Summer Counselor Application

First Name

Last Name

Phone

Birthday

How did you find us?

Current Address

Current Address Line 2

City

Region/State/Province

Postal / Zip code

Permanent Address (If different)

Permanent Address Line 2

City

Region/State/Province

Postal / Zip code

For being in touch with me, I prefer (check all that apply)

Text

Call

Are you currently authorized to work in the U.S.?

Yes, I am a US Citizen or Permanent Resident

No, I would need help obtaining a US Work VISA

VISA Support

Upload your resume

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Relevant experience working with youth

Relevant camp skills

Trainings & Certifications

Interest in Mayhew

I acknowledge that Mayhew is an absolutely substance-free community and that no tobacco products, vaping products, alcohol or illegal substances of any sort are allowed.

I acknowledge that protecting children and youth is core to Mayhew's mission and that Mayhew has a zero tolerance policy for any form of abuse or harassment.

I acknowledge that I will be required to provide three references and participate in a criminal background check as part of the hiring process.

By checking this box and signing my name below I attest that everything in this application is true.

Your Signature

Today's date

**Please note that it may take a few seconds for your application to be submitted. Once you click the button, please just wait patiently and you should be directed to a "Thank You" confirmation page. If you get sent to the top of this page, you may have missed a required field; any field with an asterisk must be completed.

Mayhew challenges and helps at-risk New Hampshire boys to believe in themselves, work well with others, and find their best.

Mailing Address:

P.O. Box 120
Bristol, NH 03222

Email: mayhew@mayhew.org

Phone: (603) 744-6131

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