Camp Long Lake | Summer Camp Staff Application | 2020
This online application is for employment for the Potawatomi Area Council, Boy Scouts of America.  
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Name *
Last, First
Phone Number *
(123) 456-7890
Email *
Street Address *
Address where you want employment letter mailed
City *
State *
Two-letter USPS abbreviation - ex. WI
Zip Code *
Employment for Summer Camp runs from early June to mid August (see contract). Staff are asked to work the Boy Scout summer camp program, Webelos resident camp, and possibly other family weekend camps. Please indicate if there are any days within that range that will be a conflict.   *
If none, please respond with "None"
By the start of camp (early June), I will be AT LEAST *
Select the one that describes you best.
Required
Positions avaliable for ages of 21 and above
Mark all that you desire, if you will be of the age range by the first date of employment.
Positions available for ages of 18 and above.
Mark all that you desire, if you will be of the age range by the first date of employment.
Positions available for ages of 15 and above.
Mark all that you desire, if you will be of the age range by the first date of employment.
Are you an OA Member? *
OA members will be asked to help with OA program during the summer camp season if on staff.
Required
Have you attended a BSA National Camping School in the last five (5) years? *
If yes, which certification do you hold?
Also indicidate when your certificate will expire
Please indicate any other training(s) you may have that are helpful or benifical to employment at Camp Long Lake.   *
Please list your trainings and expiration dates.  
Please give a detailed amount of your experience and education and/or training, which will be of value in the position you seek. *
Are you a currently registered member of the Boy Scouts of America? *
Required
If yes, please explain what unit # you are registered with, council, position, rank achieved.
Basically give a current status of your Scouting career.  
Please list any merit badges you are qualified to teach.  
Explain if you are qualified by being a merit badge counselor for the badge or give a reason you are better qualified to teach a certain badge.  
Have you ever been convicted of a felony?  (You may anser, "No" if your conviction has been ordered sealed, expunged, or eradicated.) *
Conviction of a crime is not an automatic bar to employment.  All circumstances will be considered, including what you were convicted and how long ago.  Please provide a complete information about the convention by emailing a separate statement to campdirector@pacbsa.org.
Required
Are you permitted to become lawfully employed in the US? *
Proof of citizenship or immigration status will be required upon employment.  
Required
List three previous employers or three references. *
Include their name, position/relationship, address, email, phone to the best of your ability
I understand that if employed on the Potawatomi Area Council Scout Camp Staff, I will be required to become a registered member of the Boy Scouts of America, and to have a current (within one year) medical examination, both at my expense.  In addition, if 18 years of age or older, I understand a criminal background check will be done at council expense to meet National Boy Scouts of America policy. I understand that my actions, whether on camp property or off, reflect upon the Potawatomi Area Council and the Boy Scouts of America, and any behavior that is illegal, prohibited by the staff manual, or otherwise against the Scout Oath and Law will not be tolerated. *
Affirm your acknowledgment of this statement by including your initials.  
If you are under 18 years of age, please share a parent or guardian's full name, phone number, and e-mail address
Please include your parent's full name and best way to contact them.  
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