Summer Camp Staff 2021 Application

Camp Staff Application

Building an amazing camp experience together!
Name: *

First Name Middle Initial Last Name
Best Phone Number *

Area Code Phone Number
What is your permanent home address? (If not getting direct deposit, this is the address your final check will be mailed to) *

Street Address

Street Address Line 2

City State / Province / Region

Postal / Zip Code Country
What is your current address, if different from above?

Street Address

Street Address Line 2

City State / Province / Region

Postal / Zip Code Country
Current Address is Valid Until: *

Month Day Year
What is the best e-mail address to contact you? *
Application Status: *

New Applicant Returning Staff Member
Did someone refer you to Girl Scouts? *

YES NO
If referred, Who referred you to Girl Scout Camp? blanks
Are you are returning staff member? What was your camp name?
If you are a returning staff member, Which of the GSNENY camps have you worked for in the past?
What Camp(s) are you applying for?

List three positions you are interested in. *

Position

Choice #1

Choice #2

Choice #3

Working availability beginning on: *

Month Day Year
Working availability ending on: *

Month Day Year
I am not available for the following dates this summer . I understand that this time will be unpaid and the request for too much time off could impact my being hired. Any time off during the summer that I request after the point of hire will still be considered.
Education & Background Information
Present Occupation or Highest Grade Completed: *
Please indicate High School or College ex: HS Senior or College Freshmen
If attending College, What degree are you pursuing?
Are you legally eligible for employment in the United States of America? *

Yes No
Do you hold a current US Driver’s License? *

Yes No
After looking at the job description (linked below) of which you are are applying for, can you demonstrate the appropriate skills and proof of age required by the Department of Health - Please see complete list of job descriptions on our website at www.girlscoutsneny.org/adventurenow . *

Yes No
If no, please explain:
Have you ever been convicted of a crime (felony or misdemeanor- other than a traffic violation)? *

Yes No
If yes, please provide details in the box below. Your failure to provide details to the above question could significantly delay any determination of your qualifications for the position, in which you are applying.

Areas of Interest & Personal Statement:
What position are you most interested in at camp and what type of skills or energy will you bring to the position? *
List any of your certifications that will be current through August 2021: *
OTHER RELATED TRAINING OR SKILLS (please indicate expiration date mm/dd/yyyy)? *
Outside Girl Scout organization, what experience do you have working with children? *
What types of experiences or skills do you hope to learn this summer *
Time Management skills are key in any job position you apply for. How would you describe your time management skills to your potential employer *
Working at a summer camp can be a rewarding experience but it can also be really exhausting? How will you ensure that you have the emotional and physical endurance throughout the summer? *
How will you deal with campers and staff when you are tired or stressed out to ensure the most positive outcomes in challenging situations? *
Do you have any special or unique skills/ accomplishments you would like to tell us about *
Employment History:

Relevant Volunteer Experience will also be considered
Employer's Name #1: *
Phone Number: *

Area Code Phone Number
Position/Title/ Volunteer: *
Dates Employed: *
Major Responsibilities: *
Reason for Leaving: *
Supervisor's Name: *
#2 Employer's Name:
Phone Number:

Area Code Phone Number
Position/Title/ Volunteer:
Dates Employed:
Major Responsibilities:
Reason for Leaving:
Supervisor's Name:
#3 Employer's Name:
Phone Number:

Area Code Phone Number
Position/Title/ Volunteer:
Dates Employed:
Major Responsibilities:
Reason for Leaving:
Supervisor's Name:
References:
REFERENCES: List three (3) persons NOT related to you who can judge your qualifications for this position. If you have previous experience as a camp staff member, one reference should be from a camp director or camp administrator.
Reference #1 Name: *
Reference Phone Number: *

Area Code Phone Number
Reference E-mail: *
Reference Position Title: *
How long have you known this reference? *
What is your relationship with this person? *
Reference #2 Name *
Reference Phone Number: *

Area Code Phone Number
Reference E-mail: *
Reference Position Title: *
How long have you known this reference? *
What is your relationship with this person? *
Reference #3 Name *
Reference Phone Number: *

Area Code Phone Number
Reference E-mail: *
Reference Position Title: *
How long have you known this reference? *
What is your relationship with this person? *

Submission:
I understand that a successful completion of a physical examination and current immunizations are conditions of employment. *

Yes No
I understand that employment is contingent upon passing a criminal background check and I give GSNENY permission to conduct a check if necessary. *

Yes No
I certify that all information provided is true and complete. I understand that falsification or significant omission of any information may be considered justifications for dismissal if discovered at a later date. *

Yes No
Upload your Resume.
Signature *

Use the mouse to draw your signature. Clear
Date *

Month Day Year
Girl Scouts of Northeastern New York, is an Equal Opportunity Employer. The Council does not discriminate on the basis of race, color, sex, age, disability, pregnancy, national origin, citizenship or sexual orientation.
Should be Empty:

Camp Staff Application

Education & Background Information

Areas of Interest & Personal Statement:

Employment History:

References:

Submission: