2018 New Camp Staff Application
Name:
*
First Name
Middle Initial
Last Name
Please rank in order of preference which Girl Scouts Carolinas Peaks to Piedmont camp you would like to work at this summer. **If you don't have a preference, please mark that option for each choice.**
*
Ginger Cascades Adventure Base Camp (Resident-Day Camp/Hickory Area)
Camp Pisgah (Resident-Day Camp/Asheville Area)
Keyauwee Program Center (Resident-Day Camp/Triad Area)
I Don't Have a Preference
1st Choice
2nd Choice
3rd Choice
List three positions you are interested in.
*
Position
Choice #1
Adventure Director
Adventure Specialist
Arts & Crafts Specialist
Assistant Camp Director
Assistant Cook
Business Manager
CIT Director
Food Service Manager
Health Supervisor
Junior Program Staff
Kitchen Aide
Nature Specialist
Photo Journalist
Program Director
Riding Director
Riding Instructor
Special Activities Director
Trip Leader
Unit Assistant
Unit Counselor/Lifeguard
Unit Director
Unit Leader
Waterfront Director
Waterfront Specialist
Choice #2
Adventure Director
Adventure Specialist
Arts & Crafts Specialist
Assistant Camp Director
Assistant Cook
Business Manager
CIT Director
Food Service Manager
Health Supervisor
Junior Program Staff
Kitchen Aide
Nature Specialist
Photo Journalist
Program Director
Riding Director
Riding Instructor
Special Activities Director
Trip Leader
Unit Assistant
Unit Counselor/Lifeguard
Unit Director
Unit Leader
Waterfront Director
Waterfront Specialist
Choice #3
Adventure Director
Adventure Specialist
Arts & Crafts Specialist
Assistant Camp Director
Assistant Cook
Business Manager
CIT Director
Food Service Manager
Health Supervisor
Junior Program Staff
Kitchen Aide
Nature Specialist
Photo Journalist
Program Director
Riding Director
Riding Instructor
Special Activities Director
Trip Leader
Unit Assistant
Unit Counselor/Lifeguard
Unit Director
Unit Leader
Waterfront Director
Waterfront Specialist
What dates (from start to end) are you available for this summer?
*
-
Month
-
Day
Year
Date Picker Icon
*
-
Month
-
Day
Year
Date Picker Icon
What is the BEST email address for you to be reached?
*
How often do you check your email?
*
Daily
Weekly
What is the BEST phone number for you to be reached?
*
-
Area Code
Phone Number
What is your current address?
*
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Current Address is Valid Until:
*
-
Month
-
Day
Year
Date Picker Icon
What is your permanent address?
Street Address
Street Address Line 2
City
State / Province / Region
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Present Occupation or Year in School:
*
Where did you hear about the positions available for our camps?
*
Job Fair (Where?)
Newspaper (Which?)
Internet (Which Site?)
Friend/Staff Member (Who?)
Flyer (Where?)
Other (please specify)
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New Camp Staff Application - Page 2
Please list your High School information:
Name
City
*
State
Please list any community college, university, or tech school you have attended:
Name
City
State
Please list any community college, university, or tech school you have attended:
Name
City
State
Please list any community college, university, or tech school you have attended:
Name
City
State
Do you have the legal right to work in the United States of America?
*
Yes
No
Do you hold a current US Driver’s License?
*
Yes
No
Do you have at least 5 years of driving experience? (Required for any positions that have driving as part of the job description.)
Yes
No
During what month and year did you first get your license?
Have you had your license continuously since you first received it?
Yes
No
Has it ever been suspended or revoked for any reason? If yes, please explain why.
I have read the job descriptions for the jobs for which I'm applying at www.camplikeagirl.org. I meet all the age and skill requirements for the job position(s), for which I'm applying.
*
Yes
No
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?
*
Yes
No
Have you ever been convicted of a crime (other than a traffic violation)?
*
Yes
No
If yes, please state offense, date, and location. (A conviction record will not necessarily be a cause for not rehiring.)
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New Camp Staff Application - Page 3
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 2018:
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.
*
List your experience working with children, your role, and the results.
*
Why are you interested in working at a summer camp?
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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, why you are excited to work at summer camp this year, or anything else you would like to share.
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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?
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At camp there are many different activities taking place and different skills are required. Please complete the skill form below assessing your personal skill level in the different activities. To define your ability level, beginner refers to you having done the activity no more than 5 times and not being in a position to lead. Intermediate refers to you being competent in the activity and comfortable assisting an instructor. Advanced refers to you being competent, confident and able to instruct others in the activity. Instructor refers to you holding a current certification in instructing the activity
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No Experience
Beginner
Intermediate
Advanced
Instructor
Willing to Learn
Excited to Learn
Fencing
Soccer
Ultimate Frisbee
Aerobics Instructor
Fitness Instructor
Martial Arts
Yoga/Pilates Instructor
Zumba Instructor
English Riding
Western Riding
Dressage
Farm Animal Care
Jumping
Stable Management
Culinary Arts
Anime
Astronomy
Guitar Playing
Spanish Language
French Language
Other Language
Camping/Backpacking
Caving
Geocaching
Orienteering
Outdoor Cooking
Outdoor Education Instructor
Wilderness Trip Instructor
High/Low Ropes
Rock/Wall Climbing
Canoeing
Kayaking
Certified Lifeguard
Strong swimmer, willing to be LG certified
Swim Instructor
Paddle Boarding
Archery
Acting/Drama
Fishing
Chemistry/Physics/STEM
Fire building
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New Camp Staff Application - Page 4
Employment History
Employer's Name
Address
-
Area Code
Phone Number
Position
Dates Employed
Major Responsibilities
Reason for Leaving
Supervisor's Name
Employment History
Employer's Name
Address
-
Area Code
Phone Number
Position
Dates Employed
Major Responsibilities
Reason for Leaving
Supervisor's Name
Employment History
Employer's Name
Address
-
Area Code
Phone Number
Position
Dates Employed
Major Responsibilities
Reason for Leaving
Supervisor's Name
Experience as a Camper or Camp Staff Member:
Camp Name & Location
Organization
Position
Years
Supervisor
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New Camp Staff Application - Page 5
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, but please no P2P staff members. We require professional references such as teachers, employers, or volunteer supervisors rather than personal friends or family members.
*
Full Name
Reference Phone Number:
*
-
Area Code
Phone Number
Reference E-mail:
*
Reference Position Title:
*
How long have you known this reference?
*
In what way do you know this person? (This person should not be related to you.)
*
Reference Name
*
Reference Phone Number:
*
-
Area Code
Phone Number
Reference E-mail:
*
Reference Position Title:
*
How long have you known this reference?
*
In what way do you know this person? (This person should not be related to you.)
*
Reference Name
*
Reference Phone Number:
*
-
Area Code
Phone Number
Reference E-mail:
*
Reference Position Title:
*
How long have you known this reference?
*
In what way do you know this person? (This person should not be related to you.)
*
I understand that a successful completion of a physical examination and current immunizations are conditions of employment.
*
Yes
No
I understand that if I'm not applying for a kitchen position, I must COME to camp already certified by an approved agency in First Aid/CPR and that my certifications must stay current through July 31st, 2018
*
Yes
No
I understand that if an offer of employment is made, it will be contingent on satisfactory results of a criminal background check and, if position requires driving, a satisfactory driving history. I will be provided with authorization forms to authorize GSCP2P to conduct a criminal background check and driver history form if an offer of employment is extended.
*
Yes
No
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.
*
Yes
No
Submit Application
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