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Camp Staff Application 2023
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Name
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First
Last
Email
*
Applicant Phone
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What position are you applying for?
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Junior Farmer Counselor
Farm Explorers Counselor
Farm Camp Counselor
Ranch Camp Counselor
Equine Program Manager
Select all that apply
Age as of Summer '22
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under 18
18-20
21+
EDUCATION
Are you currently enrolled in
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High School
College
Gratuate School
None
Name of School
Anticipated Graduation Date
If in college, what is your major? If not in school, what are your long term employment plans?
OUTDOOR & LEADERSHIP EXPERIANCE
Please list any experience you have with organized summer camps either as a camper or staff member. Include name of camp, your position and dates of attendance or employment.
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Please list other significant outdoor experiences applicable to this job such as scouts, hobbies, family vacations, etc.
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Please list any applicable experience you have working with youth such as school, church, scouts, little league, etc.
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Please list your leadership experiences such as committee, teams, officer responsibilities, etc.
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EMPLOYMENT HISTORY
Are you currently employed?
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Yes
No
Current or most recent employer:
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Job Title
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Nature of work & responsibilities?
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Past Employment Experiences - please list employer, nature of work and dates of employment
SKILLS
Do you drive?
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Yes
No
Do you have a valid driver's license?
Yes
No
Are you currently certified in First Aid?
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Yes
No
Are you currently certified in CPR?
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Yes
No
Do you have any impairment, physical or mental, which would interfere with your ability to perform the job for which you are applying?
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Yes
No
If yes, please explain:
In the following list, please check all the boxes of activities you feel you can organize and lead as an "expert"
Farm Animal Chores & Handling
Horse Chores & Handling
Horseback Riding & Instruction
Gardening
Cooking
Outdoor, Campfire Cooking
Camp Songs/Group Singing
Arts & Crafts
Games for Large Groups
Campfire Building
Story Telling
Skits
In the following list, please check all the boxes of activities you feel you prepared to assist in leading but do not have the skills or experience to lead independently
Farm Animal Chores & Handling
Horse Chores & Handling
Horseback Riding & Instruction
Gardening
Cooking
Outdoor, Campfire Cooking
Camp Songs/Group Singing
Arts & Crafts
Games for Large Groups
Campfire Building
Story Telling
Skits
In the following list, please check all the boxes of activities you feel you have little to no experience with
Farm Animal Chores & Handling
Horse Chores & Handling
Horseback Riding & Instruction
Gardening
Cooking
Outdoor, Campfire Cooking
Camp Songs/Group Singing
Arts & Crafts
Games for Large Groups
Campfire Building
Story Telling
Skits
REFERENCES
Please provide information for 2 employers, teachers, or youth leaders who are willing to provide information about your character, work ethic, experience and abilities.
Reference #1 Name
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First
Last
Reference #1 Position
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Reference #1 School/Organization
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Reference #1 Email
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Reference #1 Phone
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Reference #2 Name
*
First
Last
Reference #2 Position
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Reference #2 School/Organization
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Reference #2 Email
*
Reference #2 Phone
*
Short Answers
What contribution do you think you can make at camp?
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What contribution do you think a positive summer camp experience can have on children?
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What makes you a great candidate to work at our camp?
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Name
Submit