Summer Day Camp Employment Application - Summer Camps Registration

If not listed above, please indicate if you have worked for the Department of Sport and Recreation before.*

Yes

No

If yes, specify dates:*

GENERAL:

During the last two years, how much time have you lost from work or school because of illness?

Have you ever suffered from any physical or nervous trouble?

No

Yes (If “Yes” please state illness and give details of any periods spent in the hospital.)

Are you presently under a doctor’s care or have any physical defects which may preclude you from certain kinds of work?

No

Yes (specify details)

Have you ever been discharged from employment?*

Yes

No

Was your conduct satisfactory?*

Yes

No

Was your work satisfactory?*

Yes

No

Have you ever been convicted by any court of law?*

Yes

No

If “Yes” please give details.

Will you require GEHI (Government Health Insurance) coverage if you are successful?*

Yes

No, please list the name of the person and Insurance Company with whom you are insured under (i.e. Parent or spouse)

CHARACTER REFERENCES:*

Provide TWO references, NOT relatives, employers or members of the legislature – whom have known you for at least, the last three (3) years, and WHO HAVE AGREED to give written references.

Visit Bermuda

Summer Camps Registration

APPLICATION FOR SUMMER DAY CAMP EMPLOYMENT