Woodbrooke Staff Application

Camp Woodbrooke Staff Application
Name*

Legal First NameMiddleLast Name
Preferred Name/Nickname
Gender:*
Phone Number*

Country code (1 for U.S.)Area CodePhone Number
When is the best time to reach you by phone?*
Email*
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Camp Woodbrooke Staff Application
Do you have any problems with inclusive employment dates 6/10/2023 – 8/8/2023?

NoYesOther
What position are you interested in (please mark only if you meet the age qualification)?

Cabin Counselor (18 years or older)Teen Trip Counselor (21 years or older)Kitchen Coordinator (18 years or older, with some kitchen experience)
Do you agree to abstain from all smoking and use of alcohol and illegal drugs on the camp property?

YesNo
Please list your education: 1) school, 2) location, 3) degree, 4) major
Please mark all skills and interests you may have that can be shared in the camp community. Mark only those that you know and/or enjoy.

Bracelet makingCreative WritingKnittingNature CraftsOrigamiPaintingPotter's wheelSculpture/ClaySilk screeningSketchingWoodcarvingStage skits/ImprovPuppetryCarpentryRepairsUse of hand toolsBakingCooking for large groupsLead singingInstrument playingdanceKnots and lashingHikingMaps/orienteeringOvernight CampingFire buildingTrail buildingSurvival skillsMinimum impact campingArcheryFrisbeeCooperative game playingSoccerSoftballJugglingVolleyballAnimalsAstronomyBirdsConservationEcologyFlowersForestryInsectsPond lifeProject WildProject Learning TreeRocks and mineralsTrees and shrubsWeatherNewspaperNative American lorePioneer craftsStorytellingYogaWorshipCampfire programOther
Please provide detail about your skill level for any are of interest you selected, and if you selected "Other".
References

Please list employment experience since last summer.
Reference #1
Reference #2
Training and Certifications: Current certification in Community First Aid and CPR is required. It is the applicant's responsibility to obtain certification prior to the camp season. If you have not taken the class yet, add it to the list below and the date you plan to get the certificate. We also give bonuses to counselors who have certificates in: Lifeguarding, Archery Instruction, Wilderness First Aid and/or Wilderness First Responder. Please mark any certifications that you currently hold, or plan to obtain by summer:

Driver's License (State of license)Standard First AidCPR: Infant, Child, AdultCPR for Professional RescuerWilderness First AidWilderness First ResponderARC Lifeguard TrainingARC Water Safety InstructorTeaching License (area of specialty)ACA OLS LeaderArchery InstructorCanoe InstructorBloodborne PathogensMandatory ReporterOther
Please provide details about any licenses that you hold:
How did you hear about Camp Woodbrooke?
Why do you want to work at Camp Woodbrooke?
I verify that all information I have included on this application form is true and complete. I have not knowingly withheldany information that might, if disclosed, affect my application unfavorably. I understand that a certificate ofsatisfactory physical examination within the last 2 years is a prerequisite to acceptance for employment. I understandthat I am responsible for obtaining first aid and CPR training prior to the start of employment. I am aware that a criminal background check will be done. I affirm that I meet the requirements for the position that I am applying for. I understand that any misrepresentation or omission of facts on this application may be cause for rejection of this application or dismissal after employment.

Clear
Date

MonthDayYear
Date
Should be Empty:

Camp Woodbrooke Staff Application

Camp Woodbrooke Staff Application