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Last
Date Of Birth
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YYYY
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Education
*
High School Diploma
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
Other
Please list the school name, location and graduation date for each degree obtained.
*
Current Certification & License
Please list if you are First Aid, CPR, Lifeguard, Wilderness First Responder, and/or if you carry any other certifications that are pertinent for working at camp. Please if you currently hold a valid Driver's License with the state that it is in and expiration date.
Certification Title
Certifying Organization
Expiration Date
Have you worked at a camp before?
*
Yes
No
Please list the camp name, location, dates of employment and reason for leaving.
*
Employment History
*
Please list your 3 most recent jobs and/or volunteer positions. If you do not have any, please place 'NA' in the fields.
Employer Name
Position
Supervisor
Phone Number
Ending Salary
Reason for Leaving
OK to contact?
References
*
Please list three (3) references. Reference: People, other than relatives, who would be familiar with your qualifications.
Name
Relationship
Phone Number
Email
How did you hear about us?
*
Positions Applying For
*
By selecting the position(s) you are applying for, you verify that you have read the position's Job Description and fully understand and can fulfill the position's requirements and essential functions.
Day Camp Counselor
Villager/Youth Camp Counselor
Adventure/Explorer Camp Counselor
Day Camp Head Counselor
Adventure Camp Head Counselor
Head Lifeguard
Local Part-Time Lifeguard
Program Director
Camp Nurse
Camp Cook
Kitchen Assistant
Groundskeeper
Past Leadership Experience
*
For one of the Head Counselor positions and/or the Program Director, please share your past leadership experience working with peers.
Activity & Skill Leading
*
Please select your preferred activity areas to work in this summer. Prior knowledge and skill in an area is recommended, but not necessary.
Adventure Program (Adventure Counselors Only)
Archery
Arts & Crafts
Barnyard Buddies
Boats - Canoes, Kayaks, & Paddleboats
Climbing Wall - Indoor
Day Camp Program (Day Camp Counselors Only)
Drama Skits
Fishing
K.A.M.P. Radio
Land Sports
Nature - Environmental Education & Camp Craft
Riflery
Watersports
OTHER
Your Selected Activity Skills
*
From the list of activities you selected above, please rate yourself from 1-5 with 5 being highly skilled and 1 being never tried. Also, provide a brief explanation for each activity rating and why you would be a good activity leader in that area.
Do you have a ServSafe certification?
*
Yes
No
Are you currently a Registered Nurse or Licensed Physician?
*
Yes
No
Have you worked at Camp Esquagama in the past?
*
Yes
No
Have you ever worked at Camp Esquagama in the past?
*
Yes
No
Do you have a current Lifeguard & First Aid/CPR/AED certification?
*
Yes
No
Your reasons for wanting to work at Camp Esquagama? (500 characters max)
*
Your reasons for wanting to work another summer at Camp Esquagama? (500 characters max)
*
What do you hope to gain from working at Camp Esquagama? (500 characters max)
*
Please describe your past cooking/serving experience.
*
Please describe your past experience related to a groundskeeper or assistant maintenance position.
*
Please describe your past nursing/medical aid experience.
*
What do you believe you can still gain from working another summer at Camp Esquagama? (500 characters max)
*
What do you hope to give to Camp Esquagama? (500 characters max)
*
As a returning staff member, how can you provide leadership to new staff members? (500 characters max)
*
Describe your previous experience working with youth.
*
Since the last time you worked at Camp Esquagama, what have you taken part in to improve upon yourself that will help with working another summer at Camp Esquagama?
*
Describe your prior experience working outdoors.
*
SCENARIO 1
*
A camper in your cabin makes fun of another camper. How do you handle the situation?
SCENARIO 1
*
A fellow counselor in a separate cabin is struggling with a getting their cabin to calm down during Siesta. What do you do?
SCENARIO 2
*
Give an example of appropriate discipline for an eleven year old camper who has been swearing, disrespectful and threatening to hit other campers?
SCENARIO 2
*
Give an example of appropriate discipline for a returning staff member who appears to only interact with fellow returners and neglects to include new staff members as well as dropped the ball on multiple 3 Company policies.
Are you willing to live on-site while the camp week is in session?
*
Yes (the whole season)
No (not at all)
Other (depends)
OTHER: Live on-site
Please explain your reasoning for choosing OTHER.
Please list any dates of unavailability this summer.
June 18, 2017 - August 19, 2017
Signature
*
By typing your name below, you are certifying that the information you have provided is true to the best of your knowledge.
Date
*
MM
DD
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