CAMP WINADU STAFF APPLICATION 2008

 Please fill out the following application completely
so that we may consider you for a position this summer.
 Last Name:
  First Name:
  Middle Initial:
  Soc. Sec. #:
Permanent Mailing Address:
Line 1:
Line 2:
City: State: Zip: 		Home Phone:

Cell Phone:

College or University Name:

E-Mail Address:
 Do you smoke?
Full Time Student:
  If no, Occupation:
This section is optional.
 Age:  Height:  Weight:  Gender:  Marital Status:
If married, must family accompany you to camp?
 Children if any (please indicate sex and age):
 Salary requirements:
 How did you hear about our camp?

ACTIVITIES

In the following list:
Select "1" for those activities which you can organize and teach.
Select "2" where you feel you can assist confidently and competently.

ATHLETICS

CRAFTS & FINE ARTS

PIONEERING & NATURE

AQUATICS

Archery Art Camp Fire Prog. Canoeing
Baseball Drama Camping Fishing
Basketball Drums Hiking Kayaking
Fencing Guitar Nature Life Saving
Football Piano   Motor Boating
Golf Wood Shop  Rowing
Karate    Sailing
LacrosseSPECIALTIES   Swim Instruct.
Strength and Conditioning Computers   Life Guarding
Skateboarding Newspaper   Comp. Swim
Roller Hockey Photography   Water Skiing
Soccer Rocketry   Windsurfing
Tennis Video    
Volleyball Yearbook   
 Other Activities:
 Select your top three choices in order of preference from the above list:
 First choice:
  Second choice:
  Third choice:
 Do you have a valid: WSI?
   Lifeguard Certificate?
  CPR?
  First Aid?
 Check for experience with:
Boating, Canoeing, Kayaking, Sailing, Water-skiing, Windsurfing
EDUCATION
Select level of education completed at close of current academic year:
College Graduate School
  High School   City & State   Years 
 
  Colleges   City & State   Years   Major/Degree
PAST EMPLOYMENT
Include camp, coaching and teaching experience.

Please include employment information for the previous five years
*Camp, coaching or teaching experience not necessary for employment.
  Name of Employer 1.   Dates of Employment   Nature of Work
     
  Contact Name   Contact Address   Contact Phone
     

  Name of Employer 2.   Dates of Employment   Nature of Work
     
  Contact Name   Contact Address   Contact Phone
     

  Name of Employer 3.   Dates of Employment   Nature of Work
     
  Contact Name   Contact Address   Contact Phone
     

  Name of Employer 4.   Dates of Employment   Nature of Work
     
  Contact Name   Contact Address   Contact Phone
     

  Name of Employer 5.   Dates of Employment   Nature of Work
     
  Contact Name   Contact Address   Contact Phone
     

Please describe your experience in a specific program area you would like to teach at camp (i.e. certifications, training, team play).

 

Please describe any experience you have that would make you a successful camp counselor.

 HAVE YOU EVER BEEN ARRESTED FOR AND/OR CONVICTED OF CHILD ABUSE?

The statements in this application are true, complete and correct. I understand that any misrepresentation or omission of information shall be considered sufficient reason for withdrawal of an offer or subsequent termination of employment. I hereby authorize Camp WINADU to conduct a personal felony record search.

By electronic submission of this application to Camp WINADU, I understand and agree to the conditions stated above.

Please type the code shown in the image:



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