Job Application for Swim & Water Polo Camp, 2018, with Summer Dreamers and Bloomfield-Garfield Corp.

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If you want to work with Coach Mark Rauterkus, 412-298-3432, Mark@Rauterkus.com, and the summer of 2018 Swim & Water Polo Camps as part of PPS Summer Dreamers, please fill out this form as soon as possible.

Full name *

First and last name. This will be the name used on the pay checks too.

Cell phone:

Home phone:

Back up phone number(s).

Your Age:

We have some students and some adults. Adults, you can put over 30 or old enough into the form.

Qualifications:

Tell us about your athletic background. Do you coach? Can you run? Can you swim? Are you a Physical Ed teacher? Are you a triathlete? Are you with Lifeguarding, CPR, First Aid? Simple notes are fine.

Email Address *

Perhaps the most important question of all. You will also be added to an email blast group for the 2015 staff.

Clearances? *

Check all that apply. Clearances have proven to be a royal headache in the past. This must be done with complete fidelity. Do not delay in getting all three clearances or you will be terminated.

There will be no issues in getting my clearances by May 1, but they are not done yet.

All clearances are on file from past season as I worked with this program last year.

All clearances are with Pittsburgh Public Schools as I am an employee in the district at present.

FBI background check done, but not to Mark@Rauterkus.com yet.

FBI background check has been handed into Coach Mark.

Act 151 - Child abuse check done, but not to Mark@Rauterkus.com, yet.

Act 151 - Child abuse clearances have been handed into Coach Mark.

Act 34 - Criminal Records Check done but not to Mark@Rauterkus.com.

Act 34 - Criminal Records Check into Coach Mark.

Required

Parent and Guardian Contact for student workers

With high school and middle school students working, either as a volunteer or paid, we want to communicate with your parents about schedules and such, as needed. Enter names, relationships, phone numbers and email addresses.

Emergency Contact, name and phone. *

Just in case there is a run-away bus and we need to call someone on your behalf.

Any allergies or other physical conditions we need to know about.

We don't like to be surprised.

Activity participation is expected

Yes, I understand that this job means that I'll be running, exercising and swimming every day.

I have a swim suit and will be in the water with the kids every time I am present.

I can run, jog and walk very fast and expect to cover the distance from school to the swim pools (little less than 1 mile away) with kids and other coaches.

I can lead some conditioning exercises each day.

Staff shirt sizes, if we should get them:

What size t-shirt do you wear?

2XL

Large

Medium

Small

Clear selection

Work is as a "sub contractor" and not an employee: *

We get paid by Bloomfield-Garfield Corp. But we are not employees. We are contractors. Each of us has to pay our own taxes.

I understand, if hired, it is as a contractor and not an employee and some taxes will need to be paid by the individual at tax time.

Required

Being available throughout the summer -- or not.

We have a five week camp, both mornings and afternoons. Plus, we want to get the kids swimming before camp begins, on the weekends, in the evenings and even after the camp concludes. What works for you?

Six weeks of Summer Dreamers, mostly afternoons

Put a check box when you can be scheduled. Leave the section blank if you are on vacation or have a conflict.

Training Week: (June 18 to June 23, 2018) Expect 2 days.

Week 1: Afternoons (June 25 to June 29, 2018)

Week 2: Afternoons (July 2 to 6, but not 4th)

Week 3: Afternoons (July 9 to 13)

Week 4: Afternoons (July 16 to July 20)

Week 5: Afternoons (July 23 to July 27)

Week 6: Afternoons (July 30 to Aug 1) Official Camp ends Aug 1.

Your Smart Phone (Android / iPhone) can be used for calling 911 and taking attendance every day.

Weekends

How interested are you in doing some volunteer time on the weekends. We might do some family swims, Saturday or Sunday games, and trips to North Park.

No way. Too busy.

Sure. Count me in. Sounds like fun.

Clear selection

Evenings

How interested are you in doing some evening activities. We might host a movie night, play a game at Shaler's pool, travel to another pool or have a picnic jog.

No way. Too busy.

Sure, count me in. Sounds like fun.

Clear selection

Would you rather help with water polo or just swimming?

I'd be more happy if I was coaching this activity. But for either, choose middle, #3.

Swimming is for me.

Water polo, games, balls are more fun for me.

Clear selection

Pre Season

Before camp starts, we want to get some time with the kids in the pools. Do you want to volunteer and can you?

I'd love to help in the pre-season as a volunteer to get to know the kids in organized activities.

I'm busy and can only come when I'm paid.

Clear selection

Post season

After the camp, we may do a week or three of water polo and even try to get into a September tournament. Can you help too?

I am interested in helping as a volunteer in August.

I am interested as a volunteer in September.

Sorry. I have travels and other stuff and will not help beyond the scope of the job.

Maybe.

Your School, year, field of study

What school have you attended? Where are you going next year? What year? What is your major.

Other comments for Coach Mark?

What else do you want to communicate? (Optional)

Work site issues for specific camp locations:

In most years, our proposal calls for campers at various sites. Specific locations for 2018 seem to be U-Prep, and that is all. But, this question stays here for future seasons. What places are you most interested in working?

Willing to work anywhere. (Okay to ignore the rest.)

Prefer to work in East End: Homewood, Westinghouse, East Liberty / Peabody.

Prefer to work in North such as at Perry / Oliver High School & The Pgh Project (Charles Street).

Prefer to work Downtown and Lower North Side.

Prefer to work Central / Hill District at U-Prep, Ammon, Thelma Lovette YMCA.

Prefer to work in West End at PCA or Langley.

Expect Car-Pool Issues and NEED to work with a buddy to get a ride to work.

Prefer to work in South Hills at Carmalt, Brashear, Moore Park, Phillips Park by Carrick.

Other:

Date of Birth

Need the date of birth for pay reasons

Home Address

In case you get hired, what permanent address gets the mailed tax form from past year?

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