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, religion, color, gender, age, national origin, citizenship, disability or other status protected by applicable law.
Application Date *
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CONTACT
CAMP HOLLOWAY DIRECTOR
campholloway@gsmidtn.org
phone: (615) 383-0490
fax: (615) 460-0212

CAMP SYCAMORE HILLS DIRECTOR
cdirector@gsmidtn.org
phone: (615) 383-0490
fax: (615) 460-0212

To which camp(s) are you applying? *
Required
Please see link below for Summer Camp Employment Opportunites
Visit www.gsmidtn.org/summer-camps for employment opportunities
First Name *
Your answer
Last Name *
Your answer
Permanent Address
Street Name & Number *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone
ex. 615-460-0239
Your answer
Cell Phone
ex. 615-460-0212
Your answer
Email *
Your answer
School Address
(If different from home address.)
Street Name & Number
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Where would you prefer we send you mail? *
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.
Archery *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Art *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Canoeing *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Climbing *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Cooking/Baking *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Dance *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
High Challenge *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Horseback Riding *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Kayaking *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Low Challenge *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Music *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Outdoor Cooking *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Outdoor Skills *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Rappelling *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Sign Language *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Swimming *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Swim Lessons *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Team Building *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Theatre/Drama *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Tree Climbing *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Woodworking *
Read the following rating system carefully and place the appropriate number in front of each activity
I have no expereience or familiarity with this activity.
I am a qualified expert with teaching experience and could lead this program.
Yoga *
Read the following rating system carefully and place the appropriate number in front of each activity
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 Certified?
(If certified, select certifying organization)
Your answer
Lifeguard Certified?
(If certified, select date you were certified)
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Lifeguard Certified?
(If certified, select date of certification expiration)
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CPR/First Aid Certified?
Please enter certifying organization
Your answer
CPR/First Aid Certified?
(If certified, select date you were certified)
MM
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CPR/First Aid Certified?
(If certified, select date of certification expiration)
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Water Safety Instructor?
(If certified, select date of certifying organization)
Your answer
Water Safety Instructor?
(If certified, select the date you were certified)
MM
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Water Safety Instructor?
(If certified, select date of certification expiration)
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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.
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Do you have a Healthcare License (E.M.T./RN/Doctor/NP)?
If yes, select the date your license expires.
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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.
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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.
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Challenge Course Level 1 or 2 Facilitator Training/Rock Climbing/Tree Climbing?
(If certified, select date your certification expires.
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Canoeing
Please enter the certifying organization.
Your answer
Canoeing
Please select the date you were certified.
MM
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Canoeing
Please select the date your certification expires.
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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 address, Position/ Major Responsibilities, Reason for leaving, Supervisor name, Dates employed from/until, Employer phone)
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 address, Position/ Major Responsibilities, Reason for leaving, Supervisor name, Dates employed from/until, Employer phone)
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 address, Position/ Major Responsibilities, Reason for leaving, Supervisor name, Dates employed from/until, Employer phone)
Your answer
EDUCATION
Education:Did you attend high school? *
High School Name/ Location
Your answer
High School: Course of Study
Your answer
High School: Year in School
High School: Degree earned
Your answer
Education: College *
College Name/Location
Your answer
College Major/Minor
Your answer
College: Year in School
College: Degree earned
Your answer
Additional College Name/Location
Your answer
College Major/Minor
Your answer
College: Year in School
College: 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) What are the three strengths you bring to this position? How will they benefit our campers? *
Your answer
2) We often add programs based on our staff's interest. What hobbies, special interest or talent(s) do you have that you could share at camp? For example, some staff can speak another language or have cheer leading experience. *
Your answer
3) What do you hope to gain from the experience? *
Your answer
4) Please describe any camp program, outdoor and/or leadership training and experiences. *
Your answer
FOR YOUR INFORMATION
Camp is not just one job. 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.
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- Our camps are non-smoking, tobacco-free facilities. Smokers must leave camp to smoke 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)
Your answer
Tattoos and body piercings (including facial piercings) must be covered at all times.
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.
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 employment application and any other Girl Scout documents are not contracts of 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
I certify that the information provided on this application, is true and complete. *
Type in your full name to acknowledge your understanding/ agreement.
Your answer
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