Camp Counselor Application Form

Each Camp Counselor is required to complete 10 hours of training. Please indicate below the trainings you are committed to attending.*

Please indicate your availability for our camp sessions. All Camp Counselors need to commit to working a minimum of 3 sessions *

What Camp Counselor roles are you most interested in.*

Education & Background Information
High School information - NAME:*
Name
City:*
City
State:*
State
Start Date

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

MonthDayYear
Date
Highest Level Completed:
Degree or Credits:
Do you have the legal right to work in the United States of America?*

YesNo
Do you hold a current US Driver’s License?*

YesNo
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?*

YesNo
Have you ever been convicted of a crime (other than a traffic violation)?*

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

Areas of Interest & Personal Statement:
Why are you interested in working/returning to work at Rakad Dance Camp this summer?*
Describe why you think you are qualified to be a Camp Counselor at Rakad Dance Camp.*
List three goals you have for this coming summer if hired?*
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.*
List any relevant certifications or experience that will be current through April 2026:*
Upload your Resume.

Upload a File

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References:
REFERENCES: List two (2) 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:*

Area CodePhone Number
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:*

Area CodePhone Number
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 employment is contingent upon passing a criminal background check and drug test and I give Rakad Dance Camp permission to conduct a check if necessary.*

YesNo
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.*

YesNo
Signature

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Date*

MonthDayYear
Rakad Dance Camp is an Equal Opportunity Employer. The Council does not discriminate on the basis of race, color, sex, age, disability, pregnancy, national origin, citizenship or sexual orientation.

Due to the intimate nature of our camp environment and the need to ensure the privacy, safety, and comfort of minor female campers in shared spaces and bathrooms, positions requiring direct, constant interaction with campers in these areas (e.g., Counselors, Junior Counselors, Camp Nurse) are designated for females only. This is a Bona Fide Occupational Qualification reasonably necessary to the normal operation and mission of our single-gender girls' camp, as established under Title VII of the Civil Rights Act, and is not based on stereotypes but on essential privacy/safety requirements.
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Education & Background Information