2010 Oasis Children's Services Returning Staff Application
Please fill out the application to the best of your ability. When finished, click the 'Submit my application' button at the
bottom of the page. Thank you.
First Name:
Last Name:
Street Address:
City:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code:
Email:
Primary Phone Number:
Secondary Phone Number:
Social Security Number:
-
-
Current Age Status:
17 and under
18 and over
21 and over
Are you currently a Student?
Yes
No
High School Name:
High School Grade Completed:
9th
10th
11th
Graduated
Name of Current School or School Last Attended:
College Status in 2010-2011:
Freshman
Sophomore
Junior
Senior
Graduate
Working towards Masters Degree
Graduated with Masters Degree
College Major:
Degree Earned (if any):
SUPPLEMENTAL EDUCATION SERVICES (SES) PROGRAMS
After reviewing the Supplemental Education Services (SES) Program description on our website, are you interested in working at an SES Summer Program?
Yes
No
If you are familiar with and would like to work at a new Supplemental Education Services (SES) Program, for which position are you interested in applying?
First Choice SES Position:
SES Group Leader
SES Master Teacher
SES Program Director
SES Program Instructor
Second Choice SES Position:
SES Group Leader
SES Master Teacher
SES Program Director
SES Program Instructor
SUMMER INFORMATION
Date you are available to start work:
Last date available to work:
Tshirt size:
S
M
L
XL
XXL
XXXL
Age group to work with:
Position Applying For:
First Choice:
Group Leader
Group Leader: Teen Travel
Group Leader: Hi-Five
Program Instructor: Art
Program Instructor: Sports/Games
Program Instructor: Swim
Program Instructor: Performing Arts
Program Instructor: Sports
Program Instructor: Outdoor Education
Program Instructor: Other
Office/Admin Staff
Maintenance/Support Staff
Division Leader
Teen Travel Director
Program Director
Operations Director
Health Director
Interventionist
Swim Director
Site Director
Second Choice:
Group Leader
Group Leader: Teen Travel
Group Leader: Hi-Five
Program Instructor: Art
Program Instructor: Sports/Games
Program Instructor: Swim
Program Instructor: Performing Arts
Program Instructor: Sports
Program Instructor: Outdoor Education
Program Instructor: Other
Office/Admin Staff
Maintenance/Support Staff
Division Leader
Teen Travel Director
Program Director
Operations Director
Health Director
Interventionist
Swim Director
Site Director
** Please note that in certain cases an interview may be required**
Location Applying For:
First Choice Location:
Manhattan
Queens
Bronx
Brooklyn
Long Island
Westchester
New Jersey
New Orleans
Second Choice Location:
Manhattan
Queens
Bronx
Brooklyn
Long Island
Westchester
New Jersey
New Orleans
Are you interested in working at Open Houses to recruit families? (this is a paid position)
Yes
No
Are you interested in working at Career Fairs and Staff Recruitment Events? (this is a paid position)
Yes
No
Have you ever been convicted of a felony or misdemeanor?
Yes
No
If yes, please indicate the dates and circumstances:
Have you ever been convicted of child abuse or a sexual offense?
Yes
No
Certification and Release (PLEASE CHECK BOX BELOW TO DIGITALLY SIGN THIS DOCUMENT)
·
To the best of my knowledge and belief, the information given truly represents my background and experience. I understand that if I have knowingly or negligently misrepresented, falsified or omitted any information during the application process, I may be disqualified for employment consideration or dismissed from employment with Oasis Children’s Services.
Please be patient, the form may take a few minutes. Only hit the submit button once.