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Staff Forms

Once you have been selected for employment, you must submit several forms in order to start working. Please look below and select the option relevant to you.

Please do not complete these forms until you have undergone the interview process with one of our Directors.

 

Under 18 Employment forms

Form Description & Instructions Type Link
Staff Employment Packet Cover Sheet Checklist of all documents required for employees under 18 years old.  Fill out all information regarding your contact information. PDF Download
Memorandum Staff Contact Updates with Emergency Contact information to be left with the main office.  PDF Download
Intent to Hire Fill out your name and leave the checklist blank.  It’s for internal use only. PDF Download
Prospective Employee/Volunteer Form Fill out the top with your contact information.  PDF Download
Application for Employment in Summer Camp Fill out all information, including references.  All fields must be filled out.  (3 pages attached) PDF Download
Day Camp Employment Contract – Under 18 years old Leave this contract blank until you have agreed to a salary with your prospective supervisor.  This form must all be signed by a parent.  (2 pages attached) PDF Download
Personnel Practices – Under 18 years old Employee policies and procedures.  Please read and sign, along with a parent that you will adhere to these employment regulations. (3 pages attached) PDF Download
Statewide Central Register Database Check Please fill out your information, along with the information of all the people who live in your household.  The form also requires you to list all of your addresses since birth. Directions are on page 2.  (2 pages attached – please return page 1 only) PDF Download
I-9 Employment Eligibility Verification Form Fill out and return with appropriate documents.  A list of appropriate accompanying documents can be found on page 2.  (2 pages attached) PDF Download
W-4 Tax Form Fill out with the proper withholdings and information to accurately get paid.  Do not return this form blank. PDF Download
Staff Medical Form This form must be filled out prior to any employee beginning work in summer camp.  All medicals must be dated within one year and have a doctor’s stamp, along with a valid TB test. (also dated within one year).    (2 pages attached) PDF Download
Sex Offender Registry Database Search Permission Slip Please read and have a parent sign the permission slip. PDF Download
Staff Authorization Fill out, sign and return, along with a parent to provide the Samuel Field Y to obtain emergency medical treatment as needed. PDF Download
Camp Fingerprinting Permission Slip Please read and have a parent sign the permission slip.  PDF Download

 

Over 18 Employment Forms

Form Description & Instructions Type Link
Staff Employment Packet Cover Sheet Checklist of all documents required for employees over 18 years old.  Fill out all information regarding your contact information. PDF Download
Memorandum Staff Contact Updates with Emergency Contact information to be left with the main office.  PDF Download
Intent to Hire Fill out your name and leave the checklist blank.  It’s for internal use only. PDF Download
Prospective Employee/Volunteer Form Fill out the top with your contact information.  PDF Download
Application for Employment in Summer Camp Fill out all information, including references.  All fields must be filled out.  (3 pages attached) PDF Download
Day Camp Employment Contract – Over 18 years old Leave this contract blank until you have agreed to a salary with your prospective supervisor.  This form must all be signed by a parent.  (2 pages attached) PDF Download
Personnel Practices – Over 18 years old Employee policies and procedures.  Please read and sign, along with a parent that you will adhere to these employment regulations. (3 pages attached) PDF Download
Statewide Central Register Database Check Please fill out your information, along with the information of all the people who live in your household.  The form also requires you to list all of your addresses since birth. Directions are on page 2.  (2 pages attached – please return page 1 only) PDF Download
I-9 Employment Eligibility Verification Form Fill out and return with appropriate documents.  A list of appropriate accompanying documents can be found on page 2.  (2 pages attached) PDF Download
W-4 Tax Form Fill out with the proper withholdings and information to accurately get paid.  Do not return this form blank. PDF Download
Staff Medical Form This form must be filled out prior to any employee beginning work in summer camp.  All medicals must be dated within one year and have a doctor’s stamp, along with a valid TB test. (also dated within one year).    (2 pages attached) PDF Download
New York Disclosure and Release Please read, fill out, sign and return. PDF Download
Applicant Release and Authorization Form Fill out, sign and return.  Must include all addresses for the last 7 years. PDF Download
New York Correction Law – Article 23A For your information.  Please read.  (2 pages attached) PDF Download
Sex Offender Registry Database Search Permission Slip Please read and have a parent sign the permission slip. PDF Download

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Looking for a Sleep Away Camp? Find Out more about Camp Poyntelle American Camp Association Accredited - visit the ACA website The Samuel Field Y - visit the SFY website Henry Kaufman Campgrounds - visit the HKC website UJA Federation of New York