2024 CAMP STAFF APPLICATION

2024 Summer Camp Staff Application
Contact Information
Name: *
Email:*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street

Street Address Line 2

CityState

Zip Code
Permanent Address (if different than above)

Street

Street Address Line 2

CityState

Zip Code
Have you worked at a GSGWM camp before?*

YesNo
Are you 21 or older?*

YesNo
Are you 18 or older?*

YesNo
Are you 16 or older?*

YesNo

Camp Information

Camp Dates:

Camp Farnsworth, Thetford, VT	Overnight Camp	Camp Dates: June 28 - August 11, 2024 Training Dates: June 21-28, 2024 Leadership Training Dates: June 14-28, 2024
Camp Kettleford, Bedford, NH	Day Camp	Camp Dates: June 24 - August 16, 2024 Virtual Training Dates: May 16, 2024 & June 6, 2024 - 6:00pm-8:00pm In-Person Training Date: June 22, 2024
Camp Seawood, Portsmouth, NH	Day Camp	Camp Dates: July 8 - August 2, 2024 Virtual Training Dates: May 16, 2024 & June 6, 2024 - 6:00pm-8:00pm In-Person Training Date: June 29, 2024
Camp Twin Hills, Richmond, VT	Day Camp	Camp Dates: July 22 - August 2, 2024 Virtual Training Dates: May 16, 2024 & June 6, 2024 - 6:00pm-8:00pm In-Person Training Date: July 20, 2024

Skills Training
June 23, 2024 - tentative

Lifeguard Training
June 22-23, 2024 - Camp Farnsworth

Belay Training
TBD - Camp Farnsworth

I am applying for:*

Camp FarnsworthCamp KettlefordCamp SeawoodCamp Twin Hills
Why do you want to work at Girl Scout camp this summer? *
What education, work and/or volunteer experience(s) do you have that prepare you to work at Girl Scout Camp? *
What specific position(s) are you applying for? (All Camps)

Camp Director (Min age 25)Assistant Director (Min age 21)Health Director (Min age 21)Program Director (Min age 21)Unit Leader (Min age 21)Unit Assistant (Min age 16)
What specific position(s) are you applying for? (Camp Farnsworth Only)

Business Manager (Min age 21)Waterfront Director (LGT/WSI, Min age 21)Trek Leader (Bike/Hike/Canoe) (Min Age 21)Dining Hall/Kitchen Assistant (Min age 18)
As you understand the job(s) you are applying for, do you believe you are able to perform the essential functions of the job with or without reasonable accommodation?*

YesNo
Are you legally eligible to be employed in the United States?*

YesNo
Please tell us your top 3 skills that you have and are excited about sharing with Girl Scout campers this summer.*
Our staff members are role models for the girls who attend our camps. What will girls learn from you? *

Certifications - List Organization & Expiration Date

	Certification?	Organization & Expiration Date
First Aid
CPR/AED
CPR-Professional Rescuer
Wilderness First Aid
EMT/LPN/RN, etc.
Lifeguard (Pool)
Lifeguard (Waterfront)
Water Safety Instructor
Small Craft (Boating)
Belay
Archery
Airsoft
Other

In a team environment like camp, do you most often lead or follow? Why?*
References:
List 3 references, not related to you, who have definite knowledge of your character, experience, and qualifications for this position.
Reference #1 Name*

First NameLast Name
Reference #1 Email*
example@example.com
Reference #1 Phone*
Please enter a valid phone number.
Reference #1 Position*
Reference #1 Relationship to you*
References may not be family members.
Reference #2 Name*

First NameLast Name
Reference #2 Email*
example@example.com
Reference #2 Phone*
Please enter a valid phone number.
Reference #2 Position*
Reference #2 Relationship to you*
References may not be family members.
Reference #3 Name*

First NameLast Name
Reference #3 Email*
example@example.com
Reference #3 Phone*
Please enter a valid phone number.
Reference #3 Position*
Reference #3 Relationship to you*
References may not be family members.
File Upload

Upload certifications, cover letter/resume (optional), anything you would like to share with us
Cancelof
I certify the above information is correct and give you permission to contact my above references; I further authorize these references to release to you all information that they have about me. I know that if hired, I am expected to attend all trainings, skills days, and work the entire camp season. I recognize that Girl Scout membership is a condition of employment; and that it is my responsibility to turn in all hiring paperwork, proof of certifications, and health forms prior to the start of employment.
Signature:*

Clear
Date:*

MonthDayYear
Date
GSGWM is An Equal Opportunity Employer M/F/V/D Form No. 4132-FM1
Should be Empty:

2024 Summer Camp Staff Application

Contact Information

Camp Information