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2008 Staff Application

In accordance with the Children's Online Privacy Protection Act a person must be 13 years of age or older to complete and submit this form.

Please Note:  All prospective staff members must be 18 years or older in order to be
considered for a position.  The completion of at least one year of college or other year of post-high-school experience is strongly preferred.
Incomplete or overly brief applications will not be considered.
Only U.S. and Canadian citizens should complete this application. 
Citizens of other other countries please click here.

Please Fill Out & Complete All Fields
Note: Use "Tab" Key and/or Pointer to move between fields.

 

Which camp are you applying to?



     (Brad Finkelstein, Director) 877-525-2181
 



     (Jani Brokaw Williams, Director) 888-621-2267
 


     (Tom Riddleberger, Director) 800-633-7350
 

    

If the camp you are applying to is full, we will contact you to see if you are interested in considering one of our other camps.

 

Full Name:  

 

  Full Present Mailing Address
   

City

State

Zip Code

   Phone #
  

Email

   Until what date can we send mail to your "present address"?   

  Full Permanent Mailing Address if different:
  

City

State

Zip Code

  Phone # 
  
 

   
     Current occupation and/or school now attending: 

 

     Are you 18 or older?  Yes   No

 

     Do you have the legal right to work in the United States?  Yes   No

 

     Are you available for work from June 15-August 16, 2008?  Yes   No
 
Position you are applying for? (Check all that apply)

r          se

Director of an activity area:                            
                                                                      

          ousekeeping)         

Age of children you prefer to work with:         9-10     11-12      13-15      No Preference

EDUCATION: (Complete All That Apply)


Use this box to tell us:
Name Of School,
Major Studies,
Dates of Attendance,
Degree Earned,
Honors & Distinctions.

High School


Use this box to tell us: Name Of School,
Major Studies,
Dates of Attendance,
Degree Earned,
Honors & Distinctions.

College


Use this box to tell us: Name Of School,
Major Studies,
Dates of Attendance,
Degree Earned,
Honors & Distinctions.

Graduate


Use this box to tell us: Name Of School,
Major Studies,
Dates of Attendance,
Degree Earned,
Honors & Distinctions.

Special


Experience as a CAMPER when you were a child:

Use boxes to tell us:
Name & Location,
Dates of Attendance,
Type of Programs,
Director's Name.

Camp 1

Camp 2

Camp 3

 

 

 


CAMP EMPLOYMENT Experience:

Use boxes to tell us:
Name & Location,
Dates Employed,
Duties,
Salary,
Director's Name,
Telephone #.

Camp Employment 1

Camp Employment 2

Camp Employment 3

 

 

 

 


 OTHER EMPLOYMENT Experience:

Use boxes to tell us:
Name of Firm,
Address,
Dates Employed,
Duties,
Salary,
Supervisor's Name,
Telephone #.

Employment 1

Employment 2

Employment 3

 

 

 

 


VOLUNTEER Experience:

Use boxes to tell us:
Name of Organization,
Address,
Dates Volunteered,
Duties,
Supervisor's Name,
Telephone #.

Experience 1

Experience 2

Experience 3

 

 

 

 


Questions

     Briefly describe the most significant experiences you have had working with children.
    

     In relation to the job you are applying for, what are your strengths?
     Tell us about your most positive personal attributes, skills and abilities.
    

     In relation to the job you are applying for, what personal attributes, skills
     and abilities would you most like to improve?  These could be areas you don't
     feel as confident in or things you know you want to learn/improve.  Adults who
     are good role models for kids are not afraid to show that they are still learning
     and growing.   
    

     Why do you want to work at Campus Kids?
    

     How did you first hear about Campus Kids?
      

     Do you know someone who has worked at Campus Kids
     or is applying to work at Campus Kids?  Yes  No
     If yes, please indicate who and how you know this person.
    

     Describe any special talents/experiences you have working with persons
     who have disabilities  (e.g., hearing impaired, visually impaired, mobility restricted).
    

     What languages do you speak?
    

     What academic subjects can you tutor?
    

     Are there any reasons you may have difficulty performing any of the essential functions
     of the job for which you have applied?  Yes No    If yes, please explain.
    

     Have you ever been convicted of a crime?  Yes No   If yes, please explain.
    

     Have you ever been convicted of child abuse or sexual assault?  Yes No
     If yes, please explain.
    


Certifications & Course Completions
  Describe in detail those you currently hold & give expiration dates.
  Campus Kids will request proof of certification before confirming a job offer.

First Aid:

CPR:

Lifeguard:
 

Swim Instruction:

Boating Instruction:

Other Aquatic:
 

Archery:

Gymnastics:

Adventure/Challenge Course:

Other:

R.N.:

E.M.T.:

Paramedic:

Teaching License (State & Level):

Driver License (state, type, number, expiration):

How many years have you been driving?

Will you be willing to drive a 15 passenger van for camp activities (must be at least 21)? 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Interests & Abilities -- Read the following rating system carefully!

Place the appropriate number in front of EACH activity

4--

I am a qualified expert with teaching experience and I could head this program.

3--

I am excellent in this activity, but with no teaching experience.  I might be able to head this program.

2--

I feel qualified to be an assistant to the head counselor in this activity.

1--

I have done and am familiar with this activity, but am not qualified to teach it.

0--

I have no experience or familiarity with this activity.



 

 

 

 

-Sports & Fitness

Jogging

Other Sports:

 

 

 

 

 

 -Fine Arts

Photography

Woodworking

Other Fine Arts:

 

 

 

 

-Performing Arts

 (check skills): Popular       

 

Other Instruments:

 

 

 

 

-Outdoor Life

Belaying Experience

 Other Outdoor Skills:

 

 

 

 

-Aquatics

Other Aquatics:

 

 

 

 

-Miscellaneous Camp Activities

 Camp Newspaper

Other Activities:

 

 

 

 

     Use this space to add any information about your abilities and interests (including any
     other activity skills that you could teach at camp):

    

References

References are required for consideration of this application.  Provide at least two, three if possible.   You should fill in the top portion of the addressed to our office so your reference can return the forms and give one to each of the people serving as your reference.  Give each a stamped envelope addressed to our office so your reference can return the form directly to Campus Kids.  Include each reference's name, address and phone number below.  Your references should be former or present employers, teachers, supervisors (our preference is for people who have seen you work with children).   They should not be relatives or neighbors.  All references will be verified by Campus Kids.

 

 

 

 

   Reference Name

Complete Mailing Address

Phone

Relationship to you