Camp Applying For: _________________________________________________ Desired Position: ____________________________
Boy Scout/Youth Experience:
Council: ___________________________________________________________________________________________________________
Unit Number: ___________________________
No. of Years Tenure as Youth: _______________
Adult: _______________
Offices Held: ______________________________________________________________________________________________________
Achievements: _____________________________________________________________________________________________________
Special Training Completed: _________________________________________________________________________________________
List Hobbies and Special Interests: ___________________________________________________________________________________
References
Give the names of three persons not related to you whom you have known for at least three years.
Name
Address, Phone, Email
Company
Years Acquainted
1
2
3
Applicants are subject to background investigations, including criminal background checks.
In compliance with federal law, all persons hired will be required to verify their identity and eligibility to work in the United States and to
complete the required employment eligibility verification document form upon hire.
Please read carefully before signing:
I attest with my signature below that I have given the _____________________________ Council, Boy Scouts of America, true and
complete information on this application. No requested information has been concealed. I authorize investigation of all statements
contained in this application for employment as may be necessary in arriving at an employment decision. I understand that the
results of any investigation may be disclosed to other employees involved in the hiring process and I consent to the dissemination of
the results of any investigation to such employees. I authorize the _____________________________ Council, Boy Scouts of America,
to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed
material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any
obligation for the _____________________________ Council, Boy Scouts of America, to hire me. If I am hired, I understand that either
the _____________________________ Council, Boy Scouts of America, or I can terminate my employment at any time and for any
reason, with or without cause and without prior notice. I understand that no representative other than the Scout executive has any
authority to enter into any agreement contrary to the foregoing or make any oral assurance or promise of continued employment.
_____________________________________________________________
__________________________
Signature
Date
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