HR Camp Registration Form

HR CAMP REGISTRATION FORM

Personal Information

Full Legal Name: 

Phone:     Email: 

Position & Employment Details

Reporting Manager:     Company Start Date: 

Camp Selection & Logistics

Select desired session(s):
Week 1 — Leadership Fundamentals (Mon–Fri)
Week 2 — Advanced People Management (Mon–Fri)
Half-Day Workshops (Select days on schedule)

Emergency Contact & Medical Information

Relationship:     Phone: 

Employment History (Most Recent First)

Title:     Dates Employed: 

Title:     Dates Employed: 

Education

Graduation Date: 

Professional References

Phone:     Email:     Relationship: 

Phone:     Email:     Relationship: 

Phone:     Email:     Relationship: 

Legal Disclosures & Authorizations

At-Will Employment: I understand that participation in HR Camp does not alter my at-will employment status and that either I or my employer may terminate my employment at any time, with or without cause, subject to applicable law.

Equal Opportunity: The organization provides equal opportunity for participation without regard to race, color, religion, sex, national origin, age, disability, or other protected characteristics. I acknowledge this policy and will adhere to the program code of conduct.

Background Checks & References: By signing below I authorize the organization to contact current and former employers, educational institutions, and references to verify the information provided and to conduct background checks, including criminal, employment verification, and education verification, where permitted by law.

Consent to Medical Treatment & Release: In the event of a medical emergency during program activities, I authorize camp staff to obtain medical treatment for me and agree to hold the organization harmless for good-faith efforts to obtain treatment.

Media Release: I consent to the use of photographs, audio, and video recordings taken during the program that include my image or voice for internal training, promotional, or educational materials, unless I indicate otherwise below.

I grant media consent    I do not grant media consent

Code of Conduct: I agree to abide by the program's professional conduct expectations. I understand that violations may result in removal from the program without refund.

I authorize the release of the information provided here for legitimate administrative and safety purposes associated with this program and certify that the information supplied is true and complete to the best of my knowledge.

I authorize background checks and reference verifications as described above

I acknowledge the At-Will Employment statement

Applicant Certification

I certify that all information provided on this form is true, complete, and accurate. I understand that falsification or omission of material facts may disqualify me from participation or result in my removal from the program. I agree to notify program administration promptly of any changes to the information provided.

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