PERSONAL INFORMATION:

Name:    Email Address:

Permanent Address:

City:     State:     Zip Code:   Phone:

School Address:

City:     State:     Zip Code:   Phone:

Social Security Number:   Can be be reached at school until:   

Position Applying for:     Other positions you would consider?   

Are you: Over 21?   18-21?  Under 18? (give age)    

How did you find out about us:   Cell/Pager #:

Dates Available: From  to     Do you have a valid drivers license?

EDUCATION

College/University:   Address:   

Major:    Dates Attended:     Degree:

 

High School:   Address:   

Major:    Dates Attended:     Degree:

 

Other Education:   Address:  

Major:    Dates Attended:     Degree:

PAST EMPLOYMENT

Employer #1:     Address:     Dates:

Position:     Job Duties:

 

Employer #2:     Address:     Dates:

Position:     Job Duties:

 

Employer #3:     Address:     Dates:

Position:     Job Duties:

CAMP EXPERIENCE

Camp Name:     Address:    

Dates:   Position:     Job Duties:

 

Camp Name:     Address:    

Dates:   Position:     Job Duties:

 

Camp Name:     Address:    

Dates:   Position:     Job Duties:

CAMP RELATED SKILLS

Please check only areas you can organize and teach as an expert or areas you hold certifications in.  List any additional skills you have below.

 

ADVENTURE CAMP SKILLS NATURE SPORTS WATERFRONT
Climbing Camp Craft Animals Archery Canoeing/Kayaking
Ropes Course Outdoor Skills Astronomy Baseball Lifeguard Certification
ARTS & CRAFTS Woodworking Birds Basketball WSI Certification
Basketry Orienteering Conservation Fishing Waterfront Director
Ceramics Outdoor Cooking Forestry Hockey  
Jewelry Camping Insects Games MISCELLANEOUS
Leather Work   Rocks Soccer First Aid
Macrame DRAMA/MUSIC Weather Softball First Responder
Metal Work Dance Gardening Tennis CPR
Nature Crafts Play Directing Plant Life Track/Field Campfire Programs
Newspaper Skits   Wrestling Storytelling
Painting Singing   Other Computer Skills
Sketching Instruments      

 

Other Skills or Certifications (list any instruments you play here):

BIOGRAPHICAL INFORMATION

Please write a brief biographical sketch, including specialized training in camping, and experience or training in other fields which might might have a bearing on the position for which you are applying:

 

 

Are you available for an interview?     When?  

 

Where: In person?  Over the phone?

 

Do you have any impairments that would interfere with your ability to perform the job for which you have applied?   If yes, please explain:  

 

Have you ever been convicted of an offense involving a minor, or are you listed on a state registry related to child abuse?   If yes, please explain:  

Have you ever been convicted of a criminal charge?

If yes, please explain: 

 

Do you have a current: Child Abuse Clearance?        Background Check? 

REFERENCES

Three professional/personal references are required.  Please list people who have knowledge of your character, experience and abilities - no relatives.  Please indicate your affiliation with each person (i.e. professor, former employer, etc.)

 

Name:     Affiliation: 

Work Phone:     Home/Cell Phone:

 

Name:     Affiliation: 

Work Phone:     Home/Cell Phone:

 

Name:     Affiliation: 

Work Phone:     Home/Cell Phone:

 

Please attach Resume (recommended)   

Please attach Picture (optional):

I authorize investigation of all statements herein and release the camp and all others from liability in connection with the same.  I understand that, if employed, I will be an at-will employee and that any agreement to the contrary must be in writing and signed by the director of the camp.  I also understand that untrue, misleading, or omitted information herein may result in dismissal, regardless of the time of discovery by the camp.  I ASSERT THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND ACCURATE

Signature:     Date: