GIRL SCOUTS OF MIDDLE TENNESSEE SEASONAL CAMP STAFF EMPLOYMENT APPLICATION
Girl Scouts of Middle Tennessee is an equal opportunity employer. All applicants for employment will be considered without regard to race, color, religion, gender, age, national origin, citizenship, disability or other status protected by applicable law.
CONTACT
CAMP HOLLOWAY DIRECTOR
Lauren Reichstein
campholloway@gsmidtn.org
phone: (615) 460-0212
fax: (615) 460-0212

CAMP SYCAMORE HILLS DIRECTOR
Christina Bradley
cdirector@gsmidtn.org
phone: (615) 460 -0239
fax: (615) 460-0239

Please see link below for Summer Camp Employment Opportunities and available positions:
Are you a returning staff member? *
Required
To which camp(s) are you applying? *
Required
First Name *
Your answer
Last Name *
Your answer
Mailing Address (Street Name & Number, Apt. #) *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Preferred Phone
ex. 615-460-0239
Your answer
Cell Phone
ex. 615-460-0212
Your answer
Email *
Your answer
University You Attend:
Your answer
Are you over eighteen years of age? *
Are you legally authorized to work in the United States? *
Earliest date available to start: *
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Available to work until: *
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Can you perform the essential functions of the job without accommodations? *
POSITION(S) DESIRED
After reading the job descriptions found in our summer opportunities document at www.gsmidtn.org/summer-camp, please select the position(s) you are interested in.
Please check ALL positions you are interested in applying for *
Equestrian counselor, lead adventure counselor, lead aquatics counselor, lead equestrian counselor, nature/outdoor counselor and health officer assistant are offered at Camp Sycamore Hills Only.
Required
How did you hear about our camps? *
Explain further:
(Website name, newspaper name, camp employee name, flyer name, camp fair/ job fair name, other)
Your answer
INTERESTS AND ABILITIES
We are interested in the skills and abilities you can offer camp. Please read each activity and rate your ability.

4 - I am a qualified expert with teaching experience and could lead this program.
3 - I am excellent in this activity. I have no teaching experience, but I can lead this program.
2 - I have done and I am familiar with this activity, and with this training, I would like to lead this activity.
1 - I have little to no experience but am interested in this activity.
0 - I have no experience or familiarity with this activity.

