Camp Staff Application

Name

E-mail Address (frequently used)

Permanent Address

City

State

Zip

Phone Number

Earliest date you are available for summer employment

Latest date through which you are available for summer employment

Are there any dates you are unavailable to work this summer?

Where did you learn about this job opportunity?

POSITION(S) APPLYING FOR

After reviewing the job descriptions and qualifications, please list positions for which you would like to be considered

Position

Do you meet or exceed any minimum age requirements for the position(s)

Don't know minimum age

Yes

Please explain why you applied for the position(s) you did, what makes you qualified, and why you should be hired for the position(s):

EDUCATION

High School Name

Location

Number of Years Completed

Key Subjects & Extra Curricular Activities

College Name

Location

Number of Years Completed

Major/Minor & Extra Curricular Activities

EMPLOYMENT EXPERIENCE (list chronologically)

Employer/Company

Dates Employed

Position/Nature of Work

VOLUNTEER EXPERIENCE

Employer/Company

Dates

Position/Nature of Work

CAMP EXPERIENCE (as a camper & as a staff member)

Camp Name

Camper or Staff

Camper

Staff

Camp Description/Work Experience/Length of Time

TRAINING, CERTIFICATIONS, AND LEADERSHIP EVENTS/EXPERIENCES

Please list specific certifications, training, leadership development events or experiences that you have that would pertain to working at camp.

REFERENCES

Please provide three non-relative adults who can give an honest account for your qualifications to work at Camp Evelyn & Camp Manitou. References by personal friends or relatives will not be considered.

Name

Relationship

E-mail Address

Years Known

What do you know about our organization and tell me about your camp and/or outdoor experiences?

ACTIVITY SKILLS

Activity Ideas: Fire building, fishing, gardening, geocaching, hiking, knot tying, primitive camping, orienteering, outdoor cooking, outdoor shelters, astronomy, birds, conservation, wildflowers, trees, geography, geology, insects, mammals, night hikes, plans, rocks & minerals, science experiments, weather, wildlife, canoeing, kayaking, paddle boarding, windsurfing, sailing, certified lifeguard, water games, archery, Frisbee golf, yoga, Zumba, active games, circle games, teambuilding activities, parachute activities, rainy day games, foreign language, American Sign Language, Dance, Drama/Theater Arts, singing, improv., magic, skits, song leading, storytelling, campfire programs, arts and crafts and cooking.

Please list any activities (relevant to working with kids and at camp) that you feel comfortable teaching others.

JOB FUNCTIONS

The essential functions of the job include, but are not limited to, providing direct supervision of campers and ensuring their safety/wellbeing. Staff must be able to manage a group of campers, respond to emergencies and work in a rough terrain of 240 acres in a camp setting and need visual, auditory and ambulatory ability to carry out job requirements.

Are you able to perform these functions:

Yes

If not, what accommodation would you require to perform these functions:

BACKGROUND CHECK

If considered for a position with Girl Scouts of Manitou Council, a background check will be completed.

Have you ever been convicted of a misdemeanor, felony or other crime?

Yes

If yes, please state offense, date and location.

Have you ever physically, emotionally, or sexually abused a child?

Yes

If yes, please state offense, date and location.

Do you hold a valid driver’s license?

Yes

Have you ever had your driver’s license suspended or revoked in the last four years?

Yes

If yes, please explain.

This summer we are participating in a Career Catalyst grant program with Girl Scouts of the USA. The Camp Counselor Career Catalyst (4Cs) Program is an initiative funded by the U.S. Department of Labor to provide workforce development opportunities for underserved communities through camp and counselor jobs. This includes, but it not limited to: LGBTQIA+ individuals, rural populations, black, Indigenous, and people of color, and (BIPOC)low income families

If you believe you qualify for this program and are interesting in learning more, please select "yes" and we will happily send you more information.

Clear choice

Yes, I am interested

No, I am not interested or do not qualify

EMPLOYMENT REQUIREMENTS AND WAIVER

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that untrue, misleading, or omitted information may result in dismissal, regardless of the time of discovery by Girl Scouts of Manitou Council.

I authorize Girl Scouts of Manitou Council to investigate my statements herein and to contact any or all former employers or any individuals familiar with me or my employment background for the purpose of verifying any information I have provided and/or for the purpose of obtaining any information about me or my employment. I understand that as part of the processing procedure for my employment application, an investigative report regarding my criminal and driver’s license records will be conducted.

Conviction of a crime is not an automatic bar to employment. All circumstances will be considered, including the nature and seriousness of the crime, the time that has passed since the conviction or completion of sentence, and the nature of the job sought. Please provide complete information about the conviction by attaching a separate statement as needed.

Applicant Signature

Date

For questions, please contact:

Girl Scouts of Manitou Council: Attn: Hope Howard

5212 Windward Court, Sheboygan, WI 53083

920-565-4575 ext: 322

Email: hope@gsmanitou.org