Camp KGA Staff Application Form

Please mark any weeks of camp you would not be available.

Education & Background Information
High School information - NAME:
Name
City:
City
State:
State
Please list any community college, university, or tech school you have attended:
Name
City:
State:
Major/ Area of Study:
Start Date

MonthDayYear
Date
Highest Grade Completed:
Degree or Credits:
Please list any community college, university, or tech school you have attended:
Name
City:
State:
Major/ Area of Study:
Start Date

MonthDayYear
Date
Highest Grade Completed:
Degree or Credits:
Do you have the legal right to work in the United States of America?
Do you hold a current US Driver’s License?
Do you know of any reason why you would not be able to perform the essential functions of the job position’s for which you are applying with or without reasonable accommodation?
If yes, please explain:
Have you ever been convicted of a crime (other than a traffic violation)?
If yes, please state offense, date, and location. (A conviction record will not necessarily be a cause for disqualification.)

Areas of Interest & Personal Statement:
Briefly describe why you think you are qualified for the position(s) you are applying.
List any of your certifications that will be current through August 2026:
OTHER RELATED TRAINING OR SKILLS (please indicate expiration date mm/dd/yyyy)
Briefly summarize community, school or other experiences that will enable you to carry out the responsibilities of the job that you are seeking. Describe experience in working with children, the purpose of the experience, your role, and the result.
Please write 3-4 sentences about yourself. Things you like, where you are from, where you go/ or went to school, any fun facts, hobbies, or anything else you would like to share.
Why are you interested in working at Camp KGA this summer?
What qualities or characteristics do you possess that would be needed to make a great camp staff member?
Working at a summer camp is difficult at times. Your duties will include working long hours, putting camper’s needs first, and cleaning parts of camp. How do feel about these things and why would you be good working in this kind of an environment?
List three goals you have for this coming summer if hired?
Upload your Resume.

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References:
REFERENCES: List three (3) persons NOT related to you who can judge your qualifications for this position. If you have previous experience as a camp staff member, one reference should be from a camp director or camp administrator.
Reference Name:
Reference Phone Number:
Format: (000) 000-0000.
Reference E-mail:
example@example.com
Reference Position Title:
How long have you known this reference?
What is your relationship with this person?
Reference Name
Reference Phone Number:
Format: (000) 000-0000.
Reference E-mail:
example@example.com
Reference Position Title:
How long have you known this reference?
What is your relationship with this person?
Reference Name
Reference Phone Number:
Format: (000) 000-0000.
Reference E-mail:
example@example.com
Reference Position Title:
How long have you known this reference?
What is your relationship with this person?

Submission:
I understand that upon hire I will be required to complete CPR and First Aid training/certification.
I understand that employment is contingent upon passing a criminal background check. (ages 18+)
I certify that all information provided is true and complete. I understand that falsification or significant omission of any information may be considered justifications for dismissal if discovered at a later date.
Signature

Use the mouse to draw your signature.
Date

MonthDayYear
Date
Girl Scouts of X is an Equal Opportunity Employer. The Council does not discriminate on the basis of race, color, sex, age, disability, pregnance, national origin, citizenship or sexual orientation.
Should be Empty:

Education & Background Information