* Required field.
Prefix: *
First Name: *
Middle Name: *
Last Name: *
Present Address:
Present City:
Present State:
Present Zip:
At this address until when:
Permanent Address: *
Permanent City: *
Permanent State: *
Permanent Zip: *
Date of Application: *
Home Phone: *
Current Phone:
Cell Phone:
E-Mail:
Are you 13 years or older?
US Citizen?
If no, are you eligible to work in the US?
Do you have any physical limitations that might prevent you from performing the
full responsibilities of the position applied for in a safe and efficient
manner? *
If yes, please explain:
We are required to maintain current confidential medical histories on all camp
staff. A full medical history will be taken after an offer of employment is
made. The offer is contingent upcon compliance with health code regulations.
Do you smoke?
Our camp is a smoke free environment.
Are you prepared not to smoke while at work? *
College Status: *
High School: *
High School - Dates Attended: *
High School - Graduation Year: *
College:
College - Dates Attended:
College - Graduation Year:
College - Major:
College - Degree:
Graduate:
Graduate - Dates Attended:
Graduate - Graduation Year:
Graduate - Major:
Graduate - Degree:
(as a camper or an employee)
Experience:
Camp and Director's Name:
Camp Phone:
Camp Dates:
Experience:
Camp and Director's Name:
Camp Phone:
Camp Dates:
Provide a full record of all employment - paid and volunteer.
Position:
Employer and Supervisor:
Dates:
Contact
Position:
Employer and Supervisor:
Dates:
Contact
Position:
Employer and Supervisor:
Dates:
Contact
Please list names
and contact information of three persons (no relatives) having knowledge of
your character, experience, work habits, and ability.
Name: *
Relationship to you (employer, friend, pastor, etc): *
Phone: *
E-mail: *
Name: *
Relationship to you (employer, friend, pastor, etc): *
Phone: *
E-mail: *
Name: *
Relationship to you (employer, friend, pastor, etc): *
Phone: *
E-mail: *
List the expiration date
and the state certified. Attach a photocopy of additional certifications upon
completion of the course.
Other Certifications - Please List:
Please indicate whether you could teach a group of children in any of
the following areas, could assist someone teaching the skill, or simply
have an interest in any of these areas. Food service, housekeeping and
laundry staff skip this section.
Arts and Crafts
Sketching:
Weaving:
Beading:
Ceramics:
Knitting:
Painting:
Photography:
Nature Crafts:
Jewelry:
Other:
Sports
Archery:
Volleyball:
Basketball:
Aerobics:
Softball:
Cooperative games:
Fitness:
Yoga:
Other:
Nature/Environmental Science
Animals:
Astronomy:
Birds:
Flowers:
Insects:
Pond:
Trees/Plants:
Eco systems:
Recycling:
Other:
Ropes Course
High ropes:
Teams Course:
Group Initiatives:
Other:
Dramatics
Story Telling:
Theater:
Improv:
Other:
Literacy
Creative Writing:
Poetry:
Reading:
Newspaper:
Other:
Outdoor Living Skills
Backpacking:
Hiking:
Orienteering:
Outdoor cooking:
Low impact camping:
Camp Craft:
Other:
Music/Dance
Singing:
Song Writing:
African dance:
Modern dance:
Jazz dance:
Drumming:
Instrument:
Other:
Office skills
Computer:
Microsoft Word:
Microsoft Excel:
Bookkeeping:
Other:
Waterfront
Swimming:
Canoeing:
Rowing:
Other:
Fashion
Sewing:
Design:
Modeling:
Other:
Other
Driver:
Carpentry:
Groundskeeping:
Other:
Positions applying for in order of preference
1
2
3
Do you meet or exceed any minimum age requirements for the
position?
Which age group would you prefer to work primarily with this
summer?
Please describe in detail your experience that would qualify you
for the above positions.
Describe the most recent and significant experiences you have had
working with children.
What challenges do you anticipate facing while working at camp?
What do you personally want to gain by working at camp this summer?
NOTE: If you wish, you may e-mail a resume, biographical
sketch, and /or information that may be relevant to this application.
Have you ever
been convicted of a crime, including sex related or child abuse related
offenses? If yes, please describe. (Note: a prior conviction is not an
automatic bar to employment. The type of conviction and when it occurred will
be evaluated by the camp before any decision is made.)
*
If yes, explain
I authorize investigation of all statements herein and release the camp and all
others from liability in connection with the same. I understand that the
investigation will include formal criminal background checks. I understand that
any untrue, misleading or omitted information submitted by the applicant
(including any attached resumes, other written materials or information
provided during interviews) will result in dismissal, regardless of the time of
discovery by the camp.
Name *
Date *
Please Note: Incomplete or overly brief applications will not be considered.
Girls Quest does not discriminate against any applicant due to race, ethnicity,
sexual orientation, gender, age, religion, disability, alienage, or citizenship
status.
