Tehachapi Valley Recreation and Park District is currently accepting applications for Adventure Camp Counselor. Interviews will be held March 19 .

Information must be filled out to the fullest extent. 

References must be fiilled out. If left blank, filled with own name or with N/A, application will not be accepted. 

---

Applicant Information

Full Name (required)

Date (required)

Email (required)

Address (required)

City, State, Zip (required)

Phone (required)

Date Available (required)

Desired Pay

Position Applying For (must choose one of the options below) (required)Teen Camp Aide (13-17) Tots Camp Counselor (ages 3-5) Camp Counselor (5-12)

Are you a citizen of the United States? (required)

Yes

No

If no, are you authorized to work in the U.S.?

Yes

No

Have you ever worked for this company? (required)

Yes

No

If yes, when?

Are you a member of CalPERS by previous employment? (required)

Yes

No

If yes, what is the name of the agency?

---

Education

High School: (required)

Address: (required)

From year/To year: (required)

Did you graduate?

Yes

No

Degree:

College:

Address:

From year/To year:

Did you graduate?

Yes

No

Degree:

Other

Address:

From year/To year:

Did you graduate?

Yes

No

Degree:

---

References MUST be listed below. Applications with N/A will not be accepted.

---

References

Reference 1 - Name: (required)

Relationship: (required)

Personal

Professional

Company:

Phone: (required)

Email (required)

Address:

Reference 2 - Name: (required)

Relationship: (required)

Personal

Professional

Company:

Phone: (required)

Email (required)

Address:

Reference 3 - Name: (required)

Relationship: (required)

Personal

Professional

Company:

Phone: (required)

Email (required)

Address:

---

Previous Employment

Your Signature (required)

Company: (required)

Phone: (required)

Address:

Supervisor: (required)

Job Title: (required)

Responsibilities: (required)

From year/To year: (required)

Reason for Leaving:

May we contact your previous supervisor for a reference? (required)

Yes

No

Company: (required)

Phone: (required)

Address:

Supervisor: (required)

Job Title: (required)

Responsibilities: (required)

From year/To year: (required)

Reason for Leaving:

May we contact your previous supervisor for a reference? (required)

Yes

No

Company: (required)

Phone: (required)

Address:

Supervisor: (required)

Job Title: (required)

Responsibilities: (required)

From year/To year: (required)

Reason for Leaving:

May we contact your previous supervisor for a reference? (required)

Yes

No

---

Military Service

Branch:

From year/To year:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

---

Disclaimer and Signature

---

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

There was a problem saving your submission. Please try again later.

Please wait while your submission is being saved...

Submitting...Submit

Thank you, your submission has been received.