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Senior Counselor Application Form 2020
Fun Days By The Bay
ILS Summer Camp
Application deadline is Friday, March 20, 2020. All applications must be submitted by this date.
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* Indicates required question
Are you a returning FDBTB camp employee?
*
Yes
No
I am interested in working
*
as a group counselor
as a special activity leader
Required
Last Name
*
Your answer
First Name
*
Your answer
Address
*
Line 1
Your answer
Address
Line 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Email Address
*
Your answer
Telephone Number
*
### - ### - ####
Your answer
Alternate Telephone Number
### - ### - ####
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
T- Shirt Size
*
Choose
Adult Small
Adult Medium
Adult Large
Adult X- Large
Adult XX - Large
Are you an ILS graduate?
*
Choose
Yes
No
If so, what year did you graduate?
Your answer
Senior Camp Counselors MUST be present for the duration of the camp season. The camp season runs from June 15 through July 10 (excluding weekends). Training week is June 8th – June 10th. Indicate if you are available throughout this time.
*
Choose
Yes
No
If you answered no to the question above, please indicate what day you will not be available.
Your answer
Check all current certifications you hold.
*
First Aid
CPR
Lifeguard
FLDOE Certificate
None
Other:
Required
Please indicate which grade level you are interested in leading.
*
3rd/4th Grade
5th/6th Grade
7th/8th Grade
Required
If you indicated that you were interested in leading a Special Activity, please indicate which one below.
Creative Play - drama/music/dance
Fishing
Good News
Gym/Sports
Lifeguard
STEAM
Yoga
Other:
If you are interested in a special activity, please describe your experience in this field.
Your answer
Education
Education
*
Select the highest level of education completed.
Choose
High School
Bachelor Degree
Masters Degree
Currently Studying
Area of study
*
Indicate your degree or area of study
Your answer
Job Experience
Please provide information about your most current jobs.
Job Title
*
Your answer
Duration
*
Your answer
Name of Supervisor
*
Your answer
Contact Number
*
### - ### - ####
Your answer
Describe experience.
*
Include responsibilities, age of youth, etc.
Your answer
Job Title
Your answer
Duration
Your answer
Name of Supervisor
Your answer
Contact Number
### - ### - ####
Your answer
Describe experience.
Include responsibilities, age of youth, etc.
Your answer
Emergency Contact Information
Emergency Contact
*
Your answer
Emergency Contact Relationship
*
Your answer
Emergency Contact Number
*
Your answer
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