Once you have completed the online staff application, please take a moment and download our staff reference form. This document is available in Adobe® .pdf format. If clicking on the document below does not bring the document up, you may obtain the .pdf reader at no charge from here. Once completed please mail the reference form back to us at PO Box 6, 1558 Route 19, Elizaville NY 12523-0006 .

NOTE: The speed of your internet connection may effect the download time of this form. If you have any problems, please contact the Camp Scatico office at 845-756-4040 to have the desired form faxed or mailed.

Download the Staff Reference Form

Please fill out the fields that follow. Use your "TAB" key to move down the page.

In accordance with the Children's Online Privacy Protection Act a person must be 13 years of age or older to complete and submit this form.

Camp Scatico provides equal opportunity to applicants without regard to race, color, religion, national origin, age or veteran status.

Name:
SS#:
Birthdate (MM/DD/YY):
Permanent Address:
E-mail:
Phone:
School/Business Address:
E-mail:
Phone:

Position(s) you are seeking:
Are you willing to live with children? Yes No
If so, what age group? 7-10 11-13 14-16
Are family accommodations required? Yes No
If so, what are they?
Do you smoke? Yes No
Do you have any physical limitations, recurring illness, or special dietary needs? Yes No
If yes, please explain:


Have you ever been convicted of a crime involving physical, sexual, or mental abuse? Yes No
Please explain:


Education
Dates:
School:
Major:
Degree:

Camp Experience (as camper and/or staff)
Dates:
Camp:
Address:
Position:


Employment History (Please provide a full record of work experience outside of camp.)
Dates:
Employer:
Address:
Phone:
Position:
Supervisor:
Reason for leaving:

References (Please list 3 persons, no relatives, having knowledge of your character, experience, and abilities.)
Name:
Address:
Phone:
Relationship:
Name:
Address:
Phone:
Relationship:
Name:
Address:
Phone:
Relationship:

Please list your top 3 pertinent skill areas and explain your experience in each.


Please use this space to relate any pertinent information that you
think we should know about you. Please include why you want to work
at Camp Scatico and why you expect to gain from your experience.


You must submit three reference forms as part of the application process.

Please download the staff reference form at the top of the page to complete the application process.


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