Archery *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Art *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Canoeing *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Climbing *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Coding *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Cooking/Baking *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Dance *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
High Challenge *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Horseback Riding *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Low Challenge *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Music *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Outdoor Cooking *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Outdoor Skills *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Rappelling *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Robotics *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Sign Language *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
STEM Activities *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Swimming *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Team Building *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Theatre/Drama *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Tree Climbing *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Woodworking *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Yoga *
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Other (please name)
Read the following rating system carefully and place the appropriate number in front of each activity
Your answer
Other (please name)
Read the following rating system carefully and place the appropriate number in front of each activity
Your answer
TRAINING AND CERTIFICATIONS
See job descriptions in our summer staff opportunities or on our website at PUT IN LINK for required and/or preferred certifications.
Lifeguard Certification - Organization
(If certified, select certifying organization)
Your answer
Lifeguard Certification - Date Certified
(If certified, select date you were certified)
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Lifeguard Certified - Expiration Date
(If certified, select date of certification expiration)
MM
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YYYY
CPR/First Aid Certification - Organization
Please enter certifying organization
Your answer
CPR/First Aid Certification - Date Certified
(If certified, select date you were certified)
MM
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DD
/
YYYY
CPR/First Aid Certification - Expiration Date
(If certified, select date of certification expiration)
MM
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DD
/
YYYY
Water Safety Instructor Certification - Organization
(If certified, select date of certifying organization)
Your answer
Water Safety Instructor - Date Certified
(If certified, select the date you were certified)
MM
/
DD
/
YYYY
Water Safety Instructor - Expiration Date
(If certified, select date of certification expiration)
MM
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DD
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YYYY
Do you have a Healthcare License (E.M.T./RN/Doctor/NP)?
If yes, name certifying body
Your answer
Do you have a Healthcare License (E.M.T./RN/Doctor/NP)?
If yes, select the date you were certified.
MM
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DD
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YYYY
Do you have a Healthcare License (E.M.T./RN/Doctor/NP)?
If yes, select the date your license expires.
MM
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Are you an Equestrian Instructor (CHA, etc.)?
If yes, name certifying body.
Your answer
Are you an Equestrian Instructor (CHA, etc.)?
If yes, select the date you were certified.
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Are you an Equestrian Instructor (CHA, etc.)?
If yes, select the date you were certified.
MM
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Challenge Course Level 1 or 2 Facilitator Training/Rock Climbing/Tree Climbing?
If certified, list certifying organization and list elements you have been trained on
Your answer
Challenge Course Level 1 or 2 Facilitator Training/Rock Climbing/Tree Climbing?
If certified, select the date you were trained.
MM
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Challenge Course Level 1 or 2 Facilitator Training/Rock Climbing/Tree Climbing?
(If certified, select date your certification expires.
MM
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Canoeing Certification - Organization
Please enter the certifying organization.
Your answer
Canoeing Certification - Date Certified
Please select the date you were certified.
MM
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DD
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YYYY
Canoeing Certification - Expiration Date
Please select the date your certification expires.
MM
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DD
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Please list any other training/certifications you may hold.
(Please include the certification expiration date.)
Your answer
EMPLOYMENT HISTORY
(List most recent employment first. Please include up to 3 years of work history.)
Employment History #1 (List most recent first/include up to 3 years of work history).
Please list your employment history in the space below. Please include (Employer name, Employer phone, Employer address, Position, Dates of Employment, Major Responsibilities, Reason for leaving, Supervisor name)
Your answer
Employment History #2 (List most recent first/include up to 3 years of work history).
Please list your employment history in the space below. Please include (Employer name, Employer phone, Employer address, Position, Dates of Employment, Major Responsibilities, Reason for leaving, Supervisor name)
Your answer
Employment History #3 (List most recent first/include up to 3 years of work history).
Please list your employment history in the space below. Please include (Employer name, Employer phone, Employer address, Position, Dates of Employment, Major Responsibilities, Reason for leaving, Supervisor name)
Your answer
EDUCATION
Education: Did you attend high school? *
High School Name
Your answer
High School Location
Your answer
High School: Course of Study
Your answer
High School: Year in School
High School: Expected Graduation and/or Degree Earned
Your answer
Education: College *
College Name/Location
Your answer
College Major/Minor
Your answer
College: Year in School
College: Expected Graduation and/or degree earned
Your answer
Additional College Name/Location
Your answer
College Major/Minor
Your answer
College: Year in School
College: Expected graduation and/or degree earned
Your answer
EXPERIENCE AS A CAMPER OR STAFF MEMBER
Please list any experience you have had as a camper or camp staff member. *
(Please include the camp name/ location, position title, year, sponsoring organization, and supervisor).
Your answer
Additional experience as a camper or camp staff member.
(Please include the camp name/ location, position title, year, sponsoring organization, and supervisor).
Your answer
Additional experience as a camper or camp staff member.
(Please include the camp name/ location, position title, year, sponsoring organization, and supervisor).
Your answer
1) Please elaborate on your camp experience listed above. *
Your answer
2) Why do you want to work at Girl Scout summer camp? *
Your answer
3) What are three (3) strengths you bring to this position? How will these benefit our campers? *
Your answer
4) What do you hope to gain from the experience? *
Your answer
FOR YOUR INFORMATION
All staff are expected to step in where needed and always be a positive influence to our campers. The primary responsibility of all staff is to be focused on the girls. Working at camp can be an extremely rewarding job. Many staff members return year after year to create special memories and make lasting impressions. We feel that is is our obligation to share the following information with you during the application process so that you can make an informed decision about working for our camps. Please review the below information carefully and sign with your initials under each item.
Registered Member- all camp staff must become an adult member of Girl Scouts of the USA and pay the $25 membership fee.
Your answer
Camp facilities- Staff must be willing to live and work in the following facilities with reasonable accommodation: platform tents, screened cabins or dorm style cabins. Bathrooms may be separate from cabins or tents. We cannot guarantee housing.
Your answer
No smoking- All use of tobacco, vaping, or nicotine delivery systems are prohibited on camp properties. To partake in such substances, you must leave camp property only during scheduled time off.
Your answer
Return to work on Sundays - Staff must return to work at the required time (usually 12:00 PM, on the day they are scheduled to work (Sundays are the start of the work week). Some positions may have alternate schedules.
Your answer
Tattoos and body piercings (including facial piercings) must be covered at all times. Facial piercings may be replaced with clear studs.
Your answer
Hair color should be natural shades: red, blonde, black, gray and brown are acceptable.
Your answer
Physical working conditions at camp - Physical requirements: possible lifting of up to 50 pounds, able to work in rustic outdoor conditions (e.g. exposure to wildlife, hiking five to ten miles per day on uneven terrain) subject to various weather conditions, etc.
Your answer
Unless specified, most camp positions require you to live on the property for the duration of your work week.
Your answer
Camp work is demanding, requires long hours and adherence to camp policies that may be limiting (curfews, limited time-off, lack of privacy, no pets, no smoking, etc). Is there anything that would prohibit you from complying with this lifestyle and our camp policies? *
If yes, please explain further:
Your answer
Have you ever been convicted of a crime (other than traffic violation)? *
If yes, please state offense, date and location.
A conviction record will not necessarily disqualify you for employment
Your answer
PLEASE READ CAREFULLY BEFORE SIGNING
Please read the following statements carefully and acknowledge your agreement and understanding by placing your initials in the spaces provided.
I certify that the information provided on this application is true and complete. I understand that falsification or omissions of any kind of information will disqualify me from employment and/or will result in dismissal if discovered at a later date.
Your answer
I hereby authorize you to contact any individuals and organizations identifies in this application to verify information provided and to obtain addition reference information. I further authorize such individuals and organizations to release to you any and all information they have about me. I will not bring any claims against Girl Scouts of Middle Tennessee or against any individual or organization based upon my references provided. I further understand if offered employment, such employment is subject to receipt of satisfactory references.
Your answer
I understand that this application and any other Girl Scout documents are not contracts for employment for any definite period of time, and that any individual who is hired may be terminated by Girl Scouts of Middle Tennessee at any time for any reason without advance notice. I understand that any oral or written statements to the contrary are hereby expressly disavowed and should not be relied upon by any prospective or existing employee.
Your answer
I understand working at camp demands an unselfish attitude. My concerns and efforts must always be primarily directed toward the physical and psychological welfare of the campers. Though management is very supportive, it is important that I recognize that camp counseling is a responsible job requiring a high level of care.
Your answer
I understand all statements made on this application become part of any future employee personnel file.
Your answer
Signature: *
Your answer
Date
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