2022 Camp Wilani Inclusion Specialist Application

2022 Camp Wilani Inclusion Specialist Application

Please complete the form below to apply for a position with us.
Overview
Full Name *

First Name Middle Name Last Name
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Email Address *
example@example.com
Required Experience *

Fluent in American Sign Language with proven track record of skill use in a professional setting. Significant training, certification, and applied skills in assisting youth with limited mobility including carrying, moving, assisting with personal hygiene, and other abilities Significant training, certification, and applied skills in working with youth who are on the Autism spectrum or who have behavior challenges.
Current Status (Check all that Apply) *

Employed Full TIme Employed Part Time Full Time Student Part Time Student Unemployed
If Employed, Current Place of Employment
Name of Employer
If Employed, Current Role
Job TItle
If in School, Name of Institution
School Name
If in School, Current Status
Freshman, Sophomore, Junior, Senior, Graduate School
If in School, Course of Study
Course of Study
How many years of youth development work do you have?

0-1 year 1-2 years 2-3 years Over 3 years
Are you at least *

18 years of age 21 years of age 25 years of age
Please describe your RELEVANT work history in your own words. *
Why do you want to be on the Camp Wilani Team? *
Skills: Please check all of the skills of which you have mastery

American Sign Language Assisting Youth with Limited Mobility Assisting Youth who are on the Autism Spectrum Assisting Youth with Behavioral Challenges Low Ropes Course Facilitation Climbing/High Ropes Facilitation Hiking Outdoor Skills Zip Line Facilitation Lifeguarding Swimming Instruction Canoeing Open Water Safety
Work History

Enter your RELEVANT work history beginning with most current
1.) Place of Employment *
Location *
City, State
Position Title *
Dates of Employment *
MO/YEAR - MO/YEAR
Supervisor Name and Title *
Full Name, Title
Supervisor Phone Number *
Supervisor Email *
OK to contact supervisor? *

Yes No
Reason for Leaving *

Still Employed Resigned Terminated Got a new job Started school
2.) Place of Employment *
Location *
City, State
Position Title *
Dates of Employment *
MO/YEAR - MO/YEAR
Supervisor Name and Title *
Full Name, Title
Supervisor Phone Number *
Supervisor Email *
OK to contact supervisor? *

Yes No
Reason for Leaving *

Still Employed Resigned Terminated Got a new job Started school
3.) Place of Employment
Location
City, State
Position Title
Dates of Employment
MO/YEAR - MO/YEAR
Supervisor Name and Title
Full Name, Title
Supervisor Phone Number
Supervisor Email
OK to contact supervisor?

Yes No
Reason for Leaving

Still Employed Resigned Terminated Got a new job Started school
Certifications
Current or Planned Current Certifications by July 2021

First Aid/CPR/AED WFR WEMT American Red Cross Lifeguard Oregon Food Handler's Card Serve Safe Certification Archery Instructor Certification Challenge Course Facilitator Training/Certification Commercial (Bus or Semi-Truck)Driver's Licence
Do you have a valid driver's licence? *

Yes No
Have you ever been convicted of a felony?

Yes No
Self Assessment

Understanding Expectations: Honesty will help you to be more successful in a camp environment. Should you be hired, we will revisit your answers to these questions during evaluation periods.

Circumstances can change often and at the last minute in camp environments. Rate your ability to adapt to changing circumstances.

	1	2	3	4	5	6	7	8	9	10

1 is I struggle with changes to plans, 10 is I am highly adaptable

Staff members are not allowed to use cell phones or have them visible during the camp week unless on a scheduled afternoon or evening break away from campers. Rate your ability to handle being without your cell phone or other device while you are on duty.

	1	2	3	4	5	6	7	8	9	10

1 is Difficult to cope with, 10 is Easy to cope with

Positive, open communication; avoiding gossip, and seeking understanding are essential components to a successful season. Rate yourself on the ability to have open conversations and seek compromise.

	1	2	3	4	5	6	7	8	9	10

1 is Difficult , 10 is Easy

Following all policies and procedures is required to keep campers safe and create a positive environment. Rate your ability to take direction and follow rules.

	1	2	3	4	5	6	7	8	9	10

1 is Difficult , 10 is Easy

Keeping a positive, adaptable, and collaborative attitude is required for success in a camp environment. Rate your ability to stay positive and helpful.

	1	2	3	4	5	6	7	8	9	10

1 is Difficult , 10 is Easy

Policies
Will you submit to an enhanced, nationwide FBI Background Check? (required) *

Yes No
Camp Wilani is a smoke, drug, alcohol, and vape-free environment. Engagement in such activities at camp may result in immediate termination of employment.Type your initials to acknowledge your understanding of this policy. *
Initial your understanding
References

Professional references are people who have supervised you or overseen your work. They are: employers (preferred), teachers, professors, coaches, guidance counselor, pastors or other spiritual leaders, mentors, social service workers, or other similar person. They are NOT: family members, romantic partners, people you supervise, co-workers with the same title or job duties as you, or friends.
Reference 1 Full Name *
First Last
Reference 1 Job Title *
Job Title
Reference 1 Place of Employment *
Place of Employment
Relationship to you *

Supervisor Teacher/Professor Guidance Counselor Coach Guidance Counselor
Reference 1 Years Known *
Total years this person has known you
Reference 1 Email Address *
Reference 1 Phone Number *
Reference 1 Alternate Phone Number
Reference 2 Full Name *
First Last
Reference 2 Job Title *
Job Title
Reference 2 Place of Employment *
Place of Employment
Relationship to you *

Supervisor Teacher/Professor Guidance Counselor Coach Guidance Counselor
Reference 2 Years Known *
Total years this person has known you
Reference 2 Email Address *
Reference 2 Phone Number *
Reference 2 Alternate Phone Number
Reference 3 Full Name *
First Last
Reference 3 Job Title *
Job Title
Reference 3 Place of Employment *
Place of Employment
Relationship to you *

Supervisor Teacher/Professor Guidance Counselor Coach Guidance Counselor
Reference 3 Years Known *
Total years this person has known you
Reference 3 Email Address *
Reference 3 Phone Number *
Reference 3 Alternate Phone Number
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By signing below, I hereby attest that the information contained in this application is true and accurate under penalty of law.
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2022 Camp Wilani Inclusion Specialist Application

Overview

Work History

Certifications

Self Assessment

Policies

References

Uploads

By signing below, I hereby attest that the information contained in this application is true and accurate under penalty of law.