Camp Fire USA: Snohomish County Council; Seasonal Staff Application

Spring/Fall Staff Application
Download Application Packet (Acrobat File)

This position requires three written references.
Download reference forms here (or visit www.campfireusasnohomish.org/killoquapdfs.htm for online reference link).

Name	E-Mail:	Are you at least 18 years of age? Yes No
College Credit Desired:	Yes No
Season(s) Desired:	Spring Fall	Dates Available:

Present Address:
City: State: Zip:
Phone:

Permanent Address:
City: State: Zip:
Phone:

School Attending or Present Occupation:
Grade or Level in School:

Education:
        School and/or College Attended       Grade or Year Graduated Program/Major
1.
2.
3.

Courses is leadership, environmental education and/or camping:

Work Experience: Both paid and volunteer other than camping.

	Employer	Position	Dates	Supervisor	Phone
1.
2.
3.

Work Experience: Both paid and volunteer in camping.

	Camp	Position	Date	Camp Director	Phone
1.
2.

Work Experience: Youth programming. Any other experience working with children.

Work Experience: Any other experience working with children in Camp Fire USA or other youth organization as participant or leader..

CAMP ACTIVITIES: Please mark 1 if skills in area, 2 if had training and 3 if have taught in the following areas:

OUTDOOR SKILLS	GAMES AND ACTIVITIES	MUSIC/DRAMATICS/COMM.
Fire Building	Small Group Games	Song Leading
Map/Compass	Large Group Games	Drama
Knots	Initiatives	Instrument
Outdoor Cooking	Low Ropes Course
Minimum Impact	High Ropes Course
	Climbing Wall
Sports/Boating	Environmental Ed	Other
Archery	Forest Ecology
Rowing	Wetland Ecology
Canoeing

Certifications: Please provide information regarding any certificates or trainings that you currently hold. Be sure to indicate the expatriation date and be sure that you actually have the card or letter. If you plan on completing a course prior to the beginning of the season please indicate the expected completion date.

Exp Date:	Training	Type	Notes:
	First Aid
	CPR
	First Aid Instructor
	ARC Lifeguard Training (LT)
	ARC Water Safety Instructor (WSI)
	ARC Small Craft Safety
	ARC Waterfront Module
	ARC Canoeing Instructor
	Climbing Wall Facilitator
	Low Ropes Facilitator
	High Ropes Facilitator
	Archery Instructor
	Outdoor Living Skills Instructor
	Food Handlers Permit (WA State)

Other certificates, i.e., horseback riding, archery, outdoor living skills, etc.:

REFERENCES: Please ask people, other than relatives, with whom you have worked and have known for at least six months. This could be employers, professors, teachers, fellow employees, etc. Please use only one character reference. References will be verified.

Name: Position:	Address: Phone:
Name: Position:	Address: Phone:
Name: Position:	Address: Phone:

Why does this position appeal to you, and what do you hope to achieve as a naturalist/facilitator?

Describe your training and experience in 1)outdoor education, environmental education and/or the sciences and 2)leadreship roles and/or in leadership programs and classes.

What is your teaching style when working with children and older youth?

What personal strengths would you bring to this position?

Are there any reasons you may have difficulty in performing any of the essential functions of the job for which you have applied? Yes No
If yes, please explain:

Have you had any criminal convictions for child abuse or sex related crimes? Yes No

By submitting this application I certify that the information given in this application for employment is true and complete to the best of my knowledge. I authorize Camp Fire USA Snohomish County Council to make inquiry of my former employees or references as to my experience, job suitability, and/or reasons for leaving. I understand that if employed, the making of false statements on this application will be sufficient course of my dismissal. Employment is contingent upon a satisfactory criminal history check.

Camp Killoqua offers a non-smoking, non-drinking, and drug-free environment for both staff and campers. Employees are expected to support and abide by this philosophy.