Camp Jewell YMCA Staff Application

* Please chose the program you are applying for
* NAME
* SEX
* DATES AVAILABLE
* AGE

(age required for many positions by state law, or ACA standards; Select what applies best)

 
CLICK THE BOX WHERE YOU WOULD LIKE US TO MAIL TO AT THIS TIME

Please send all mail to my permanent address

* Permanent Address
* City
* State
* Zip
* Phone

Please send all mail to my present address

College Or Present Address
Present City
Present State
Present Zip
Present Phone
* Email Address
 
EMERGENCY CONTACT
* Emergency Contact Name
* Emergency Contact Phone w
* Emergency Contact Phone h
 
EDUCATION
* School
* Course of Study
* Year or Degree
 
CHARACTER REFERENCES

(You may list one relative or personal friend. Include an employer if possible.)

 
REFERENCE 1
* Reference 1 Name
* Reference 1 Complete Address
* Reference 1 Phone Number
* Reference 1 Email
* How does reference 1 know you
 
REFERENCE 2
* Reference 2 Name
* Reference 2 Complete Address
* Reference 2 Phone Number
* Reference 2 Email
* How does reference 2 know you
 
REFERENCE 3
* Reference 3 Name
* Reference 3 Complete Address
* Reference 3 Phone Number
* Reference 3 Email
* How does reference 3 know you
 
CAMP EXPERIENCES
Camp Name
Position at Camp
Year at Camp
Camp Director
Camp Phone
* Have you ever been convicted of a felony or crimes against children? Yes No
If yes, please describe
 
CERTIFICATIONS

Lifeguard

Archery

Water Safety Instructor

First Aid

Wilderness First Aid

Canoeing

CPR

EMT

Sailing

Professional Rescue CPR

Ropes Course Facilitator


Others
 
SKILLS ASSESSMENT

For each area, please select your skill level.

WATERFRONT
Swim Instruction
Canoeing Instruction
Sailing Instruction
Kayaking
Lifeguarding
Fishing
CAMPCRAFT
Outdoor Cooking
Farm Animals
Overnight Camping
Hiking and Campcraft
ARTS
Crafts
Leathercraft
Model Rocketry
Pottery
Newspaper
Photography
PERFORMING ARTS
Play Directing
Improvisation Games
Props and Make-Up
Magic Skills
Circus Skills
Dance
Music
Singing
Song Leading
Radio Production
SPORTS
Archery
Soccer
Frisbee Sports
Tennis
Basketball
Volleyball
Wall Climbing
Mountain Biking
Horseback Riding
ADVENTURE SKILLS
Backpacking
Canoe Tripping
Bike Touring
Mountain Bike Touring
Rock Climbing
Whitewater Kayaking
Sea Kayaking
High Ropes Courses
 
IMPORTANT INFORMATION

Physical Exam Required: State law requires that staff have a physical examination within 2 years prior to arriving at camp. Imunization records are also required.

DRUG, ALCOHOL AND SMOKING POLICIES

Our camps are committed to ensuring a drug , tobacco and alcohol-free work places. As provided for under State law, all staff must undergo pre-employment drug screening upon arrival at camp. The YMCA cover the cost of the screening. A postive test will disqualify applicant. An employee may also be re-tested at any time if there is *reasonable suspicion* that the employee is under the influence of drugs that could affect job performance.

MISSION STATEMENT

The YMCA of Greater Hartford is an association, open to all and committed to helping people develop their God-given potential in spirit, mind and body. Our commitment is based on the belief that the purpose of this three-fold development is to live out the values of our Judeo-Christian heritage, including caring, honesty, respect and responsibility.

STAFF COMMITTMENT

Employment at a resident camp is serious and exacting. The rewards are found largely in the satisfaction of a job well done, and in the personal growth and development that goes with it. Your signature below indicates your support the YMCA mission, and your willingness to committ your best efforts and abilities towards achieving it. I certifiy that the information on this application is true, complete and current. If applicant is under 18 yrs. of age, either parent or guardian must sign below. Your signature indicates application is made with full approval on your part.

 
PLEASE ANSWER THE FOLLOWING QUESTIONS
* Describe your skills and teaching experience
* Write a brief biographical statement outlining your camping background and experiences working with youth
* What character qualities do you possess that would be particularly useful as a camp staff member? Give examples of where and how you have shown these qualities
* How would you teach the character traits of caring, honesty, respect and responsibility to your campers
* Describe situations where you have had the opportunity to make a difference as a role model
* In what areas do you feel you need to improve to be a top notch leader
* Applicant Name
* Parent Name
* Date
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