Online Staff Application

Thank you for taking the time to apply for a position at one of our summer programs. We will be contacting you shortly to discuss the summer in more detail. Please note that only complete application forms will be considered.
NOTE: Fields in red are required.

Permanent Address Information

  
First Name:  
Last Name:  
Address 1:  
Address 2:  
City:  
State:  
Zip:  
Country:  
Home Phone:  
Work Phone:  
Fax:  
Email:  
   
School Address (If Different From Above)
Address 1:  
Address 2:  
City:  
State:  
Zip:  
Country:  
   
Present Telephone (If Different From Above)
Home Phone:  
Work / College
Phone: 		 
   

General Information
Date after which permanent address
is to be used: 		 
Date of Birth:  
Date Spring Term Ends:  
Date Fall Term Begins:  
   
Height:  
Weight:  
Gender:  
Marital Status:  
If married, must family accompany you to camp?  
If yes, please provide sex
and age of your children: 		 
Are you a Full
Time Student? 		 
If NO, occupation:  
   
Social Security Number:  
Do you smoke?   Yes No Occasionally
Do you drink alcohol?   Yes No Occasionally
   
Have you ever been convicted of a felony or misdemeanor within the past 5 years?   Yes No  
     
If yes, please explain?    
 

NOTES: You will not be denied employment solely because of a conviction record, unless the offense is related to the position for which you are applying.

  
     
     

Activities

Below you will find a variety of activities that are taught at Brookwood Camps. Please indicate your level/ability to teach. If you have taught an activity, please give specific details of your Teaching Experience.

Instructions
Select "1" for those activities which you can organize and teach.
Select "2" where you feel you can assist confidently and competently.

 
ATHLETICS *Key     1=Organize & Teach      2=Assist
1 2     1 2     1 2  
Aerobics   Golf   Softball
Archery   Group Games   Tennis
Baseball   Gymnastics   Track
Basketball   Lacrosse   Volleyball
Fencing   Roller Hockey   Weight Training
Field Hockey   Self-Defense   Wrestling
Football   Soccer        
                     
WATER SPORTS *Key     1=Organize & Teach      2=Assist
1 2     1 2     1 2  
Canoeing   Knee Boarding   Snorkeling
Diving   Life Saving   Rowing
Sailing   Motor Boating   Swim Instruct
Water Skiing   Wind Surfing   Canoe Trips
                     
ADVENTURE & NATURE *Key     1=Organize & Teach      2=Assist
1 2     1 2     1 2  
Animal Care   Outdoor Cooking   Overnight Trips
Geology   Camp Fire Prog   Camping
Science   Gardening   Rocketry
Horseback Riding                
                     
ARTS & CRAFTS *Key     1=Organize & Teach      2=Assist
1 2     1 2     1 2  
Handcrafts   Leather   Wool
Paper Mache   Copper Enamel   Sculpture
Ceramics   Metal   Woodworking
Drawing   Painting        
                     
Music *Key     1=Organize & Teach      2=Assist
1 2     1 2     1 2  
Piano   Popular   Improvise
Guitar   Folk   Song Leading
Sight Read                
Gymnastics *Key     1=Organize & Teach      2=Assist
1 2     1 2     1 2  
Uneven Bars   Balance Beam   Floor Exercise
                     
Dance *Key     1=Organize & Teach      2=Assist
1 2     1 2     1 2  
Modern   Jazz   Hip Hop
Social                
                     
Secretarial *Key     1=Organize & Teach      2=Assist
1 2     1 2     1 2  
Shorthand   Typing   Bookkeeping
                     
Miscellaneous *Key     1=Organize & Teach      2=Assist
1 2     1 2     1 2  
Electronics   Rainy Day Prog.   First Aid
Ham Radio   Photography   Fishing
Indian Lore   Camp Newspaper   Computers
                     
     
EDUCATION    
Please select the level of education completed at close of current academic year:
College: Graduate School:
     
High School Information:    
      High School    
  Name of School:    
  Location (City & State):    
  Years Attended:    
College Information:    
      College 1   College 2
  Name of School:    
  Location (City & State):    
  Years Attended:    
  Major/Degree    
           
     
CAMP EXPERIENCE: (Please include Camp name, Staff or Camper, Position or Responsibilities, Dates , Details):
     
PROFESSIONAL, TEACHING OR LEADERSHIP EXPERIENCE: (Please include Organization, Year, Position, Name of Director, Address/Phone):
     
     
     
CERITIFICATIONS: Please check all that apply  
Water Saftey Instruction(WSI)
 
Lifeguard Certification
 
CPR
 
First Aid
 
Climbing/Ropes
 
     
     
     
   
Cabin Duty Preference
 
Age Group
Choice
6-7
8-9
10-11
12-13
14-15
15 and over
1st Choice
2nd Choice
             
Teaching Preference          
 
Age Group
Choice
6-7
8-9
10-11
12-13
14-15
15 and over
1st Choice
2nd Choice
             
Miscellaneous and additional information pertinet to your application:
Any special conditions which will enter into your accepting employment at camp?
     
Any church or other obligations requiring time away from camp?
If seeking a SPECIALTY counselorship, give full details such as basic training, teaching experience, etc.
Any specialized training in camping or edcuation pertinent to this position?
What camps have you attended as a camper?(Please include camp name and years attended?
The best contributions I can make to camp:
   

 

AGREEMENT

    
Please read carefully before sending this application.

The statements in this application are true and correct. I understand that any misrepresentation or omission of information shall be considered sufficient reason for withdrawal of an offer, or subsequent termination of employment. I hereby authorize Brookwood Camps to conduct a personal felony record search. By electronic submission of this application to Brookwood Camps, I understand and agree to the conditions stated above.
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