Cedar Lodge summer staff application
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Name *
First and last name
Email *
Phone number *
Current address
Date of birth *
Are you a United States Citizen? *
Are you a smoker? *
Have you been convicted of a crime? If so, when, where, and the nature of the offense. *
List your current level of education
Reference #1 (not related to you). List name, position, phone number, and email address. *
Reference #2 (not related to you). List name, position, phone number, and email address. *
Reference #3 (not related to you). List name, position, phone number, and email address. *
Do you have any previous/current mental health conditions? *
Skill set: Do you have any skills in Arts and Crafts? If so, mark the skills you are familiar with.
If you answered the following question, please list the skills you believe you could teach to a small group of campers as 1, and the skills you believe you could assist in teaching as 2.  For example "Arts and crafts: 1"
Skill set: Do you have any skills in camp craft and nature skills? If so, mark the skills you are familiar with.
If you answered the following question, please list the skills you believe you could teach to a small group of campers as 1, and the skills you believe you could assist in teaching as 2.  For example "Hiking: 1"
Skill set: Do you have any skills drama, dance, or music? If so, mark the skills you are familiar with.
If you answered the following question, please list the skills you believe you could teach to a small group of campers as 1, and the skills you believe you could assist in teaching as 2.  For example "guitar: 1"
Skill set: Do you have any skills in sports? If so, mark the skills you are familiar with.
If you answered the following question, please list the skills you believe you could teach to a small group of campers as 1, and the skills you believe you could assist in teaching as 2.  For example "guitar: 1"
Skill set: Do you have any skills in horseback riding? If so, mark the skills you are familiar with.
If you answered the following question, please list the skills you believe you could teach to a small group of campers as 1, and the skills you believe you could assist in teaching as 2.  For example "guitar: 1"
Skill set: Do you have any skills in swimming and waterfront? If so, mark the skills you are familiar with.
If you answered the following question, please list the skills you believe you could teach to a small group of campers as 1, and the skills you believe you could assist in teaching as 2.  For example "guitar: 1"
Skill set: Do you have any skills in any of the following miscellaneous things? If so, mark the skills you are familiar with.
If you answered the following question, please list the skills you believe you could teach to a small group of campers as 1, and the skills you believe you could assist in teaching as 2.  For example "guitar: 1"
Do you hold any of the following certifications?
With what age group do you prefer to work with at camp ranging from 6-16?
What contribution do you think you can make at a camp? *
What life skills and influence do you believe a well run camp can make to children? *
Write a brief biographical sketch including camp related experience or training in other fields which might have a bearing on this application. *
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