welcome
camp anne
harriman lodge
staff openings





summer schedule
nursing opportunities
contact us
 

You can immediately submit an Application for Employment with Camp Anne or Harriman Lodge using our on-line application form. If you are unable to use our on-line application form, you can contact us for an application or download our application in PDF format.

Please note: Applicants must be at least 18 yrs of age and be eligible to work in the US . Applicants from outside the US click here.
 
Full Name:
Address1:
Address2:
City:
State:
Zip Code:
Day Phone:   (xxx-xxx-xxxx)
Evening Phone:   (xxx-xxx-xxxx)
E-mail Address:
If above address is a school address, list home address also:
(Home) Address1:
(Home) Address2:
City:
State:
Zip Code:
(Home) Telephone:    (xxx-xxx-xxxx)
Program Most Interested In:   
Position(s) Interested In:
Please check any position (s) which interests you.
  Program Coordinator   Secretary
  Cabin/Lodge Leader   Driver
  Cabin/Lodge Counselor   Housekeeping
  Activity Counselor   Laundry
  Life Guard   Wait Staff
  Nurse   Dishwasher
  Cook   Night Watch Person
   
Are you under 18 years of age?
  Yes    No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
  Yes    No
Can you travel if a job requires it?
  Yes    No
Do you possess a valid NY or NJ drivers license?
  Yes    No
Have you been convicted of a felony or misdemeanor in any jurisdiction?
Conviction will not necessarily disqualify an applicant from employment.
  Yes    No
If Yes, Please Explain:
Education
Please be as specific as possible and list Name and Address of School(s), Course(s) of Study, Years Completed (or current year), and Diploma/Degree(s):
Employment Experience
Start with your present or last job.  Include any job related military service assignments and volunteer activities.  You may exclude organizations which indicate race, color, religion, gender, creed, age, marital status, national origin, disabilities, citizenship status, sexual orientation or other protected status.
Employer #1 (Most Recent/Present)
Please list:  "Employer, Address, Telephone Number(s), Job Title, Supervisor, Reason for Leaving, Dates Employed, Hourly Rate/Salary, and Work Performed
Employer #2
Please list:  "Employer, Address, Telephone Number(s), Job Title, Supervisor, Reason for Leaving, Dates Employed, Hourly Rate/Salary, and Work Performed
Employer #3
Please list:  "Employer, Address, Telephone Number(s), Job Title, Supervisor, Reason for Leaving, Dates Employed, Hourly Rate/Salary, and Work Performed
Employer #4
Please list:  "Employer, Address, Telephone Number(s), Job Title, Supervisor, Reason for Leaving, Dates Employed, Hourly Rate/Salary, and Work Performed
Describe any job-related training received in the United States military:
Experience
Do you have experience at a Summer Camp/Program?
  Yes    No
Please explain:
Do you have experience with persons who are mentally retarded?
  Yes    No
Please explain:
Do you have experience with persons with physical disabilities?
  Yes    No
Please explain:
Other related Experience?
  Yes    No
Please explain:
List:  Current Professional Certifications, Registration, Licenses
Include:  State/Expiration Date if Applicable
(i.e. - Lifeguard, WSI, CPR, First Aid, SCIP, RN/LPN, etc.)
Comments:
References
Please include at least two supervisors
Reference #1
Include:  Name, Address and Phone Number
Reference #2
Include:  Name, Address and Phone Number
Reference #3
Include:  Name, Address and Phone Number
How Did You Learn About Us:  
If "Other" or if you have more details, please explain:
Agreement
I certify that the answers given herein are true and complete to the best of my knowledge.  I authorize release of any information regarding my employment to AHRC.  I also authorize AHRC to check my background for any criminal record.
This application for employment shall be considered active for a period of time not to exceed 90 days.  Any applicant wishing to be considered for employment beyond this time period should also inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.  It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. 
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.  I understand, also, that I am required to abide by all rules and regulations of the employer. 
By clicking on the button directly below titled "I AGREE, Send to Camp Anne and Harriman Lodge," I fully understand and agree to the entire AGREEMENT above.