Heartwood Summer Camp Employment Application

Summer Camp Employment Application
Name:*

First NameLast Name
Preferred Pronouns

She/HerHe/HimThey/ThemPrefer not to sayOther
Are you 18 years or older?*

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

MonthDayYear
Phone Number:*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you applied for a position at Heartwood before?*

YesNo
How did you hear about us?*

FriendIndeedFacebookCamp RootsOther
We hire locally. If you are local, type LOCAL. If you are planning to relocate, please share your relocation plans with us.*
Job Skills & Training
Do you have experience working/volunteering with youth? If Yes, please explain*
Training or Certifications:
Tell us more about you!
Why would you like to join the Heartwood summer team?*
What positions are you interested in? (select all that apply)*

Summer Camp Junior Counselor (Counselor's under 18)Camp Counselor/Instructor, 7.75hr day with ages 6-11Camp Counselor/Instructor, 6.5hr day with ages 5-9Camp Counselor/Instructor, 4.75hr days with ages 4-5Camp Counselor, 4hr days with ages 3-4Summer Camp Director, 8 hr/daySummer Camp Director, 6.5 hr/daySummer Camp Director, 5hr/daySummer Camp Director, 4 hr/daySummer Camp Substitute CounselorSchool-year Forest School EducatorSchool-year Substitute Educator
Which weeks are you available for all of the dates, without taking any time off?*

Week 1: June 24-27 (Tu - Fr)Week 2: June 30 - July 3 (Mo - Th)Week 3: July 7-11Week 4: July 14-18Week 5: July 21-25Week 6: July 28 - August 1Week 7: August 4-8
How many total weeks of camp would you like to work? (Select all that apply*

234567As many as possible!Other
Are you available for staff training between June 16-17? (Date will vary depending upon camp assigned)*

YesNoOther
Are you available prior to summer camp if subbing is needed in our Forest School which operates now until June 9? If so, add dates you may be available.*
You will be working 100% outdoors in all weather and temperature conditions. You will be sitting on the ground, getting dirty, and interacting respectfully with living things such as bugs, worms and mushrooms. How do you feel about interacting with nature on a daily basis?*
What do you love about working with children?*
What do you love about being outdoors?*
What are your hobbies and interests?*
Is your CPR/First Aid current and will cover for this summer?*

YesNo
Add a PDF of your resume, NOT a WORD DOC. (Ensure that your name is in the file name. ex: "Alex Anders Resume.pdf")*

Browse Files

Cancelof
References

Please list two (2) work references.
Reference 1
Reference 1 Name:*

First NameLast Name
Reference 1 Relationship:*
Reference 1 Years Known:*
Reference 1 Phone*

Area CodePhone Number
Reference 1 Email*
example@example.com
Reference 1 City
Reference 1 State
Reference 2
Reference 2 Name:*

First NameLast Name
Reference 2 Relationship:*
Reference 2 Years Known:*
Reference 2 Email*
example@example.com
Reference 2 Phone Number*

Area CodePhone Number
Reference 2 City
Reference 2 State
Classification2

Seasonal, part-time, non-exemptPart-Time, non-exemptSeasonal, non-exempt
Offer Wage

$18.50/hr$19/hr$19.50/hr$20/hr$20.50/hr$21/hr$21.50/hr$22/hr$22.50/hr$23/hr$24/hr$25/hrOther
Offer Good For

3 days4 days5 days6 days7 days
Summer Start Date
Offer Date

MonthDayYear
Date
Position

Summer Camp CounselorSummer Camp DirectorSummer Camp AssistantJunior CounselorOther
Should be Empty: