GSCI Returning Camp Staff Application

GSCI Returning Camp Staff Application

Please complete this online form and submit for employment consideration during the 2023 Girl Scout camp season.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Email*
Present occupation or year in school*
Dates available*

MonthDayYear
to:*

MonthDayYear
Camp Sycamore Valley runs the month of June. Camp Na Wa Kwa runs during the month of July. If you are interested in working the entire summer camp program at one of these locations, please check both camp locations for full summer employment.
Camp choice*

Camp Gallahue - Morgantown INCamp Dellwood - Indianapolis INCamp Na Wa Kwa - Poland IN (runs in month of July)Camp Sycamore Valley - Lafayette IN (runs in month of June)
Position choice*

Seasonal Camp Director (Dellwood) – must be at least 21 years of age and able to obtain all certifications required at this camp locationAssistant Camp DirectorAssistant Camp Director (all camp locations) – must be at least 21 years of age and able to obtain all certifications required at each camp locationLead Program Specialist (Dellwood and Gallahue) – must be at least 18 years of age and able to obtain all certifications required at each camp locationProgram Specialist (Dellwood, Sycamore Valley, Na Wa Kwa) – may need to obtain certifications depending on camp locationLifeguard Lead (Dellwood and Gallahue) – must beat least 21 years of age and able to obtain lifeguard certificationLifeguard (Dellwood and Gallahue) – must be at least 16 years of age and able to obtain lifeguard certificationTag Unit Leader (Dellwood)Tag Unit Staff (Dellwood)Health Care Supervisor (all camp locations) – must be at least 21 years of age and completed 2 years of nursing or medical School, or current license in the state of Indiana as a registered nurse, emergency medical technician, paramedic or equivalentBarn Lead (Gallahue)Barn Staff (Gallahue)Unit Leader (Gallahue)Assistant Unit Leader (Gallahue)Kitchen Manager (Dellwood, Sycamore Valley, and Na Wa Kwa)Kitchen Staff (Dellwood, Sycamore Valley, and Na Wa Kwa)Photographer (Dellwood and Gallahue)Bus Monitor (all camp locations) – add-on position for weeks in which transportation is includedAfter Care Specialist (Dellwood) – add-on position for day camp weeks only
List most recent employment experience since end of camp last year. Include employer name, address, and phone.List your responsibilities, supervisors name and employment dates.*
I understand that successful completion of a physical examination is a condition of employment. I certify that all information provided on this application is true and complete. I understand that falsification or significant omissions of any information may be considered justification for dismissal if discovered at a later date. If I am employed, I agree to comply with and be bound by the safety and health rules and regulations, and rules of conduct established by GirlScouts of Central Indiana. I give Girl Scouts of Central Indiana the right to investigate any and all statements made in this application for the purpose of employment and retention of employment. This investigation may include, but is not limited to, credit reports, criminal conviction records, motor vehicle driving records and previous employment history. Further, I hereby release from liability and hold harmless this employer, its representatives, all persons and organizations/companies for furnishing such information. If requested, I agree to a drug-testing prior and during employment or for post accident occurrences.
Signature*

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Date*

MonthDayYear
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