Clone of 2025 Counselor Application

Camp Barnes, Inc.

2026 Counselor Application
INSTRUCTIONS:

If you are interested in applying for a Counselor position, please complete this application and submit it for consideration. After reviewing your application to ensure you meet the minimum requirements, we will contact you to schedule an interview. You will also be required to schedule an appointment for fingerprinting to conduct a criminal background check. If you have any questions, please feel free to email us at campbarnes@delaware.gov.
COUNSELOR RESPONSIBILITIES:
- Camp Barnes is a residential overnight camp for children ages 10-13.
- Camp Barnes is not a co-ed camp (boys one week, girls the next, etc.)
- Camp Barnes starts the week June 22nd and concludes the week of July 27th. The last day of camp is July 31st (required to stay until July 31st).
- Camp Barnes runs for 𝘀𝗶𝘅 (𝟲) 𝘄𝗲𝗲𝗸𝘀.
- You will be required to sleep in a cabin with your campers
- You will be required to stay at the camp 𝗠𝗼𝗻𝗱𝗮𝘆, 𝟵:𝟬𝟬 𝗔𝗠 𝘂𝗻𝘁𝗶𝗹 𝗙𝗿𝗶𝗱𝗮𝘆, 𝟯:𝟯𝟬𝗣𝗠.
  You will have the 𝘄𝗲𝗲𝗸𝗲𝗻𝗱𝘀 𝗼𝗳𝗳
- Mandatory Training for counselors will be held prior to camp. You will be paid for training days and lunch will be provided.
- Pay starts at $𝟲5𝟬.𝟬𝟬 𝗽𝗲𝗿 𝘄𝗲𝗲𝗸. Certified Lifeguards will be paid an additional $100.00 per week.
- Some of the Main Responsibilities:
  - Supervise 10-18 campers per week on a 24-hour basis.
  - Lead campers in activities
  - Assist with the planning of daily events
  - Teach and lead campers with all activities
  - Maintain a clean cabin, bathroom and program area
  - Basic First Aid (Training will be provided if necassary)
MINIMUM QUALIFICATIONS:

1. Must be legally authorized to work in the United States.

2. Must possess a valid driver's license.

3. Must be at least 17 years old and currently enrolled in high school or college.

4.Must be able to work well with others and communicate effectively.

5. Must provide professional references.

6. Must pass a criminal background check conducted by the Delaware State Police.

7. Direct deposit of paychecks is required as a condition of employment.

APPLICANT INFORMATION:
Name*

FIRST NAMEMIDDLE NAMELAST NAMESUFFIX
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Date
Gender*
Driver's License State (Abbreviated)*
Example, DE for Delaware
Driver's License Number*
Upload a Photograph/Scan of your Driver's License*

Cancelof
Social Security Number*
This is required in order to verify your ability to work in the United States and to conduct a background check.
Cell Phone Number*
Email Address*
example@example.com
Are you legally authorized to work in the United States?*

YesNo

EDUCATION & TRAINING:
Name of High School:*
Status of Enrollment:*
Graduation Year:*
Ex. 2025
Name of College:
Status of Enrollment:
Graduation Year:
What are you majoring in?
Are you enlisted in the Military?*

YesNo
Branch:
Dates Served

MonthDayYear
Date

WORK HISTORY:

Please provide the contact information for your two most recent employers. Your previous supervisors will be contacted as part of your background check for verification. If you have never worked before, leave this section blank.
Name of Employer
Position Held
Address of Employer
Supervisor's Name
Supervisor's Phone Number
Supervisor's Email Address
example@example.com
Name of Employer #2
Position Held
Address of Employer
Supervisor's Name
Supervisors Phone Number
Supervisors Email Address
example@example.com

REFERENCES:

Provide three (3) references who are not related to you and can speak to your character, experience, work ethic, and abilities. Examples include teachers, professors, coaches, or former employers, etc.
Reference #1 Full Name:*
Relationship*
Phone Number*
Email Address
example@example.com
Reference #2 Full Name:*
Relationship*
Phone Number*
Email Address
example@example.com
Reference #3 Full Name:*
Relationship*
Phone Number*
Email Address
example@example.com

EMERGENCY CONTACT:

In the event of an emergency, please provide two contacts. If you are under 18 years of age, these should be your parents or guardians.
Emergency Contact #1 - Full Name:*
Relationship*
Cell Phone #*
Email Address
example@example.com
Emergency Contact #2 - Full Name:*
Relationship*
Cell Phone #*
Email Address:
example@example.com

CAMP BARNES INTEREST QUESTIONNAIRE:

To better understand your motivations, enthusiasm and interest for working at Camp Barnes, please answer the following questions.
1. Why do you want to work as a camp counselor at Camp Barnes?*
2. Why contributions do you think you can make at Camp Barnes and/or with the campers?*
3. What do you hope to gain or learn from your experience as a camp counselor?*

CERTIFICATION OF ACCURACY
I hereby certify that the information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that any false or misleading information provided may result in the rejection of my application or, if hired, may lead to termination of my employment. | authorize Camp Barnes, Inc. to verify the information provided in this application, including contacting references, previous employers, and conducting background checks as required by law. | also understand that employment is contingent upon successful completion of all required verifications. By submitting this application, I acknowledge and agree to the terms outlined above.
SIGNATURE*

Clear
DATE*

MonthDayYear
Date
Should be Empty:

Camp Barnes, Inc.

APPLICANT INFORMATION:

EDUCATION & TRAINING:

WORK HISTORY:

REFERENCES:

EMERGENCY CONTACT:

CAMP EXPERIENCE:

BACKGROUND QUESTIONAIRE:

CAMP BARNES INTEREST QUESTIONNAIRE:

CERTIFICATION OF ACCURACY