Health Officer Application

To which camp are you applying? (select all that apply)

Name

First NameLast Name

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

University you attend (if applicable)

If you have worked for Girl Scouts of Middle Tennessee Summer Camps before, please list the camp(s) and year(s):

Will you be at least eighteen (18) years of age by the time you start work?

Are you legally authorized to work in the United States?

Please rank the weeks you would like to work with your first selection being your most desired. Please rank all weeks you are available.

Can you perform the essential functions of the job(s) selected?

Please list all current licenses/certifications/trainings applicable.

Please upload any certifications listed

What interests you most about working at a Girl Scout summer camp?

Will you have any campers attending with you? Please include their Girl Scout grade level. You will receive a free registration for one camper (immediate family) for each week you work.

Tell us about any experience you have that is relevant to the position you are applying for. (include childcare, outdoor experience, etc.)

All staff are expected to step in where needed and always be a positive influence for our campers. The primary responsibility of all staff is to be focused on the girls. Working at camp can be an extremely rewarding job. Many staff members return year after year to create special memories and make lasting impressions. We feel that it is our obligation to share the following information with you during the application process so you can make an informed decision about working for our camp programs.

Please review information carefully and select each section before submitting your application. By clicking each box, you are indicating that you understand each section.

Camp work is demanding, requires long hours, and adherence to camp policies that may be limiting (curfews, limited time-off, lack of privacy, no pets, no smoking, limited use of electronic devices, limited contacts, etc.). Is there anything that would prohibit you from complying with this lifestyle and our camp policies?

If you marked yes, please explain:

Have you ever been convicted of a crime (other than traffic violations)?

If yes, please state offense, date, and location. (A conviction record will not necessarily be cause for disqualification.)

Please review information carefully and select each section before submitting your application. By clicking each box, you are indicating that you understand each section.

I hereby authorize the organization to contact any individuals, employers, or institutions listed on this application for the purpose of verifying the information I have provided and obtaining additional reference or background information relevant to my qualifications. I further authorize such individuals and organizations to release any information they may have concerning me. I release all parties involved, including the organization and any individuals or entities providing information, from any and all liability arising from the exchange or use of such information in good faith.I understand that this application and any other Girl Scout documents are not contracts for employment and/or for any definite period of time, and that any individual who is hired may be terminated by the Girl Scouts at any time for any reason without advance notice. I understand that any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon by any prospective or existing employee.

Signature

Health Officer Application

Personal Information

Certification/Training History

Questions

For Your Information

Signature Authorization