Pemi, COVID-19, and 2021.  Learn more…

Staff Forms

Several forms are required for employment for new and returning staff.

Where do I find the forms?

Log in to your account and go to “Forms and Documents.” Read more on how to access your online account.

When are forms due?

All staff forms are due by May 31. Thank you for honoring this deadline! Over 2,000 forms are submitted for campers and staff, and this deadline enables us to prepare a safe and happy season for the entire Pemi community.

And don’t forget — all staff members who take pills or chewables of any sort on a daily basis (including prescription and non-prescription pills, such as Claritin or Zyrtec for allergies, or supplements like fish oil) AND who live in cabins with campers (such as Cabin Counselors, Assistant Counselors, Trip Leaders) must enroll with CampMeds, a company that dispenses medication in pre-packaged doses and ships directly to camp. Pemi will reimburse staff for the service fee that CampMeds charges. You must provide CampMeds with prescriptions/instructions 30 days prior to opening day. Full information about how to enroll is in the “Medications and CampMeds” tab in the Health Management section for Current Parents.

How do I submit forms?

Log in to your account and go to “Forms and Documents.”

Some forms can be completed online. Others must be printed, filled out, and uploaded to your account (or faxed to the number below). Specific directions for each form are provided below.

Please do not mail or email forms. All “print” forms must be uploaded to your account or faxed to the number below.

Directions for Uploading Forms

Scan the form as a PDF (no jpegs or tiffs) using an app on your phone (like CamScanner) or your printer.

Login to your account, go to Forms & Documents, and click on the “upload” symbol to the right of the form. Find the form on your computer and upload.

Directions for Faxing Forms

Fax toll-free to 1-866-428-1917.

Faxed forms are routed automatically to your online account via the unique barcode that was generated on the form when you downloaded or printed it from your account.

There is no need for a cover sheet, due to the barcode on the form, which is unique to your account.

Direct Deposit Form (optional) - Print

  • Optional.
  • If you would like to be paid by direct deposit (or TransferWise for international staff), please print, complete, and upload this form to your account.

Health History Form - Online

  • Required for all staff.
  • Log in to your account and complete this form online.
  • Have your insurance information/card(s) handy for reference.
  • You can save your work and return to the form, but only fully completed pages are saved.
  • A full immunization history for staff is not required. Instead, you can indicate that immunizations are up-to-date. However, you will need to provide: 1) date of your last Tetanus shot (referred to as DTAP/td on immunization records), and 2) Tuberculosis (referred to as TB/PPD) test date and result (positive, negative) or “not tested.”
  • The information you enter on this form carries over from year to year, for convenience in submitting the form in subsequent summers. However, please verify that information provided for previous summers—especially on medical conditions—remains current. If you checked a box last year to indicate a condition, allergy, or medication, a separate box opened for you to provide additional information. This year, please un-check those that no longer apply, or confirm each of these conditions by clicking the box again.
  • You can return to this from and update it at any time after it is submitted.
  • Your signature at the end indicates that the information is accurate and current.

I-9 Employment Eligibility Verification - Print

  • All new staff and returning international staff must complete an I-9.
  • Log in to your account and print this form.
  • You may fill out Section 1 (follow the directions on the form) and bring the form with you to camp.
  • We will fill out Section 2 at camp together.
  • MOST IMPORTANT: bring appropriate ID to camp!
  • You must have acceptable ID. For example, either a passport, OR two forms of ID (such as a driver’s license AND social security card). To read more information about acceptable ID options, please see page 3 of the form.
  • Form I-9 is used for verifying the identity and employment authorization of individuals hired for employment in the United States. All U.S. employers must ensure proper completion of Form I-9 for each individual they hire for employment in the United States. This includes citizens and non-citizens.

Parental Permission Form (for under 18 only) - Print

  • For staff under age 18 only!
  • Have your parents complete this form, and upload it to your account.

Staff Authorization Form - Print

  • Required for all staff.
  • Log in to your account and print this form. Follow the directions on the form.
  • This form provides “permission to treat” in case of emergency.
  • Complete this form as one SINGLE-SIDED page and upload to your account.
  • All information, including the images of your insurance cards, must be on the front side.
  • The back side should be blank.
  • DO NOT upload 2 pages with photocopies of your insurance cards on the second page.
  • A signature is required at the bottom. A parent or guardian must sign for staff under age 18.

 

Staff Bio & Photo - Online

  • Required for all staff.
  • Log in to your account and complete this form online.
  • The staff bios of our entire staff are included in our first summer newsletter to parents and the Pemi community. Help us to introduce you!
  • Three to five lines, approx 50–100 words. Consider telling us where you’re from, what your interests are, what you do or where you go to school, what you hope to do/teach at Pemi, or how many years you’ve been at Pemi.
  • Click here to see last year’s bios!
  • Please provide a current, close-up photo for uses such as cabin and staff group photos for Opening Day. A crop tool is provided on the form.

W-4 Employee’s Withholding Certificate - Print

  • Required for all staff.
  • Login to your account and print this form. Follow the directions on the form.
  • You may upload just the completed Page 1 to your online account (or fax to the number below).
  • As an employer, Pemi is required to obtain a Form W-4 from you for payroll purposes, and will use it to provide a Form W-2 later on, so you can prepare and file your tax return.
  • The information you provide on the W-4 tells us how much money you wish to have withheld from your paycheck for federal income taxes, and will affect how much tax you owe or are refunded when you file your annual tax return.

And don't forget! CampMeds for Staff

All staff members who take pills or chewables of any sort on a daily basis (including prescription and non-prescription pills, such as Claritin or Zyrtec for allergies, or supplements like fish oil) AND who live in cabins with campers (such as Cabin Counselors, Assistant Counselors, Trip Leaders) must enroll with CampMeds, a company that dispenses medication in pre-packaged doses and ships directly to camp. Pemi will reimburse staff for the service fee that CampMeds charges. You must provide CampMeds with prescriptions/instructions 30 days prior to opening day. Full information about how to enroll is in the “Medications and CampMeds” tab in the Health Management section for Current Parents.