2010 Camp Four Echoes Staff Application

A letter of reference must be submitted with each application in order to be considered for a position at camp.
The names of three additional references are required to complete this application.
Returning camp staff, please contact the camp director prior to submitting this application.
Letters of reference and resumes may be emailed to campdirector@gsewni.org or mailed to:
Girl Scouts Eastern Washington & Northern Idaho
1404 N. Ash Street, Spokane, WA 99201,
Attn: Camp Director
You are welcome to add as much detail as possible in the boxes provided for your responses.
Girl Scouts Eastern Washington & Northern Idaho is an equal opportunity employer

First Name Last Name

Current Address (Street, City, State, Zip)

Permanent Address (Street, City, State, Zip)

Current Phone Permanent Phone

Email address

What is the best way to contact you?

When is the best time of day to contact you?

How did you hear about this opportunity?
Girl Scout/Camp Four Echoes website
Craigslist
Employment website (please specify)
Job Fair (please specify location)
Friend (who?)
Former Camp Staff member (who?)
Other (please specify)

Who else do you know that would like information about working at camp?
Name:
Phone:
Email:

Desired Position at Camp (Please indicate your to 3 in order of preference):
Assistant Director
Program Director
Leadership/Counselor-in-Training Director
Waterfront Director
Waterfront Specialist (Lifeguard)
Head Cook
Assistant Cook
Kitchen Assistant
Business Manager
Arts/Crafts Leader
Unit Leader
Unit Counselor

Do you meet the requirements for the desired position (age, experience, certifications, etc.)?
Yes
No

Are you?
16-17 years old? Over 18? Over 21?

Our Camp season is June 16 - August 10 (a summer schedule will be provided at the interview). Are you available all summer?
Yes
No

Education
Name of High School
Graduated? Yes No

Name of College or Area of Study

Graduated? Yes No

Work Experience

Have you worked at Camp Four Echoes before? Yes, No
When:
In what capacity:
What is your camp nickname:

(Work Experience: List most recent first):
1. Employer's Name & Location:
Position/Major Responsibilities:

Dates of Employment:
Supervisor's Name and Phone Number:
Reason for leaving:

2. Employer's Name & Location:
Position/Major Responsibilities:

Dates of Employment:
Supervisor's Name and Phone Number:
Reason for leaving:

3. Employer's Name & Location:
Position/Major Responsibilities:

Dates of Employment:
Supervisor's Name and Phone Number:
Reason for leaving:

Volunteer Experience/Membership in professional or civic organization related to this position (exclude, if you wish, those which may disclose your race, color, religion, or national origin.)
Organization:
Position:
Dates:

Are you a current Girl Scout: Yes, No

Experiences as a Camper or Camp Staff Member:
Name and location of camp(s)
Position(s):
Year(s):
Sponsoring Organization:

Skills/Talents/Experience:

Please list any current certifications you hold and list their expiration date:
(Example: First Aid, CPR Adult, CPR Child, CPR/AED Adult, CPR AED Child, Wilderness First Aid, CPR for Profesional Rescurer, Basic Water Safety, Samll Carft Safety, Lifeguard, Water Safety Instructor, Archery Instructor, or any other certifications.)

Please read the following list of camp skills. Place a 1 next to those activities that you can teach, a 2 next to activities in which you can assist, and a 3 next to activities in which you have a special intereste/hobby.

Environmental Education 1 2 3
Plant/tree identification 1 2 3
Animal/bird identification 1 2 3
Theatre/Makeup 1 2 3
Creative Dramatics/Skits 1 2 3
Dancing 1 2 3
Singing 1 2 3
Song Leading 1 2 3
Games (sit down, circles) 1 2 3
Games (field, active) 1 2 3
Fire building 1 2 3
Outdoor Cooking 1 2 3
First Aid 1 2 3
Knots 1 2 3
Knife Safety 1 2 3
Shelters/Tents 1 2 3
Orienteering/GPS 1 2 3
Swimming 1 2 3
Water Safety 1 2 3
Trips 1 2 3
Hiking 1 2 3
Backpacking 1 2 3
Canoeing 1 2 3
Sailing 1 2 3
Windsurfing 1 2 3
Challenge Course 1 2 3
Arts and Crafts 1 2 3
Other Interests

References: (Required)
Please list those references that are unrelated to you and can speak knowledgably about your ability to work with children and peers. Provide these people with a reference form found at http://www.gsewni.org/campstaffrerence.cfm. Reference forms may be completed online or printed and mailed in. At least two (2) completed references forms (in addition to a submitted letter of reference) must be received before an interview can be scheduled.

1. Name
Phone Number
Position
Email Address
How do you know this person?
How long have you known this person?

2. Name
Phone Number
Position
Email Address
How do you know this person?
How long have you known this person?

3. Name
Phone Number
Position
Email Address
How do you know this person?
How long have you known this person?

Personal Statements:

1. What ages do you prefer to work with?
Grades 2, 3 Grades 4, 5, 6 Grades 7, 8, 9 Grades 10, 11, 12

2. Why do you want to work at camp?

3. Please describe your camping experience and skills.

3. What interpersonal skills do you have to offer this position ?

4. Do you meet the eligibility requirements for the position(s) for which you have applied? Yes No

5. Are you willing to become a member of the Girl Scout Movement? Yes No

6. Have you ever been convicted of a criminal offence in the last seven years: Yes No
If yes, please state the offense, date of conviction, location and disposition:

7. Are you a United States citizen or otherwise legally eligible for employment in the United States: Yes No

8. Have you ever been discharged from an employer: Yes No
If yes, please explain:

9. Have you resigned from any position for misconduct or unsatisfactory service? Yes No
If yes, please explain:

By checking this box and submitting this application, I hereby certify that the answers herein are true to the best of my knowledge.  If I am selected to participate in an interview, I agree to sign this application and allow Girl Scouts Eastern Washington & Northern Idaho to perform a criminal background check, contact previous employers and references and review public social networking pages such as MySpace.com and Facebook.com.  I understand that the making of any false statements herein may result in denial of employment or discharge.  If selected as a staff member, I agree to abide by the philosophies in the Girl Scout Promise and Law, register with the Girl Scouts of the USA, and to fulfill the responsibilities to the best of my ability.  I understand that any employment with the Girl Scouts Eastern Washington & Northern Idaho is of indefinite duration and may be terminated at any time with or without cause, and with or without notice by either party.