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2021 NEW! Camp Staff Application
Please take the time to fill out our application. We plan to start interviewing first of March.
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* Indicates required question
Preferred Camp Name:
Preferred Camp Name
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Preferred Job
*
Camp Counselor
Health Care Supervisor
Horse Staff
Lifeguard
Kitchen Staff
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
E-mail address
*
Your answer
Cell Phone
*
Your answer
Birth date
*
MM
/
DD
/
YYYY
T-shirt Size
*
If selected, you will be provided with a staff shirt. Please indicate your preferred size below.
Small
Medium
Large
X-Large
2-Xlarge
Availability: Camp season is July 4-July 16, please let us know of any conflicts.
*
Your answer
EDUCATION HISTORY
High School
*
Your answer
Graduation Year
*
Your answer
College/University
*
Your answer
Major/Minor
*
Your answer
Employment History
Please list most recent employer first
Employer #1
*
Your answer
Employer #1 Phone #
*
Your answer
Position with Employer #1
*
Your answer
Dates Employed with Employer # 1
*
Your answer
Employer #2
Your answer
Employer #2 Phone #
Your answer
Position with employer #2
Your answer
Dates Employed with employer #2
Your answer
Employer #3
Your answer
Employer #3 Phone #
Your answer
Position with employer #3
Your answer
Dates Employed with Employer #3
Your answer
CAMP EXPERIENCE
Please list any camps that you have attended or were employed.
Name of the camp #1
Your answer
Type of camp #1
Your answer
Dates attended camp #1
Your answer
Name of camp #2
Your answer
Type of camp #2
Your answer
Dates attended camp #2
Your answer
Name of camp #3
Your answer
Type of camp #3
Your answer
Dates attended camp #3
Your answer
Current Certifications
Red Cross, YMCA, NAA, CDL, etc.
#1 Certification
Your answer
#1 Agency
Your answer
#1 Expiration dates
Your answer
#2 Certification
Your answer
#2 Agency
Your answer
#2 Expiration dates
Your answer
Do you have a valid driver's license?
*
YES
NO
If yes, what state?
Your answer
If yes, what type?
Your answer
Violations?
YES
NO
Clear selection
If yes, explain.
Your answer
Preferred Age Group
*
Brownies (2-3 Grades)
Juniors (4-5 Grades)
Cadettes (6-8 Grades)
Seniors (9-10 Grades)
Lifeguard
Admin
Anywhere
Required
REFERENCES
Provide complete information on all three references, other than family members, who have knowledge of your character, abilities, and experience.
1. Reference Name
*
Your answer
Reference e-mail address
*
Your answer
Reference Phone #
*
Your answer
2. Reference Name
*
Your answer
Reference E-mail Address
*
Your answer
Reference Phone #
*
Your answer
3. Reference Name
*
Your answer
Reference E-mail Address
*
Your answer
Reference Phone #
*
Your answer
Have you ever been convicted of a crime?
*
YES
NO
If yes, explain.
Your answer
SIGNATURES
To the best of my knowledge, all statements in the application are true and current, and if any information is found to be false it may result in dismissal if hired.
*
Your answer
I understand that completed health history form is a prerequisite to acceptance for volunteering. (Health Form will be provided)
*
Your answer
I give my permission for any of the names on this form and other persons who have knowledge of my qualifications to be used as references.
*
Your answer
I give permission for GSHS to conduct a routine criminal record investigation.
*
Your answer
I understand that GSHS may view my social media (Facebook, MySpace, Instagram, Twitter) prior to the approval process.
*
Your answer
Signature of Applicant
*
You agree your electronic signature is the legal equivalent of your manual signature on this application. By selecting the "Submit" button, you are signing this application electronically.
Your answer
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