Camp Program Staff Application

Birth Date:*
Preferred Pronouns*
It is very important that we are able to contact you throughout the application process. Please make sure that you provide us with your own email address and cell phone number. Please don't use email addresses and cell phone numbers of relatives. What is the best way for us to reach you?*
Cell Phone:*


Dates/Time Available (at main address)
Main Address:*
Main Phone:*


Dates/Time Available (at school address)
School Address:
School Phone:
Dates/Time Available to Work*




What current certifications do you hold? Check all that apply.*
Tell us a little bit about yourself. What are your interests, hobbies, special talents?*
Please share your experience and qualifications for the position for which you are applying.*
Please describe any experiences you have working with children.*
Why do you want to work at Camp Farley this summer?*


List school name, years attended, major subjects, and degrees granted.

School 1:*
School 2:

EMPLOYMENT - for the past two summers or years

List dates employed, employer, employer address & phone, nature of work, supervisor, and reason for leaving.

Job 1:
Job 2:
Indicate any employer you do not wish us to contact and the reason.


List dates, name of camp, camp address & phone, director, and wether you were a camper, staff, or both.

Camp 1:
Camp 2:


Please provide three references, 3 persons(not relatives) having knowledge of your character, experience, and ability. Download this employment reference form, fill it out, and follow the instructions listed on the sheet to email the completed form.

´╗┐It is your responsibility to make sure that these reference forms are completed and returned to the camp office.  You can email them to, fax them to 508-539-0080 or mail them to Camp Farley, 615 Route 130, Mashpee, MA 02649

Reference #1 Please provide name, phone number and relationship to you.*
Reference #2 Please provide name, phone number and relationship to you.*
Reference #3 Please provide name, phone number and relationship to you.*
Are there any reasons you may have difficulty in performing any of the essential elements of the job for which you have applied?
If yes, please explain:

In accordance with Massachusetts law, summer camps are required to obtain a criminal background report on all staff working with children. Part of the application process will require you to authorize Camp Farley to receive this information about you. I authorize investigation of all statements herein and release the camp and all others from liability in connection with same. I understand that untrue, misleading, or omitted information herein may result in dismissal, regardless of the time of discovery by the camp.

Note: All statements become part of any employee personnel files.

Are you aware that all employees at Camp Farley are subject to a CORI and SORI check?*
Required:The above information is factual and accurate to the best of my knowledge.*