summerstaffapplication

Summer Camp Staff Application

Please select year:

Personal Information

First Name

Last Name

Nick Name

Street Address

City

State

Zip Code

Home Phone (XXX-XXX-XXXX)

Mobile Phone (XXX-XXX-XXXX)

Email Address

Confirm

Please note: Our primary method of communication is email. Due to the quantity of applicants, those who do not respond to correspondence will have their applications withdrawn.

Age Category (as of June 1st before camp)

Shirt Size

Are You Legally Employable In the U.S.?

Yes No

Education

Highest Level of Education

Major/Degree/Certificate

School

Scouting Experience

A Scout background is NOT an employment requirement. If you do not have Scouting experience, indicate "none" skip to the next section.

None

Current Unit

Current Scouting Position

Home Council

Have You Ever Served On a Resident Camp Staff Before?

Yes No

Most Recent Camp Staff Experience (camp, year/years on staff, position/positions held)

2nd Most Recent Camp Staff Experience (camp, year/years on staff, position/positions held)

3rd Most Recent Camp Staff Experience (camp, year/years on staff, position/positions held)

Highest Rank Earned

OA Membership

OA Honor Level

How many BSA summer camps have you attended?

How many different camps?

Days and Nights Outdoor Camping Experience

0-20 21-50 51-100 100+

I have participated in...

If you have completed National Camping School training, what did you complete and when does/did your training expire?

Self-Evaluation

Please give a fair evaluation of your talents and skills in the following areas.
X = Have some experience or have earned a related merit badge.
XX = Have extensive knowledge & skill.
XXX = Have taught.

Acting/Drama

Archaeology

Archery

Astronomy

Automotive Maint.

Backpacking

Basketry

Camping

Canoeing/Rowing

Climbing/Rappelling

Cinematography

Cooking

CPR

Creative Writing

Cycling

Emergency Prep.

Environmental Sci.

First Aid

Fish & Wildlife

Fishing

Food Service

Forestry

Geocaching

Handicap Awarens.

Health & Sanitation

Hist. - Colonial US

Home Repairs

Indian Lore

Inventory Control

Kayaking

Knots & Lashings

Large Boat Sailing

Leadership

Leatherwork

Mammal Study

Metal Work

Musical Instr.

Orienteering

Painting

Photography

Pistol Shooting

Plumbing

Rifle Shooting

SCUBA

Selling/Marketing

Shotgun Shooting

Small Boat Sailing

Snorkeling

Soil & Water Cons.

Song Leading

Sports

Swimming/Lifesaving

Teaching

Wilderness Survival

Woodcarving

Wood Working

Other Information

Please list current first aid, EMT, Red Cross, or other current certifications with expiration date.

Please give additional details of your experiences, education, or training, which may be helpful to us.

Why do you want to be on camp staff?

Do you have any hobbies or special interests?

Please list most recent employment (company, position, dates) for up to three employers.

Have you been convicted of a felony?

No Yes

Have you been convicted of a misdemeanor?

No Yes

Have you been discharged or asked to resign?

No Yes

Please list three references (name/phone/email) and indicate your relationship to them (Scouting/School/Employer/Other).

no family members

Position(s) Applied For

Please indicate 1st, 2nd, and 3rd choice position. MINIMUM AGE for paid positions is 16.

Positon Choice 1 (select ONE position from ONE of the following three categories)

Counselor Position

Director Position

Other Position

Position Choice 2 (select ONE position from ONE of the following three categories)

Counselor Position

Director Position

Other Position

Position Choice 3 (select ONE position from ONE of the following three categories)

Counselor Position

Director Position

Other Position

Availability/Compensation/Parental Consent

Which portions of summer camp are you applying for?

Staff Week (mandatory) Boy Scout/High Adventure Cub Scout Program

minimum of staff week and one other

If you are applying to work with the James River Adventure Base (high adventure), please select your desired program.

Canoe Trek Fish Camp Captain John Smith Program Pipsico Experience (PEX) Sail Hampton Roads JRAB Admin

If you have a date conflict and wish to work staff, please list and briefly explain the conflict.

Please note: staff week is mandatory. Your explanation may not exceed 254 characters.

By what method are you seeking compensation?

Money Community Service Hours Internship Credit Thank You Letter Other

If you are under the age of 18, please provide the following parental information:

Parent First Name

Parent Last Name

Parental Consent

Yes No

Parent Email

Parent Phone Number

please include the -'s for example 757-497-2688

Digital Signature

By copying and pasting the following text you are providing a digital signature for this application:
---
"I certify that the above information is true and accurate to the best of my knowledge. I understand that, if employed, I serve at the discretion of the Camp Director and may be relieved of any responsibilities at any time based on camp attendance, health, personal behavior, or other unforseen circumstances."

Copy and paste from above for digital signature.