2025 Staff and Volunteer Application
Thank you for your interest in working at Camp Chickagami Please fill out this form to the best of your ability. You are not able to save the form and come back to it later if you close the browser window. Once you complete a section of the form and hit next, you are able to go back to the previous sections. If you have any issues while filling this out please contact directors@campchickagami.org.
Email
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example@example.com
Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Are you over the age of 18, or will be by June 28, 2025?
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Yes
No
What position(s) are you interested in applying for?
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Camp Counselor (for overnight camp and/or day camp)
Culinary Team Member
Support Staff (Office, Facilities, or Housekeeping)
How did you hear about Camp Chickagami?
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Emergency Contact (name, relationship to you, phone number)
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Gender Identity and Pronouns
We are committed to creating a welcoming and inclusive environment for all program participants and staff. Understanding and respecting your gender identity and pronouns is important to us. Please help us get to know you better by completing this form.
Gender Identity
Female
Male
Non-binary
Genderqueer
Genderfluid
Two-spirit
Other
We recognize that gender identity is a personal and fluid journey. If your gender identity or pronouns happen to change before you arrive or while you're at camp, we kindly ask that you let a staff member know so we can update our records and ensure you're addressed in a way that feels right for you. This information will only be used for internal camp purposes (like name tags) and will be kept confidential. Your privacy is important to us; we are here to support you! If you have any questions or concerns, please feel free to contact us anytime!
Pronouns
She/her/hers
He/him/his
They/them/theirs
Ze/Hir/Hies
Other
Housing Preferences
Our gender inclusive housing FAQs can be found here: https://docs.google.com/document/d/1VkBJz5Zs4rjDyYTeS33WzB7hXj-l5_x3vo3SIBFY2rc/edit?usp=sharing
Where would you be most comfortable lodging? (Select all that apply)
Would prefer - Female Identifying cabin
Would prefer - Male identifying cabin
Would prefer - gender inclusive cabin
Equally comfortable with - gender inclusive or female identifying
Equally comfortable with - gender inclusive or male identifying
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Education and Specialized Training/Skills
Please provide the school's name, City and State, dates attended, degree if completed.
High School
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Post High School Education (College, Trade School, other training)
Other Education/Training/Certifications
List any languages other than English that you are fluent in.
List any current certifications and their expiration dates (i.e. First Aid, CPR, WFA, WSI, Lifeguarding, etc.):
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Summer Camp Experience
This is not required to be a great member of our team. Let us know if you have attended a camp in the past or worked at camp previously
Summer Camp Experiences (Camp name, number of years as a camper, significant experiences or accomplishments, number of years as a staff member, what positions)
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Employment, Volunteer, or Relevant Experience
Most recent, relevant employment or volunteering
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Please provide business address, phone number, your supervisor's name, your reason for leaving, dates employed, your position titles and responsibilities.
Additional, relevant employment or volunteering (optional)
Please provide business address, phone number, your supervisor's name, your reason for leaving, dates employed, your position titles and responsibilities.
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NON-Family References
List three people who have knowledge of your character, experience, and abilities. NO FAMILY members please. Please send each of these references this web page to fill your reference form for you: https://forms.gle/MederPaPNbf7VQ999
Reference #1
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Reference's name, email, and relationship to you
Reference #2
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Reference's name, email, and relationship to you
Reference #3
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Reference's name, email, and relationship to you
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Activity Skill Ranking
Please rate your skill in teaching the following activities. 1 = Unable to participate | 2= little or no experience, able to participate at a recreational level | 3= some experience | 4= Able to assist with instruction; working towards certifications or have experience | 5 = Able to instruct unsupervised; have certification or experience teaching activity
Arts and Crafts
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Beginner
1
2
3
4
Instructor
5
1 is Beginner, 5 is Instructor
Games and Sports
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Beginner
1
2
3
4
Instructor
5
1 is Beginner, 5 is Instructor
Nature & Hiking
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Beginner
1
2
3
4
Instructor
5
1 is Beginner, 5 is Instructor
Performing Arts
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Beginner
1
2
3
4
Instructor
5
1 is Beginner, 5 is Instructor
Water Activities (Canoeing & Kayaking)
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Beginner
1
2
3
4
Instructor
5
1 is Beginner, 5 is Instructor
Wilderness Camping and Skills
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Beginner
1
2
3
4
Instructor
5
1 is Beginner, 5 is Instructor
Select any of these specialized activities that you could independently lead
Ukelele
Guitar
Leave no trace camping
Directing river canoe trips
Canoeing
Kayaking
Singing
Drums
Other
If you were to create and lead a skillshop (an hour long activity that campers sign up to participate in) what would the subject be? Or, what interests do you have that could be something campers participate in and learn about or lead at camp?
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Personal Statements
Why do you want to work at Camp Chickagami?
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What impact do you hope to have on a young person's camp experience?
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What do you want to gain from the camp experience?
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Describe something you have done that you are proud of.
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Substance Use
Camp Chickagami reserves the right to have employees drug tested for drug use at any time. We have a zero-tolerance policy concerning substance use while at camp. This includes alcohol and marijuana as well as any other recreational or non-prescription drugs.
As a staff member, will abstaining from alcohol or drug consumption be a problem for you?
Yes
No
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Applicant Agreement
I understand that this application and any attachments are the property of Camp Chickagami. I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief, and are made in good faith. I hereby grant this agency permission to verify such answers, and I further understand that any false statement on this application may be considered as sufficient cause for rejection of the application, or for dismissal if such false statement is discovered subsequent to my employment. Offer of employment is dependent upon my satisfactorily passing a physical examination and/or the associated laboratory tests that may be prescribed by the agency. Any offer of employment tendered me is based upon my agreement to abide by the rules and regulations of this agency. I understand that the agency may make an inquiry concerning my character, reputation, and my current and past employment. I hereby release the agency and all of my previous employers, as well as their perspective agents and employees, from any and all claims arising in any way from their participation in such an inquiry or investigation, and, I waive any right to receive notice concerning disclosures made as part of such inquiry or investigation. I further understand that this application will remain active for a period of six (6) months from the date of completion and that I must notify the agency in writing at the end of such six (6) month period if I wish to reactivate or amend this application. I understand that my employment obtained with this agency shall be at such wages, benefits, hours, and conditions as the agency may determine and change from time to time. Such employment shall be at-will and can be terminated by the agency at any time, with or without cause, and with or without notice, and regardless of any contrary provisions in any other forms, manuals, handbooks, etc. I understand that no one other than the Director of the agency, has any authority to enter into any agreement which is contrary in any way to the foregoing and that any such agreement must be in writing and signed by the Director or it shall not be binding.I further acknowledge that no one has made any representations or statements contrary to the Agency's at-will policy to me, or about the Agency's economic outlook or stability either orally or in writing. I agree that any lawsuit against Camp Chickagami and/or any of its officers, directors, employees or agents arising out of my employment or termination of employment, including but not limited to, claims arising under the state or federal civil rights statutes, must be filed within 12 months of the event giving rise to the claims or be forever barred. I understand that the limitation periods for these claims are generally longer and agree to waive those periods.
Signature
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