Chilmark Community Center: Returning Staff Application

Returning Staff Application

Name:

Email:

Winter Address:

Winter Phone:

Summer Address:

Summer Phone:

Birthday:

Grade:

Available start and end dates Summer 2011:

Any additional dates off island during summer (for camps, events, etc):

Work Experience Since Last Summer:

# of summers at CCC as a child:

# of summers at CCC as a volunteer:

# of summers at CCC as a staff member:

Goals for working at the CCC this summer:

What will you add?

Interests, extracurricular activities, etc:

Please rank the six jobs you are most interested in doing at the CCC. (1) being your most desired position, (6) being your least desired position.

Other CCC Job Interest:

Reference 1:

Reference 2:

Reference 3:

Additional Information:

Suggestions for improvement: