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2. Summer 2026  -  Summer Club Employment Application

   The Town of Dover, MA is an affirmative action/equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, religion, national or ethnic origin, ancestry, physical or mental disability, age, marital or veteran status, or any other protected status.

   
   

   Please complete this application fully and accurately. If you need assistance completing your application, it will be provided.

4. APPLICANT FIRST and LAST NAME:*
6. HOME ADDRESS: *
8. APPLICANT CELL PHONE NUMBER:*
9. APPLICANT EMAIL:*
11. Are you authorized to work in the United States? *

    1. YES
    2. NO
12. Are you related to any Town of Dover employee?*

    1. YES
    2. NO
14. Have you worked for the Town of Dover before?*

    1. YES
    2. NO
15. Have you ever applied for a position with the Town of Dover before?*

    1. YES
    2. NO
17. Are you Currently Red Cross CPR & AED certified?*

    1. YES
    2. NO
18. Are you Currently Red Cross First Aid certified?*

    1. YES
    2. NO
20. Select your adult t-shirt size:*

    1. SMALL
    2. MEDIUM
    3. LARGE
    4. X-LARGE

    Staff t-shirts are provided to hired counselors each year and must be worn whenever on-site.

22. EDUCATION
24. RISING GRADE LEVEL*

     (grade in September 2026)

25. SCHOOL NAME and ADDRESS*
27. ABOUT YOU
29. Why would you like to be a part of the Dover Parks & Recreation summer staff?*
31. Please share any extracurricular activities that you are, or have been, involved in:*
33. Please share any awards, recognition and/or honors that you have received:*
35. List THREE of your special or unique skills, talents, abilities and/or interests AND why you feel each would be helpful to our Summer Club team:*
37. YOUR MOST RECENT (OR CURRENT) EMPLOYMENT/VOLUNTEER EXPERIENCE:
39. ORGANIZATION NAME:*
40. Select one*

    1. PAID STAFF
    2. VOLUNTEER
42. DATES EMPLOYED:*
43. ADDRESS:*
45. SUPERVISOR NAME:*
46. SUPERVISOR PHONE:*
47. SUPERVISOR EMAIL:*
49. Were you ever terminated or asked to resign from any employment or volunteer service?*

    1. YES
    2. NO
50. May we contact your present (or most recent) employer or volunteer supervisor?*

    1. YES
    2. NO
52. THREE REQUIRED REFERENCES* (supervisor/ teacher/ coach/ neighbor whose dog you walk/ etc*):

    *ABSOLUTELY NO RELATIVES WILL BE ACCEPTED

    SUBMITTING FEWER THAN 3 REFERENCES = INCOMPLETE APPLICATION

54. REFERENCE 1 - FULL NAME*
55. POSITION? (HOW DO THEY KNOW YOU)*
57. WEEKDAY PHONE NUMBER:*
58. EMAIL:*
60. REFERENCE 2 - FULL NAME*
61. POSITION? (HOW DO THEY KNOW YOU)*
63. WEEKDAY PHONE NUMBER:*
64. EMAIL:*
66. REFERENCE 3 - FULL NAME:*
67. POSITION? (HOW DO THEY KNOW YOU)*
69. WEEKDAY PHONE NUMBER:*
70. EMAIL:*
72. GENERAL 2026 POSITION REQUIREMENTS AND EMPLOYEE ACKNOWLEDGEMENTS:

    PLEASE READ THROUGH ALL OF THE POSITION REQUIREMENTS BELOW AND INITIAL TO ACCEPT THE EMPLOYMENT TERMS.

