2024 Girl Scouts, Lakes & Pines Camp Staff/Wilderness Canoe Guide Employment Application
This council is an equal opportunity employer. All applications for employment will be considered with regard to race, religion, color, sex, age, national origin or ancestry, citizenship, disability, marital status or veteran status. Conditions of employment are stated at the end of this form. Please read carefully before you sign the application. Applications must be completed in full even if attaching resume. This application will be considered current for the summer 2024 season only. At the end of this period, if you are still interested in employment it will be necessary to reapply by completing a new application form.
Name
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First Name
Last Name
Permeant Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date Available to Start
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Month
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Day
Year
Date
Available End Date
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Month
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Day
Year
Date
What camp(s) are you applying for?
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Source of Referral
*
Please Select
School/Organization
Friend
Girl Scout Employee
Job Fair
Publication
College Job Board
Own Initiative
Former Camper
Website or Social Media Post
Other
Let us know how you found out about our jobs!
Desired Position
*
Please Select
Assistant Camp Director (CR, CS, CST)
Food Service Manager/Head Cook (CR, CS, CST)
Food Service Assistant/Asst Cook (CR, CS, CST)
Health Care Manager (CR, CS, CST)
Horseback Riding Manager (CR)
Program Manager/CIT Director (CR, CST)
Recreation Manager (High Challenge Course - CST)
Waterfront Manager (CR, CS, CST)
Camp Counselor (CR, CS, CST)
Wilderness Canoe Guide (NLCB)
Lead Wilderness Canoe Guide (must have had NLCB 2+ seasons)
Seasonal Maintenance Helper (CR, CST, NLCB)
Other
Current Certifications (only check those in which you have current certification through August 2024)
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First Aid/CPR (Youth)
First Aid/CPR (Adult)
Wilderness First Aid (WFA)
Wilderness First Aid/Responder (WFA/WFR)
High Challenge Course Facilitator
Lifeguard
Waterfront Lifeguard
American Canoe Association - Canoe/Kayak Training
Girl Scout Small Craft Safety Training - Canoeing/Kayaking
USA Archery/NASP Archery Training
Emergency Medical Technician (EMT)
Licensed Practical Nurse (LPN)
Registered Nurse (RN), Nurse Practitioner (NP), Doctor (DR)
None
Other
Are you interested in obtaining enrichment trainings?
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Yes
No
Enrichment Trainings (if possible please try to get these training before coming to camp).
American Red Cross - Waterfront Lifeguard Training
American Red Cross FA/CPR (adult/child)
Girl Scout Small Craft Safety
USA Archery/NASP Level 1 Training
ABEE - High Challenge Course Facilitator Training
Answer the next three questions ONLY if applying for a position that requires driving!
Camp Director, Asst Camp Director, Program, Waterfront, Horseback Riding or Health Care Manager
Do you have a valid Drivers Lecense
Yes
No
What State is the Drivers License Issued?
What is the Drivers License Number and Expiration?
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Next
Education
High School, Undergraduate College/University and Graduate/Professional
Education - High School or General Equivalency Diploma (GED)
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Yes
No
High School Name and Location
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Diploma/Year Completed
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Describe any honors received/Leadership positions held or any courses related to position desired:
Education - Undergraduate College/University
Freshman
Sophmore
Junior
Senior
College/University Name & Location
Diploma/Degree/Credits
Describe Course of Study (major/minor)
Describe any honors received/Leadership positions held of any courses related to the position desired.
Education - Graduate/Professional
Year 1
Year 2
Graduate School & Location
Diploma/Degree/Credits
Describe Course of Study
Describe any honors received/Leadership positions held or any courses related to the position desired.
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Activities
In the following list, put a numbers "1" by those activities you can organize and teach as an expert. "2" for those activities in which you can assist in teaching and "3: for those which you have participated at least once. "C" for those which you have current certification and "E" for those which you have an expired certification.
Activity Experience Level
Certified
Expired Cert
1
2
3
N/A
High Challenge Course/Rock Climbing
Low Challenge Course/Teambuilding
Basketry
Jewelry Making
Leather Crafting
STEM
Nature Crafts
Painting
Drawing/Sketching
Wood Burning
Fire Building
Leave No Trace (LNT)
Orienteering
Hiking
Outdoor Cooking
Dance
Skits/Improv
Singing
Tie Dying
Astronomy
Gardening
Trees/Plants
Weather
Wild Edibles
Archery
Fishing
Soccer
Volleyball
Canoeing
Kayaking
Stand up Paddleboarding
Log Rolling
Swimming
Lifeguard (Pool, Waterfront)
Horseback Riding (Western)
Wilderness Canoe Travel
Other Activities you could share with the camp community?
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Rugby, costuming, indoor cooking, yoga, etc...
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Employment Experience
We'd like to know a little more about you and your work experience!
Do you have previous camp experience?
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Yes
No
If Previous Camp Experience
List camp name, position, years/dates, agency or sponsoring agency
Employment History 1
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List two, most recent employer first. Include Employer Name, Location, Position, Dates worked, Reason for Leading, Phone Number and Supervisors Name
Employment History 2
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List two, most recent employer first. Include Employer Name, Location, Position, Dates worked, Reason for Leading, Phone Number and Supervisors Name
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Next
References
Please list three person(s) that are not related to you. Preferably a current and/or former supervisor, including camp directors if possible.
Reference 1
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Include Name, Title, Email and Phone Numbers (include area code)
Reference 2
*
Include Name, Title, Email and Phone Numbers (include area code)
Reference 3
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Include Name, Title, Email and Phone Numbers (include area code)
I hereby authorize you to check all my educational references and personal employment references as indicated below. I further authorize these references to release to you all information that they have about me.
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Present Employer
Previous Emploer
Present Employer after accepting position
Additional References Listed
Do you know of any reason why you would not be able to perform the essential functions of the job position for which you are applying with or without reasonable accommodation?
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Yes
No
Are you legally eligible to be employed in the United States of America?
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Yes
No
Have you ever been convicted of a crime (other than traffic violations)?
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Yes
No
I understand that this employment application and any other Girl Scout documents are not contracts of employments, and that any individuals who is hired may voluntarily leave employment upon proper notice and may be terminated by the council at any time. I understand that any oral or written statement to the contrary are hereby expressly disavowed and should not be relied up by any prospective or existing employee of Girl Scouts of Minnesota and Wisconsin Lakes and Pines and not GSUSA. I certify that my answers to the preceding questions are true and complete and that I have not knowingly withheld any information which might, if disclosed, affect my application unfavorably. I understand that any misrepresentation or omission of facts on this application will be cause for rejection of this application or dismissal after employment and that employment is subject to verification of references.
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Yes
No
Signature
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Date
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Month
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Day
Year
Date
Submit
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