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Camp Nicolet Staff Application Form

Personal Information

Date of Application
First Name
Middle Name
Last Name
Email Address
Permanent Mailing Address
City
State
Zip Code
Phone Number
School/Business/Cell Phone
School or Business Name
School or Business Mailing Address
City
State
Zip Code
Gender
Age
How did you hear about Camp Nicolet?
Dates you are available this summer (please indicate starting date and finishing date)
Will you have to take any personal leave?
If yes, which dates?
Position(s) for which you are applying
Driver's License State of Issue
Driver's License Number
Salary Desired /week
Are you authorized to work in the USA?
What interests you about working at Camp Nicolet?
A staff position requires that you be physically active and mobile. Do you have any physical restrictions that would prevent you from fully performing your duties?
If yes, please explain
The following is Camp Nicolet's policy pertaining to body piercing and body art.

"Body piercing is allowed in ears only both for men and women. Any obvious tattoos and piercing such as belly button, nipple etc must be covered appropriately, so as not to be seen by campers at_any_time. Piercing visible on other parts of your body (eyebrows, nose, tongue etc) that can not be covered or hidden are not permitted and you will be asked to remove them before the beginning of your staff agreement. Violation of this policy could result in either reprimand by the camp administration or termination of your employment with Camp Nicolet."
I have read the above statement and understand Camp Nicolet's policy in regard to body piercing and body art. If hired I will abide by this policy when in camp and at all camp functions where campers are present.
Do you smoke?
Do you have any special dietary needs?
Camp Nicolet operates seven days per week. List any days or hours that you are not able to work
If yes, please explain

Camping Experience

Please tell us about any camps you have worked at in the past.
  Camp #1 (most recent) Camp #2
Name of camp
Years spent there
Location of camp
Director(s) name
Camp phone number

Work Experience

Please tell us about any jobs you have held in the past.
  Business #1 (most recent) Business #2
Dates
Supervisor's name
Business phone number
City and state
Type of work
Reason for leaving

Education

School
Location
Current Year at school
Major field of study
Degree(s) earned
Date
Will you use your camp experience for an internship or college credit?
List awards, honors, office, or special recognitions

Certifications

Please tell us about any certifications you have earned.
Type of certification Certifying organization Expiration date (mm/dd/yy)
Water Safety Instructor
Basic Lifeguard Training
CPR
First Aid
Wilderness First Aid
Wilderness First Responder
SCUBA
USA Water Ski Instructor
Smallcraft/Sailing Instructor
Horsemanship

Camp Skills

Describe your experience working with children (list ages and your responsibilities)
Please describe all the volunteer/ leadership positions you have held
What contributions do you feel you would make at Camp Nicolet? What personal gains do you expect to receive?

Activity Areas

Which activity areas are you qualified to lead or assist?
Activity name Can lead Can assist Please explain your experience/qualifications
Horseback Riding (English)
Water Skiing
Wakeboarding
Swimming
SCUBA
Boating (rowing)
Canoeing
Kayaking
Sailing
Boardsailing
Tennis
Volleyball
Softball
Basketball
Soccer
Archery
Mt. Biking
Tripping
Arts & Crafts
Photography
Music
Drama
Journalism/Media
Fitness
Gymnastics
Martial Arts
Environmental Ed.


Are you interested in being an Activity Director?
Which Activity?
Are you interested in being a cabin counselor?
Age Preference
Please describe any activities, interests, and experiences that you have had that may be beneficial to our campers
At the end of a summer at camp, how do you think one of your campers would describe you to her parents? To her friends? How would you like to be described?
What does the phrase "Camp Gives Kids a World of Good" mean to you?
Have you ever been convicted of any crime, including sex-related or child-abuse related offenses?
If yes, please explain
Please read carefully before agreeing.

I hereby certify that the answers given and statements made on this application for employment are true and correct. I understand that making a false statement on this application or omission of information may result in the revocation of this application or my subsequent discharge from Camp Nicolet, Inc. regardless of the time of discovery by the camp. I authorize Camp Nicolet, Inc. to contact any or all individuals or companies named herein for verification or information regarding my personal character, habits or employment records and hereby release all said companies and individuals from liability or damage in connection with same. Camp Nicolet, Inc. has my permission to perform a criminal background check and drivers license check as is required for employment. I understand that if employed, I will be an at-will employee, and that any agreement to the contrary must be in writing and signed by the Director of the camp.
I Agree
Date of application


Camp Nicolet, Inc. is an Equal Opportunity Employer

When you have completed all the fields, click Send Form . Then you can take a rest - you've worked hard!






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