to help with Staff Recruitment? Yes   No
* Would you like to help with Camper Recruitment? Yes   No
Please explain any special arrangements you will require for work dates, transportation, days off, etc.