Staff Application Staff Application Join our Staff! Step 1 of 10 10% Name* First Last Email* Social Security #Home Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Primary PhoneBirthdate MM DD YYYY Your Heightunder 4' 10"4' 10"4' 11"5' 0"5' 1"5' 2"5' 3"5' 4"5' 5"5' 6"5' 7"5' 8"5' 9"5' 10"5' 11"6' 0"6' 1"6' 2"6' 3"6' 4"6' 5"6' 6"6' 7"6' 8"6' 9"6' 10"6' 11"over 7' 0"Your WeightAny health or physical restrictions?YesNoIf yes, please explain restrictionsWhat age camper would you like to be a counselor?No preference7 - 1011 - 1213 - 15Have you ever been convicted of a crime including child abuse or sexual abuse?*YesNo High School Details (Only fill out this section if you are currently in high school)Name of your High SchoolCurrent YearN/AFreshmanSophomoreJuniorSeniorCollege Details(Only fill out this section if you have completed or are currently in college)Name of your CollegeCurrent YearN/AFreshmanSophomoreJuniorSeniorGraduate Past EmploymentEmployer 1 Name First Last Employer PhoneEmployer Email PositionEmployment Start Date Date Format: MM slash DD slash YYYY Employment End Date Date Format: MM slash DD slash YYYY ResponsibilitiesSupervisor's Name First Last Employer 2 Name First Last Employer PhoneEmployer Email PositionEmployment Start Date Date Format: MM slash DD slash YYYY Employment End Date Date Format: MM slash DD slash YYYY ResponsibilitiesSupervisor's Name First Last Camp ExperienceCamp NameCamp PhoneEmployment Start Date Date Format: MM slash DD slash YYYY Employment End Date Date Format: MM slash DD slash YYYY Camp NameCamp PhoneEmployment Start Date Date Format: MM slash DD slash YYYY Employment End Date Date Format: MM slash DD slash YYYY ReferencesName First Last RelationshipPhoneEmail Name First Last RelationshipPhoneEmail Name First Last RelationshipPhoneEmail General InformationWhat type of position are you applying for?Do you smoke?YesNoDo you give permission for a criminal record check?YesNoDo you have any obligations requiring time away from camp?YesNoIf yes, list where and when: Skills & CertificationsPlease choose your skill level from the drop down menu at each activity. If you have no experience in a certain activity, that is ok. You do not need to choose something for all the listed activities. Arts & CraftsCeramicsN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationGeneral CraftsN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationJewelryN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationPhotographyN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationOtherIf other, please explain:MusicPianoN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationGuitarN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationOtherIf other, please explain:Performing ArtsTheaterN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationCreative DramaN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationOtherIf other, please explain:DanceBalletN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationHip HopN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationModernN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationOtherIf other, please explain:CampingCampingN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationHikingN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationOtherIf other, please explain:NatureAnimalsN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationTrees & PlantsN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationOtherIf other, please explain:Water ActivitiesSwimmingN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationDivingN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationCanoeingN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationJet SkiN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationFishingN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationOtherIf other, please explain:Sports & FitnessArcheryN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationBaseballN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationBasketballN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationFitness Training / Weight LiftingN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationFrisbee GolfN/AJust a HobbyAssist in TeachingTeach and Organize (Expert)Current CertificationGolfN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationGymnasticsN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationLacrosseN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationMartial ArtsN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationPilatesN/AJust a HobbyAssist in TeachingTeach and Organize (Expert)Current CertificationRifleryN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationSoccerN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationSoftballN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationSpinningN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationTennisN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationVolleyballN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationWrestlingN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationYogaN/AJust a HobbyAssist in TeachingTeach and Organize (Expert)Current CertificationZumbaN/AJust a HobbyAssist in TeachingTeach and Organize (Expert)Current CertificationOtherIf other, please explain:MiscellaneousChessN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationCookingN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationClimbing WallN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationLow Ropes CourseN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationRocketryN/AJust A HobbyAssist in TeachingTeach & Organize (Expert)Current CertificationOtherIf other, please explain:Certifications EarnedChoose all that apply:Lifeguard TrainingWater Safety InstructorFirst AidCPRArcheryRifleryOtherOther CertificationsPlease list other certifications: GeneralWhat contributions can you make at camp? What contributions do you think a well-run camp can make to children? BiographyWrite a brief biographical sketch including camp experience, extra curricular activities, and training in other fields that might have a bearing on the position(s) for which you are applying. (JV or Varsity Sports, Hobbies, etc.)
