Thank you for your interest in working at NaCoMe Camp & Retreat Center! Please fill out the information below and we will be in touch with you about next steps in the application process.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Are you 16 years old or older?

Yes

Do you have a reliable form of transportation?

Yes

Do you have previous work experience in food service?

Why do you desire a kitchen position at NaCoMe?

What is your desired position?

Previous Work Experience

Job 1

Job Title Company Name Company Phone # Dates Employed

Describe your responsibilities and why you left.

Job 2

Job Title Company Name Company Phone # Dates Employed

Describe your responsibilities and why you left.

References

Please list at least two.

I certify that the information provided to NaCoMe Camp & Retreat Center is correct to the best of my knowledge. I authorize investigation of any of the information provided as well as other information sources regarding my character. I understand in the event I am employed by NaCoMe Camp and Retreat Center, any untrue, misleading, or omitted information within this application or during my interview may result in my immediate dismissal, regardless of the time of discovery by NaCoMe Camp & Retreat Center.

Date

YYYY

Name

First Name

Last Name

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