Personal Information
 
First Name:
 
Last Name:
 
Address:
 
City:
 
State/Province:
 
Zip:
 
Country:
 
Email:
 
Phone:

 
School:
Address:
City:
State:
Zip:
Phone:
   
If you were hired would you desire or need housing for any person(s) other than yourself?
Yes
No
Do you Smoke?
Yes
No
Do you consume alcoholic beverages?
Weekly
Sometimes
Never
Education:
     
School
Major Subjects
Years
Degree
 
Camp Experience:
Have you worked at a camp before ?
Yes
No
If Yes, please tell us the name of camp, when you worked there and in what capacity:
Salary Expectations (Approx. 8 weeks)
$
Dates of Availability?
From:
To:
 
What position(s) are you applying for?
Counselor
Office
Nurse
Kitchen
Maintenance
What activities are you qualified to teach at camp?:
Arts And Crafts
Ceramics
Cartooning
Copper-Enamel
Jewelry
Lanyards
Model Rocketry
Painting
Photography
Darkroom
Land Sports
Archery
Basketball
Fencing
Golf
Gymnastics
Martial Arts
Table Tennis
Soccer
Softball
Tennis
Vollyball
Western Horseback Riding
English Horseback Riding
Performing Arts
Dance
Drama
Guitar
Singing
Play Directing
   
Water Sports
Sailing
Canoe/Kayak
Lifeguard
WSI
Snorkling
SCUBA
Waterskiing
Wakeboarding
Boatdriver
Water Polo
Windsurfing
   
Outdoor Adventure
Fishing
Hiking
Camping
Outdoor Pursuits
Other

In the boxes below, elaborate on your top 3 skills that you are capable of teaching at camp. Please detail any personal or teaching experience you have in connection with these skills.
 
Skill 1:
 




 

 

 

 

 

 

 

 

 
Skill 2:
 
 
Skill 3:
 
 
 
Questions:

 

 

 

 

 

 

 

 

 

 

 

 
What attributes do you posses that would make you a valuable staff member of our camp?
 
 
What contributions do you think a well-run camp can make to children?
 
 
 
References:





 

 

 

 

Please provide 3 references:
(If you have them now, please fill in below. If not, you may send them to us at a later time.) The people you choose should have a good knowledge of your character, experience and ability.