Camp Kamaji for Girls | Summer Jobs













info@kamaji.com

CAMP KAMAJI FOR GIRLS

Cass Lake, MN
Staff Application

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PERSONAL INFORMATION:

Applicant's Full Name:

Current Address:

City:

State:

Zip (Postal Code):

Country:

Current Phone Number
(include Country Code/
Area Code):

E-Mail Address:

Social Security Number:

000-00-0000

Birthday:

mm/dd/yy

Driver's License State/
License Number:

EDUCATION:

School/College/University

Current Educational Grade/Level:

Major (if declared):

WHAT SPECIFIC POSITION(S) ARE YOU APPLYING FOR?

	Cabin counselor, teaching the following activity(ies):
	1)
	2)
	3)
	Wilderness Trip Leader
	Program/Administrative Position
	Cook/Assistant Cook
	Kitchen Assistant
	Nurse
	Nursing Assistant
	Office Assistant
	Camp Driver
	Maintenance Worker
	Housekeeping

WORK EXPERIENCE WITH CHILDREN:

Please provide details and dates of any previous experience working with children (including any experience you will have gained by the upcoming summer ~ i.e. student teaching, internship, current employment, etc.)

TEACHING EXPERIENCE:

Describe your teaching experience, current certifications, qualifications gained and personal standard of proficiency attained in connection to your responses under ACTIVITY CHOICES/SPECIFIC POSITION as above. If you are applying for a position in the Office, Maintenance/Housekeeping, Kitchen or Nursing areas, please indicate professional positions held, certificates, training and/or experience.

First Choice:
Second Choice:
Third Choice:

REFERENCES:

Please list four references who know your character and ability. Include at least two former or current employers. Include complete phone numbers with area codes. PLEASE ~ NO RELATIVES OR FRIENDS/PEERS.

Reference 1

Name:

Phone:

How do you know this person:

Reference 2

Name:

Phone:

How do you know this person:

Reference 3

Name:

Phone:

How do you know this person:

Reference 4

Name:

Phone:

How do you know this person:

HEALTH/DIET/OTHER:

Camp is strenuous and demanding: as a camp staff person, you would need to be in good physical and emotional health to keep up with the campers. If you respond YES to any of the questions below, please explain where indicated.

1.	Are there any reasons you may have difficulty in performing any of the essential functions of the position(s) for which you have applied? Yes No
2.	Do you have any allergies. Yes No
3.	Do you have any dietary restrictions (including vegetarian/lactose intolerance/vegan diet? Yes No
4.	Do you smoke? Yes No
5.	As a camp staff member, you will give up a great deal of privacy and comfort, work hard and long hours, adhere to camp policies which are limiting (time-off restrictions, camp menu, no smoking, no alcohol, etc.) Do you foresee any problem complying with this type of lifestyle? Yes No
6.	Have you ever been convicted of a crime, other than a traffic violation, in the last 10 years? Yes No
7.	Have you ever been convicted of a crime that involves the sexual or physical abuse of a child? Yes No

	If you answered "YES" to any of Questions 1-7 please explain fully:

IN CLOSING:

Please tell us a little more about yourself. Include some background information, your strengths and weaknesses, an explanation of your desire to work at a summer camp and what contribution(s) you think you can make at camp.