2017 Lab Leader/Assistant Application
Thank you for your interest in working at our 2017 Elementary/Middle School (EMS) debate camp. Please consult our position descriptions (accessible from our website or Facebook page) and complete this form in its entirety. BUDL Staff will follow up with you via email or phone call so please add budlcamp@budl.org to your address book and ensure you provide a good contact phone number. Please complete this application by May 31, 2017.
For what position(s) do you wish to be considered? (Check all that apply.) *
Required
Applicant Information
Last name *
Your answer
First Name *
Your answer
Middle Name/Initial
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Mobile phone number *
Your answer
Alternate phone number
Your answer
E-mail Address *
Your answer
Social Security Number *
This information is necessary in order for BUDL to disburse your stipend.
Your answer
Are you a citizen of the United States? *
If no, are you authorized to work in the U.S.?
Response required if you answered "no" to the question above.
Have you ever been involved with BUDL? *
If yes, please describe how and when.
Your answer
Have you ever been convicted of a felony? *
If yes, please explain.
Your answer
Education
Please tell us about your education, including any education in progress.
High school and location
Your answer
High school start and end dates (approximate)
From ________ To ________
Your answer
Did you graduate?
Degree
Your answer
College and location
Your answer
College start and end dates (approximate)
From ________ To ________
Your answer
Did you graduate?
Degree
Your answer
Other Education
Please include institution name, location, start and end dates, and degree awarded, if applicable.
Your answer
References
Please list three professional references. Use the following format:
Full Name / Title or Relationship / Company / Phone Number
Reference 1
Your answer
Reference 2
Your answer
Reference 3
Your answer
Work Experience
Please list all RELATED experience in the following format:
Company or Organization / Start and End Date
Company/Organization 1
Your answer
Brief description of duties
Your answer
Company/Organization 2
Your answer
Brief description of duties
Your answer
Company/Organization 3
Your answer
Brief description of duties
Your answer
Educational Background
Please list any/all related coursework. Include any courses in education and debate. Use the following format:

Course Title / Start and End Date / Institution

Course 1
Your answer
Course 2
Your answer
Course 3
Your answer
Course 4
Your answer
Availability
This year's EMS camp will take place Monday, June 19 - Friday, June 23.

Camps will run from 8am - 4pm daily.

Please indicate your availability below.

EMS Camp *
Available
Not Available
Monday, June 19
Tuesday, June 20
Wednesday, June 21
Thursday, June 22
Friday, June 23
Screening Questions
Please complete the following questions.
What is your favorite and least favorite thing about working with kids aged 9-13? *
EMS Applicants only
Your answer
What interests you about working at debate camp? *
All applicants
Your answer
In addition to debate, we are offering students opportunities to practice creative self-expression and to develop personal/professional skills. What special skills can you bring to campers in this area (i.e., arts, activism, wellness)? *
All applicants
Your answer
Disclaimer and signature:
Please read the statement below and verify your understanding with your electronic signature including middle initial(s).
I certify that my answers are true and complete to the best of my knowledge. If this application leads to a position, I understand that false or misleading information in my application or interview may result in my release. I understand that this is a temporary position and that I will earn a stipend as compensation for my time and talents. *
All applicants
Your answer
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