Camp Foster YMCA

Summer Camp Staff Application - 2012

Fields Marked * are Required.

Employment Desired*

Day CampResident Camp

First Name*

Last Name*

Gender*

FemaleMale

Date of Birth (MM/DD/YYYY)*

Social Security Number (XXX-XX-XXXX)*

Email Address*

Cell Phone Number (XXX-XXX-XXXX)*

Present/School Address*

City*

State*

ZIP Code*

Permanent Address*

City*

State*

ZIP Code*

School/University Name*

Degrees and/or Majors*

Dates Available (from when to when)*

Do you have any previous camp experience?*

YesNo

If yes, were you a camper or staff member?

CamperStaff MemberBoth

If yes, which camps have you attended?

Job History (please list each job, including company, position, and contact number, starting with the most recent)*

Please describe any awards or special recognition that you have received at school, work, or as a volunteer.*

Please describe any hobbies or special interests that you have that might prove beneficial to you as a camp counselor.*

Please describe why you want to work at Camp Foster as a camp counselor with children.*

Please describe something that you accomplished recently that made you feel especially proud (while at school, work, or volunteering).*

Working at a summer camp is challenging... What challenges do you anticipate experiencing at camp, and how will you deal with those challenges?*

What experiences in your life have had the great impact on you? Why? How have those experiences shaped you?*

Archery*

Arts and Crafts*

Canoeing*

Creative Arts*

Horseback Riding*

Riflery*

Rock Climbing*

Ropes Courses*

Sailing*

Sports*

Water Skiing*

Other Skills

Lifeguard*

Lifeguard Instructor (LGI)*

Water Safety Instructor (WSI)*

Commercial Driver License (CDL)*

Have you been convicted of any crime (aside from minor traffic violations)?*

NoYes

If yes, please explain the nature of the crime, the date of conviction, and the state in which convicted.

Please check:*

All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.

Please check:*

I authorize Camp Foster YMCA to investigate my background and responses on this application and to contact any individuals familiar with me or my employment background for the purpose of verifying any information and/or for the purpose of obtaining any information about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me, or my employment.

Please check:*

I recognize that this application is not and should not be considered a contract of employment. I understand that employment at Camp Foster YMCA is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or at the option of Camp Foster YMCA.

Access Code

Please Enter the Access Code *