EmailMe Form - 2025 Junior Counselor Job Application

Name *

First Last

Gender *

CURRENT grade level *

School *

How did you hear about us? *

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Home Phone Number

### - ### - ####

Cell Phone Number *

### - ### - ####

Email Address *

Please list the sports in which you have both received coaching AND competed on a team:

Choose Your Preferred Session
(check one box only) *

I can only work Session One (June 16 - July 11, closed July 4th)

I can only work Session Two (July 14 - August 8)

I can work either session but I prefer to work Session One

I can work either session but I prefer to work Session Two

I can work either or both sessions. I have no preference.

REFERENCE INFORMATION:
These references MUST be either teachers, coaches, or employers. No friends or relatives please.
(Note: your references will be contacted, so please be sure to give us accurate contact information).

REFERENCE #1:

Name *

Relationship *

Phone

Email Address *

REFERENCE #2:

Name *

Relationship *

Phone

Email Address *

REFERENCE #3:

Name *

Relationship *

Phone

Email Address *

There are a lot of different summer jobs a high school student could work. Why do you want this particular job?

Please list any/all past jobs you have had and briefly describe what your responsibilities were:

In what sports, hobbies, and extra-curricular activities are you involved both at school and elsewhere?

Have you ever been convicted of ANY crime, including sex-related or child abuse related offenses? If yes, please explain.

I certify that information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.

Do you agree with the above terms and conditions? *

Yes, I agree.

Initial *

Date *

MM / DD / YYYY

REFERENCE INFORMATION: These references MUST be either teachers, coaches, or employers. No friends or relatives please. (Note: your references will be contacted, so please be sure to give us accurate contact information).

REFERENCE #1:

REFERENCE #2:

REFERENCE #3:

REFERENCE INFORMATION:
These references MUST be either teachers, coaches, or employers. No friends or relatives please.
(Note: your references will be contacted, so please be sure to give us accurate contact information).