Heartwood Employment Application

Heartwood Employment Application Form
Name:*

First NameLast Name
Preferred Pronouns

She/HerHe/HimThey/ThemPrefer Not To SayOther
Are you at least 18 years old?*

YesNo
If you are under 18, what is your birthday?*

MonthDayYear
Date
Phone Number:*

Area CodePhone Number
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
We hire locally. If you are local, type LOCAL. If you are planning to relocate, please share your relocation plan.*
Have you been employeed at Heartwood before?*

YesNo
Have you applied for a position at Heartwood before?*

YesNo
How did you hear about us?*

Word of mouthFacebookInstagramIndeedGoogleOther
If someone referred you, feel free to share their name (optional)
Add your resume - PDF format.(Ensure that your name is in the file name. e.g.: "Taylor Jones Resume.pdf")*

Browse Files

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Job Skills & Training
Describe any experience working with children. If none, write NA.*
Describe any experience and/or skills working outdoors, including bushcrafts, plant id, etc. If none, write NA.
Describe any experience with mindfulness or yoga. If none, write NA*
Do you have a current CPR/First Aid certificate? (If not, you will need to attain this on your own time prior to your first day with kids.)*

YesNo
Do you have a WA State Food Workers Card?*

YesNo
Describe any additional skills, education, or work since your last employment with Heartwood.
Training or Certifications:
Describe your skills:*
Availability & Position
Why would you like to join the Heartwood team?*
What is your ideal position and what are you looking for?*
What programs are you interested in?*

Summer CampBreak Camps: December, February &/or AprilSchool-year classesSchool-year SubstituteSchool-year Parent/Child Classes
Summer Junior Counselor: What positions are you interested in? (select all that apply)

Junior Camp Counselor, 7.75hr day w/ages 6-11Junior Camp Counselor, 6.5hr day w/ages 5-9Junior Camp Counselor, 4.75hr day w/ages 4-6
Summer: What positions are you interested in? (select all that apply)

Under 18 years old - Junior CounselorCamp Counselor, 7.75hr day w/ages 6-11Camp Counselor, 6.5hr day w/ages 5-9Camp Counselor, 4.75hr day w/ages 4-6Summer Camp Director, 8 hr/daySummer Camp Director, 6.5 hr/daySummer Camp Director, 5 hr/daySummer Camp Substitute Counselor
Summer: How many total WEEKS of camp would you like to work? (Select all that apply)

234678
Summer 2026: Which weeks are you available for the full week, without taking a day off? Select all that available weeks:

2026 pre-camp camp, June 9-112026 week 1, June 22-262026 week 2, June 29 - July 32026, week 3, July 6 - 102026 week 4, July 13 - 172026 week 5, July 20 - 242026 week 6, July 27 - 312026 week 7, August 3 - 72026 week 8, August 10 - 13 (M-Th)
Summer 2026: Are you available for staff training June 15 - 16?

YesNoOther
Summer: Are you available in May or Early June for subbing in the school-year programs? If so, add dates you may be available.
School-Year: What ages are you interested in working with?*

Ages 3-6Ages 6-11Ages 11-14Ages infants to 3 year olds
School-Year: How many hours per week are you available? Select all that you would like to be considered for.*

2-89-1415-1920-2526-3132-3940Other
School-Year: What days are you available?*

All daysMondayTuesdayWednesdayThursdayFridayOther
School-Year: How many days a week are you interested in working? (check all that apply) Example, if you want 5 days a week, select only "5".*

12345Other
Are you available to teach weekends?*

YesNoOther
If you are interested in teaching on weekends, what would your optimal number of weekend days be per month?

1234Other
School-Year: Are you available to work summers?*

YesNoOther
You will be working entirely outdoors in all weather and temperature conditions. This role involves sitting on the ground, getting dirty, and respectfully engaging with living things such as bugs, worms, and mushrooms.How do you feel about spending your days immersed in nature, even during inclement weather?*
How will you maintain your positive and caring nature when the weather becomes challenging? How will you handle working with cold/wet children? *
What are your hobbies and interests?*
What ages and programs are you interested in?

Ages 5-11Ages 3-5Ages 11-14Summer CampSchool-year classesSubstituteEducator/Program AssistantParent/Child ClassesBreak Camps, Winter & SpringAges infants to 3 year olds
References

Please list two (2) references that are familiar with your work life.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Relationship:
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Relationship:
Years Known:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Anything else you would like us to know?
Comments:
Should be Empty: