Camp Staff Application Form

Camp Staff Application
Opportunities to serve Scouting as a member of the Columbia Montour Council’s seasonal camp staff are available to outstanding applicants. Young men and women are needed who are people-oriented, enthusiastic, energetic, willing to teach others, and believe in the principles of the BSA. Depending on your type of employment you may be provided a salary, lodging in tents or cabins, meals, subsidized staff uniforms, limited medical care, and BSA insurance. Before camp opens you will receive training from experienced advisors and leaders pertinent to your job area and to working with youth.
- Volunteer Staff positions at our camp are available to any interested adult or youth applicant who would like to volunteer their time to supplement the camp staff. All volunteer staff must be a registered Scouter or Scout and submit an application to be invited for an interview with the camp director.
- The minimum age accepted for paid employment is 15 (June 2022). Boy Scouts of America standards require minimum ages of 18 and 21 for some positions (see below).
- All full-time paid staff members are expected to be available for the full season. The work week is 6 days with a minimum 24 hour time-off period each week.
- The Counselor-in-Training (CIT) program is for Scouts 14 to 15 years-old as of June 2022. They volunteer for at least three weeks in preparation for possible full-time employment in coming seasons. CIT’s are not paid a salary but are provided room and board. CIT’s are encouraged to work on merit badges while at camp for personal advancement.
- Applicants are considered for positions without regard to race, color, religion, sex, national origin, age, marital status, veteran status, or the presence of a health problem or handicap that is unrelated to your ability to perform the jobs requested.
- All staff members must be registered with the Boy Scouts of America prior to employment. The standards of the Scout Oath and Scout Law must be adhered to at all times. The staff sets an example of Scouting excellence that includes the proper wearing of the full uniform and the proper use of official equipment while in camp. Behavior and appearance standards, as will be specified in the employment letter and handbook, must be followed at all times.
Name: *

First Name Middle Initial Last Name
Date of Birth *

Month Day Year
Date
Application Status: *

New Applicant - CIT New Applicant - Youth (under 18) New Applicant - Adult Returning Staff Member

List three positions you are interested in. *

	Position
Choice #1
Choice #2
Choice #3

What is your best e-mail address? *
How often do you check your email? *

Daily Weekly
What is your permanent phone number? *

Area Code Phone Number
What is your permanent address? *

Street Address

Street Address Line 2

City State / Province / Region

Postal / Zip Code Country
What is your current address? *

Street Address

Street Address Line 2

City State / Province / Region

Postal / Zip Code Country
Current Address is Valid Until:

Month Day Year
Present Occupation or Year in School: *

Youth Applicants

If you are under the age of 18 or still in High School, complete the following -
Parent/Guardian

First Name Last Name
Phone Number

Area Code Phone Number
Email
example@example.com
Parent/Guardian

First Name Last Name
Phone Number

Area Code Phone Number
Email
example@example.com

Scouting Background
Are you currently registered with The Boy Scouts of America? *

Yes No
Where (what unit) are you registered or What (non-unit adults) are you registered as?
Experience
How long have you been involved in Scouting?

As a Youth - blanks years.
As an Adult - years.

Highest rank attained -
Order of the Arrow
If a youth, what Unit Leadership Positions have you held?
List any relevant Scout Leadership Training you have participated in (NYLT, Woodbadge, etc.)
What other Scouting related experiences have you had that will make you a better staff member?

Education & Background Information
High School information - NAME:
Name
CITY:
City
STATE:
State
Please list any community college, university, or tech school you have attended:
Name
CITY:
STATE:
MAJOR/AREA OF STUDY:
DATES:
HIGHEST GRADE COMPLETED:
DEGREE OR CREDITS:
Please list any community college, university, or tech school you have attended:
Name
CITY:
STATE:
MAJOR/AREA OF STUDY:
DATES:
HIGHEST GRADE COMPLETED:
DEGREE OR CREDITS:
Do you have the legal right to work in the United States of America? *

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

Yes No
Do you know of any reason why you would not be able to perform the essential functions of the job position’s for which you are applying with or without reasonable accommodation? *

Yes No
Have you ever been convicted of a crime (other than a traffic violation)? *

Yes No
If yes, please state offense, date, and location. (A conviction record will not necessarily be a cause for not rehiring.)

Areas of Interest & Personal Statement:
Briefly describe why you think you are qualified for the position(s) you are applying.
List any of your certifications that will be current through August 2022:
OTHER RELATED TRAINING OR SKILLS (please indicate expiration date mm/dd/yyyy)
Briefly summarize community, school or other experiences that will enable you to carry out the responsibilities of the job that you are seeking. Describe experience in working with children, the purpose of the experience, your role, and the result.
Please write 3-4 sentences about yourself. Things you like, where you are from, where you go/ or went to school, any fun facts, hobbies, or anything else you would like to share.
Why are you interested in working/returning to work at a camp this summer?
What qualities or characteristics do you possess that would be needed to make a great camp staff member?
Working at a summer camp is difficult at times. Your duties will include working long hours, putting camper’s needs first, and cleaning parts of camp. How do feel about these things and why would you be good working in this kind of an environment?
List three goals you have for this coming summer if hired?
Upload your Resume.

Employment History:
EMPLOYMENT HISTORY - Employer's Name:
Address:
Phone Number:

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

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

Area Code Phone Number
Position/Title:
Dates Employed:
Major Responsibilities:
Reason for Leaving:
Supervisor's Name:
EXPERIENCE AS A CAMPER/STAFF MEMBER - Camp Name & Location:
Organization:
Position:
Years
Supervisor:
EXPERIENCE AS A CAMPER/STAFF MEMBER - Camp Name & Location:
Organization:
Position:
Years
Supervisor:

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 Name: (#1) *
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 Name (#2) *
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 Name (#3) *
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 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
I hereby make application for employment, and, in accordance with the principles of the organization, subscribe to the Scout Oath, Law, and Declaration of Religious Principle. I agree to be loyal to and cooperate fully with all of the BSA policies, programs, and management including those described in this application.

I understand that if I am accepted for employment with Columbia Montour Council that my employment can be terminated at any time, with or without cause or notice, at the discretion of the Columbia Montour Council BSA.

I agree to submit a completed Health and Medical Record upon my arrival. I understand that a personal interview may be required before employment will be granted. I understand that I am expected to reside in housing (tent or cabin) provided by the Columbia Montour Council. Management reserves the right to enter this housing for the purpose of inspection at its discretion.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I authorize all my previous employers, schools, and all other references to furnish the information requested. I hereby declare that the information provided by me in this application for employment is accurate and complete to the best of my knowledge. I understand that any falsification or misrepresentation in this application is cause for discharge and denial of worker’s compensation benefits.

I understand that I must complete Youth Protection Training, Sexual Harassment Training, and Hazardous Weather training arriving to Camp Lavigne for duty. I may have to take CPR training which will be determined by the Camp Director and provided on site.

I hereby assign and grant to the Columbia Montour Council Boy Scouts of America the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me at all Scouting activities and I hereby release the Columbia Montour Boy Scouts of America, the activity coordinators, and all employees, volunteers, related parties, or other organizations associated with the activity from any and all liability from such use and publication. I hereby authorize the reproduction, sale, copyright, exhibit, broadcast, electronic storage, and/or distribution of said photographs/film/videotapes/electronic representations and/or sound recordings without limitation at the discretion of the Columbia Montour Council Boy Scouts of America, and I specifically waive any right to any compensation I may have for any of the foregoing.
Signature

Use the mouse to draw your signature. Clear
Date *

Month Day Year
Columbia/Montour Council BSA is an Equal Opportunity Employer. The Council does not discriminate on the basis of race, color, sex, age, disability, pregnance, national origin, citizenship or sexual orientation.
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Camp Staff Application

Youth Applicants

Scouting Background

Education & Background Information

Areas of Interest & Personal Statement:

Employment History:

References:

Submission: