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Residential Camp Employment Application

Girl Scouts of Montana & Wyoming

  • This council is an equal opportunity employer. All applications for employment will be considered without regard to race, color, religion, sex, national origin, disability, or any other status protected by applicable federal, state, or local law.
  • Conditions of employment are stated at the end of this form. Please read carefully before you sign this application. (Application must be completed in full even though attaching resume.)
  • This application form will be considered for the current open position only. If you are interested in future postings, it will be necessary for you to reapply for any future openings by completing a new application.

Position applied for:

Position
What dates are you available during this camp season (June 7th - August 10th)?
Where did you learn about this opportunity?

Personal Data

First Name:
Middle Name/Initial:
Last Name:
Social Security Number:

Present Address:

City:

State:

Zip Code:

Area Code/Telephone Number:

Email Address:

Permanent Address (if different than present address):

City:

State:

Zip Code:

Cell/Mobile Telephone Number:


Education

Name of schools (high school, college, graduate school)
School Name and Location
Field of Study
Degree/Credits
School Name and Location
Field of Study
Degree/Credits
School Name and Location
Field of Study
Degree/Credits

Work Experience

Employer:
Position:
City:
State:
Zip Code:
Date(s) employed
Reason for Leaving:
May we contact this employer?
 Yes No
Supervisor name:
Phone:


Employer:
Position:
City:
State:
Zip Code:
Date(s) employed
Reason for Leaving:
May we contact this employer?
 Yes No
Supervisor name:
Phone:


Employer:
Position:
City:
State:
Zip Code:
Date(s) employed
Reason for Leaving:
May we contact this employer?
 Yes No
Supervisor name:
Phone:


Camp Experience

Did you attend camp as a child?
 Yes No
If so, what type of camp (check all that apply)?
 Girl Scout Church Sport Private Other

Camp name
Position held
 Paid Volunteer
City
State
Zip
Date(s) employed
Were you eligible for rehire?
 Yes No
If no, why?
May we contact this employer?
 Yes No
Supervisor name
Phone
Type (check all that apply)
 Day Camp Church Overnight/Resident Camp Sports Private Other
If other, please specify:

Camp name
Position held
 Paid Volunteer
City
State
Zip
Date(s) employed
Were you eligible for rehire?
 Yes No
If no, why?
May we contact this employer?
 Yes No
Supervisor name
Phone
Type (check all that apply)
 Day Camp Church Overnight/Resident Camp Sports Private Other
If other, please specify:

Certifications

Please list all current certifications (lifeguard, WSI, First Aid, CPR, EMT, archery, ropes, canoeing, etc.)

Certification
Expiration

Please list any courses taken with wilderness schools/organizations (i.e. NOLS, Outward Bound, etc.)

Course/Organization taken
Length of course

Please list any award, interest, activities and/or other experiences which you feel would prove valuable in being considered for employment?


Specific Skills

Please mark level of experience you hold: (1) Proficient and can lead or direct (2) Can assist leading (3) Some knowledge

Arts & Crafts
Drawing/sketching
Painting
Photography:
Silk Screen
Jewelry Making:
Tie-dying
Other:
Music/Drama
Singing
Songleading
Guitar
Dramatics/plays
Dance
Instrument(s)
Other:
Swimming
Beginning
Intermediate
Advanced
Lifeguard

Sports & Games
Camp Games
Soccer
Basketball
Volleyball
Softball
Rock Climbing
Ropes (low/high)
Initiative
Other:
Language
Signing
Foreign Language
Waterfront
Kayaking
Rafting
Canoeing
Sailing
Other

Nature Study
Birds
Trees
Wildflowers
Animal track/scat
Astronomy
Weather
Compass
Other:
Outdoor Living Skills
Knots
Shelter building
Fire building
Use of knife
Use of saw/axe
Cookouts
Basic camping
Backpacking
Hiking
Leave No Trace
Outdoor cooking skills
Other:
Archery
Beginning
Intermediate
Advanced
Trainer

Background check authorization and consent

If hired for a position with Girl Scouts of Montana and Wyoming, a background check will be done.

Date of Birth (month/day/year)

Have you ever been convicted of a felony?
 Yes No


References

Please list 2 work-related references. Choose someone who can accurately describe your ability to work in the position you are applying for and your abitlity to work with children. We recommend former employers, teachers, professors, ministers, Girl Scout leaders. References by personal friends or relatives WILL NOT be considered. Please list below the name, relationship, and phone number of the two people we may contact to discuss your suitability for employment.

1. Name
Relationship:
Phone (B):
Phone (H):

Address:

2. Name
Relationship:
Phone (B):
Phone (H):

Address:

Do you know of any reason why you would not be able to perform the essential functions of the job position for which you are applying with or without reasonable accommodation?  Yes No
Please describe:

Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment.)
 Yes No
Have you ever been convicted of a crime (other than minor traffic violations)?
 Yes No
If yes, please state offense, date, location, and provide a brief explanation. (A conviction record will not necessarily be cause for disqualification. Girl Scouts of Montana and Wyoming complies with all applicable federal, state and local laws.)

I understand that this employment application and any other Girl Scout documents are not contracts of employment. I understand that any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon by any prospective or existing employee. I also understand that I am submitting this application to become an employee of Girl Scouts of Montana and Wyoming.

I certify that my answers to the preceding questions are true and complete and that I have not knowingly withheld any information which might, if disclosed, affect my application unfavorably. I understand that any misrepresentation or omission of facts on this application will be cause for rejection of this application or dismissal after employment and that employment is subject to verification of references.

We realize that structured applications often do not allow the applicant to express certain skills, talents, training, or other information about themselves which might be of interest to the employer. We encourage you to list any additional information about yourself that you feel is important.

Signature:
Date (mm/dd/yyyy):