    
    

74. 2026 SUMMER CLUB CAMP SEASON

    SESSION 1:  Monday, June 22 to Friday, June 26

    SESSION 2:  Monday, June 29 to Thursday, July 2* 

    *CLOSED FRIDAY 7/3

    SESSION 3:  Monday, July 6 - Friday, July 10

    
    

    SESSION 4:  Monday, July 13 to Friday, July 17

    SESSION 5:  Monday, July 20 to Friday, July 24

    SESSION 6:  Monday, July 27 to Friday, July 31

76. I UNDERSTAND THAT ALL 2026 SUMMER CLUB EMPLOYEES ARE REQUIRED TO WORK ALL SIX CAMP SESSIONS AS LISTED ABOVE, MONDAY JUNE 22nd THROUGH FRIDAY JULY 31st, 2026.*
78. WORKING HOURS

    REQUIRED REGULAR DAY HOURS:

    Monday through Thursday     8:30am - 12:15pm     (3.75 hours) 

    Fridays (and Thursday 7/2)     8:30am - 1:00pm     (4.5 hours)

    
    

    OPTIONAL EXTENDED DAY HOURS: 

    Monday through Thursday     12:15 - 3:15pm     (+3 hours)

80. I UNDERSTAND THAT ALL 2026 SUMMER CLUB EMPLOYEES ARE REQUIRED TO WORK FOR 19.5 REGULAR DAY HOURS PER-WEEK AS LISTED ABOVE, AND HAVE AN OPPORTUNITY FOR 3-12 ADDITIONAL WEEKLY HOURS IF I CHOOSE TO SIGN-UP FOR EXTENDED DAY.*
82. TRAINING

    Summer Club is a state licensed summer camp and staff are required to complete several mandatory training sessions in order to be employed at Dover Parks and Recreation. These trainings will be held PRIOR TO MONDAY 6/22 and ARE SCHEDULED AROUND TYPICAL SCHOOLTIME RESPONSIBILITIES.

    Each required session is provided by Dover Parks & Recreation and covers different training requirements over approximately 1-3 hours per session. The total amount of employee training will depend on the individual staff member’s current CPR/AED & First Aid status, childcare experience and previously completed training sessions.

84. I UNDERSTAND THAT ALL 2026 SUMMER CLUB EMPLOYEES ARE REQUIRED TO ATTEND AND PARTICIPATE IN EACH TRAINING SESSION MANDATED IN THE MA STATE SANITARY CODE, CHAPTER IV, 105 CMR 430.000: MINIMUM STANDARDS FOR RECREATIONAL CAMPS FOR CHILDREN.*
86. PLEASE READ THE FOLLOWING STATEMENT, THEN SIGN AND DATE BELOW:

    The information I have supplied in this application or as part of my application process is true and complete. I understand that any false statement of significant omission by me in the application process may be cause for dismissal if discovered at a later date. I hereby authorize the Town of Dover: Parks and Recreation Department to investigate the information I have furnished on this application and I understand that employment is subject to acceptable references and my personal interview.

    
    

    I understand that this application is current for 120 days from the date provided with my signature, below. If I still wish to be considered for this position at the end of this time-period, I understand I will need to complete a new application. I understand that if I am hired by the Town of Dover: Parks and Recreation Department, I will be an employee at-will, that I will be free to resign at any time and that the Town of Dover: Parks and Recreation Department reserves the right to terminate my employment at any time, with or without cause, regardless of the date of payment of my wages and salary. I understand that if I am hired, I will be required to abide by the rules and regulations of the Town of Dover and the Dover Parks and Recreation Department.

    
    

    I understand that, if hired as a Town of Dover: Parks and Recreation Department staff member, that I will be expected to provide a safe and fun environment for children and to follow the 2026 program schedule while maintaining program expectations. I also understand that my application is not complete unless all requirements have been provided to the Dover Parks and Recreation office by the appropriate dates and that any incomplete paperwork may jeopardize my 2026 Summer Counselor candidacy.

88. First Name*
89. Last Name*
91. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 

    1) your application will not be signed in the sense of a traditional paper document, 

    2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 

    3) you (or your parent/guardian if under age 18) may still be required to provide a traditional signature at a later date.

    1. I agree.
93. Electronic Signature
Leave This Blank:


99. 1. Receive an email copy of this form.
100. Email address

     This field is not part of the form submission.

101. Submit

* indicates a required field