Staff Application

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Education
Employment History—List current and previous two yearsCamp ExperienceReferences – Please write names and addresses of three persons (not relatives or peers) who have knowledge of your character, experience and ability. Reference forms are included in this application for their use.In the following list, please put a numeral “1” before those activities you can organize and teach, “2” for those activities in which you can assist in teaching, and “3” for those which are just your hobbyLicenses/Certifications _ please check all that apply and indicate the year when you were certifiedAdditional Questions1. Why would you like to be on the Wekeela Staff and what contributions can you make?

2. What contributions do you think a well-run camp can make to children?

3. Please write a brief biographical sketch, including specialized training in camping, and experience in child_related fields (education, recreation, social work, etc.,) or other fields which might have a bearing on the position for which you are applying (no more than one side of a page, attached to this application). If you are applying for an art or music position, please provide links to samples from your portfolio.

4. Do you have any conditions, physical or otherwise, that under the advice of a medical practitioner, requires limitation of your activities in any way? If so, describe.

Name: Height:
Email: Weight:
lbs.
Facebook Page: Married:
Date of Birth:

Children:
Permanent Residents Mailing Address
Address: Address:
Address 2: Address 2:
City: City:
State: State:
Zip: Zip:
Phone: Phone:
Must a family member accompany you to camp?:
How did you hear about Camp Wekeela?
Salary Desired:
In which specific area of activity do you wish to teach as a counselor?:
What age group do you prefer working with? 1st choice:
2nd choice:
What specific position do you seek, if not a counselor?:
What languages can you speak other than English?:
Driver’s License #:
Has your license ever been revoked?:
Any accidents?:
If yes, please explain:
Have you ever been convicted of a felony or a misdemeanor?:
If yes, please explain:
High School
Name: City:
State: Graduated:
College
Name: Level:
Major: Graduated:
Degree:
Grad/Prof School
Name: Level:
Major: Graduated:
Degree:
Dates Employer Type of Work Phone
As: Camp Phone Email Dates
Name City & State Phone Email
Land Sports Tennis Performing Arts Creative Arts (cont’)
Archery Instruction Cheerleading Painting
Baseball College Play Dance Paper Mache’
Basketball Tournament Play    Aerobics Photography
Field Hockey    Ballet Pot Throwing
Flag Football Riding    Jazz Puppetry
Golf English Riding    Modern Sculpting
Gymnastics Jumping    Tap Dance Sewing
Karate Stable Dramatics Silk_screen
Lacrosse Management Instruments Stained Glass
Newcomb Trail Rides    Drums Woodworking
Skateboarding    Guitar Yearbook
Soccer Voice
Softball Waterfront Sports Piano Admin Support
Street Hockey ARC Swimming    Accompany Administrator
Track & Field Boating    Sight read Driver
Weight Training Canoeing Radio Broadcasting Kitchen
Volleyball Competitive Stage Combat Laundry
Swimming Stage Design Maintenance
Outdoor Adventure Fishing Video Production Mother’s Helper
Backpacking Funyaking Nurse
Nature Sailing Office
Outdoor Cooking S.C.U.B.A. Creative Arts
Rock Climbing Snorkeling Batik
Climbing Wall Water_skiing Candle Making
Rappelling    Boat Driver Cartooning
High Ropes
Course
   Instructor Clay Modeling
Low Ropes Course Wakeboarding Jewelry Making
Trailblazing Water Polo Macrame & Weaving
Whitewater Rafting Wind Surfing Newspaper
Red Cross ADV.
Life Saving
Red Cross Lifeguard Card CPR
Red Cross WSI First Aid

The statements in this application are true, complete and correct. I understand that any misrepresentation or omission of information shall be considered sufficient reason for withdrawal of any offer or subsequent termination of employment. All statements become part of any future personnel files.Camp Wekeela is a equal opportunity employer.