Returning Staff Application

Staff Returning from Previous Summers

Please complete this form if you're interested in applying for summer 2005.

PERSONAL CONTACT INFORMATION

Name
Email
Current Street Address
Current Address (cont.)
City
State/Province
Zip/Postal Code
Country
School/University
Current Phone
Cell Phone
Dates at above Address

Permanent Street Address
Permanent Address (cont.)
City
State/Province
Zip/Postal Code
Country
Permanent Phone

JOB TITLE & POSITION

Which Positions are you applying for this summer?:

Counselor
Which activity area(s)?


Area Head
Which area(s)?


Specialist
What position(s)

Comments:

QUALIFICATIONS & EXPERIENCE

If you are applying for a new position please write a few sentences
explaining why this is the right position for you, your qualifications,
and related experience. Hiring is competitive, so list all
possible related experience.

What do you hope to gain from your experience at camp this summer ?

When you first applied, we asked you to fill out information
on your skills and now we want you to update that information!
Use the space below to let us know any new experience you've had
with youngsters or in activity areas.

Are you available to work through Aug. 29th for Junior Session
next summer (Applicants able to work Junior Session will
be given priority in hiring)?

YesNo

If you'd like to recommend any potential staff members, please
write their names, addresses and phone numbers here.
Any notes about what you think they'd be good at and
interested in would be helpful, too.

Each winter we visit college campuses for hiring purposes.
We also send posters to colleges to post that lead potential
staff to the website. Is there a strong reason to consider
recruiting on your campus? Why? What suggestions do you
have and how are you willing to help?

BACKGROUND

Has your name ever been placed on the Central Registry of Child Abuse?

Have you ever been convicted of a felony?

If you answered yes to either one of these, please explain the nature and date of the violation.

Driver's License Number/ Class and State:

CERTIFICATIONS

Do you (or will you) hold any of the following certificates?
Certifications must be current when camp begins. ALL STAFF
are required to have Standard First Aid Certification.
Do you (or will you) hold any of the following certificates?

Standard First Aid (required)

Advanced First Aid/CPR

Standard CPR (required)

CPR for the professional rescuer

Wilderness First Aid

Wilderness First Responder

EMT (Emergency Medical Technician)

W-EMT (Wilderness Emergency Medical Technician)

Lifeguarding

WSI (Water Safety Instructor)

USSA Sailing

Washington Food Handler's Permit

Other Certifications held

Please review your information carefully, then hit the button below:

NOTE: After hitting 'send', it may take up to 30 seconds to process your form. If you encounter an error message, please report it to web@fourwindscamp.org.