Counseling Application

Counselor and Assistant Counselor Application - Summer 2008

Please complete this form if you're interested in working at Four Winds as a Counselor or Assistant Counselor for summer 2008. You must complete the form in one sitting, so you might want to scroll down and have a look at the whole thing before you begin.

Part 1 - Personal Contact Information

Current Contact Information

First and Last Name
Email Address
Current Street Address
Current City
Current State/Province (If you live outside the United States or Canada, please click here. )
Current Zip/Postal Code
Current Home Phone	( ) -
Current Cell Phone	( ) -
List the dates you will be at the above address	from to

Permanent Contact Information

Is your permanent address the same as your current address? yes no If so, skip to the next section.
Permanent Street Address
Permanent City
Permanent State/Province (If you live outside the United States or Canada, please click here. )
Permanent Zip/Postal Code
Permanent Home Phone	( ) -

Other Pertinent Information

Are you applying to be a Counselor or Assistant Counselor? Need help with this question? Click here.

Will you be at least 18 years of age by June 24, 2008 (as per ACA standard C-6)? yes no

What is your gender? Female Male

Available for summer employment from to

Rank the age groups you'd like to work with 1st Choice: 2nd Choice:

How did you learn about Four Winds?

Are you a US Citizen? yes no

Are you a Canadian Citizen? yes no

Have you ever been convicted of any sex related or child abuse related offenses? yes no
If yes, please explain:

Are there any conditions that would make it impossible for you to fulfill your duties? yes no
If yes, please explain:

What reasonable accomodations are needed to complete the required job duties, if any?

Four Winds is an alcohol, tobacco, and drug free camp. Violoation of drug/alcohol/tobacco policies is cause for immediate termination. Are you willing to work under this regulation? yes no

Part 2 - Camp Experiences

Camp	Director	Location	Positions (include Camper Experience)	Dates

Part 3 - Work or Volunteer Experiences

Employer	Position	Dates of Employment	Location	Phone Number	May we contact?
					yes no
					yes no
					yes no

Part 4 - Education

	Name	# of years	Diploma/Degree	Year of Graduation	Major
High School
College
Other

Part 5 - Clubs, Activities, Hobbies, Interests

Please tell us about any clubs, activities, hobbies, or interests that you think we should know about in this box. Take all the space you need.

Part 6 - Certifications

Do you hold any of the following certifications? If so, please list their expiration dates on the right. Please note, we require that all staff are certified in CPR and First Aid by the time they arrive at camp.
First Aid (Required)
CPR (Required)
Lifeguarding (Required of all Dock Staff)
Wilderness First Aid
Wilderness First Responder
EMT
USSA Sailing Instructor
ACA/BCU Paddling Instructor
Other Pertinent Certification(s)

Part 7 - Instruction Skills

As a counselor, you'll live and eat with your cabin six days a week (you'll have one day off a week). During the daytime, your campers will go off to their activities, and you'll go to one of our activity areas (The Barn, The Dock, The Garden, The Craft Courts, and Land Sports), where you'll work as an activity instructor. Please answer the following questions to help us figure out where you'd be the best teacher.

Please mark the following activities that you have done at least 3 times:

Sailing	Photography	Ultimate Frisbee
Canoeing	Bookbinding	Archery
Kayaking	Drama	Tennis
Gunkholing/Tidepooling	Poetry	Soccer
Marine Biology	Painting/Drawing	Lacrosse
Environmental Education	Dance	Softball/Baseball/Kickball
Gardening	Woodcarving	Western Riding
General Crafting	Spin/Weave/Knit	English Riding
Cooking from scratch	Pottery	Cart Driving
Music	Basketball

From the above, please elaborate on the three things which you would feel most comfortable teaching:

Part 8 - Essay Questions

Why do you want to work at camp this summer?

Describe your past experiences working with children.

How do you think children might benefit from the camp experience?

If there is anything else you would like us to know, or if you have any questions for us, please use the space below.

Part 9 - References

In order for your application to be complete, we need to receive three letters of recommendation. Please list the three people you're going to ask to write a letter for you. They can mail the letter to Four Winds Camp, Attn: Paul Sheridan, PO Box 140, Deer Harbor, WA 98243, or email it to paul [at] fourwindscamp [dot] org. Please note that we will give much greater weight to professional references like supervisors and teachers than we will to personal references like family members, friends, and neighbors.

Name	Relationship to you	Phone

By clicking the "Send" button below, you certify that all information given in this application and in any supporting documentation is complete and true.

Thank you so much for your interest in Four Winds! We very much appreciate your effort in filling out this application, and we'll be in touch shortly!