Camp Evelyn Returning Staff Application

Returning Camp Staff Application

Camp Name

Name

E-mail Address (frequently used)

Permanent Address

City

State

Zip

Phone Number

Only include one 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 unable to work this summer?

Please share a few dates and times that you would be available to set-up a Zoom meeting

POSITION(S) APPLYING FOR

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

Position 1

Position 2

Position 3

Position 4

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):

RECENT EMPLOYMENT

Employer Name

Employer City/State

Position with Employer

Responsibilities with Employer

Dates Employed with Employer

Employer Name

Employer City/State

Position with Employer

Responsibilities with Employer

Dates Employed with Employer

Employer Name

Employer City/State

Position with Employer

Responsibilities with Employer

Dates Employed with Employer

TRAININGS, CERTIFICATIONS AND LEADERSHIP EVENTS/EXPERIENCES

Please list specific certifications, training, or leadership development events or experiences.

PLEASE RESPOND TO THESE QUESTIONS THOROUGHLY:

Please explain why you would like to return to camp and why you should be rehired.

Are there any new activities, programs or events that you have learned/taught that would work well in a camp setting:

What have you been doing since the end of camp that you feel will enhance your performance as a staff member?

Do you have any questions about camp or the job(s) you are applying for:

BACKGROUND CHECK

If considered for a position with Girl Scouts of Manitou Council, a background check will be completed. Pease provide the following information.

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.

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 basic functions:

Yes

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

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.

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 interested 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.

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