EmailMe Form - Leaders / Counselors Application Form

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Phone *

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

Phone

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

Date of Birth *

Social Security #

For security purpose, insert: 000-00-0000

Are you eligible to work in the United States *

Yes

No

Have you been convicted or pleaded no contest to a felony within the last three years? *

Yes

No

Do you have a Car? *

Yes

No

Are you open to Driving our 15 Passenger Van? *

Yes

No

Taking our Campers to and from Field Trips and/or Morning Pick ups

Coaching Experiences - what, when, where:

Playing Experiences - what, when, where:

Education - name address of school(s)

Skills and Qualifications:

Tell us something Unique about yourself?
(Future Goals, Mission, What or where you aspire to be or to do? Your purpose / your Y?)

Reference (1) - name / title, contact details, occupation: exclude relatives. *

Reference (2) - name / title, contact details, occupation: exclude relatives.

How did you hear about ALM Sports?

What Camp Location will you be working at?

What Days and Times are you available to work?

Todays Date:

Photo (Passport Size)

this will posted on our website with your coaches/playing experiences