Camp Staff Application

Counselor Job Description

* indicates a required field 
Staff Information
*Name:  First    Middle   Last
*Address :  
*City:        State      Zip
*Phone:      Email
*Sex:   Male       Female      Prefer to self-describe
*Date of Birth:  (mm/dd/yyyyy)
*Birth Country:  
*Ethnicity:  
*Are you:   International Adoptee       Domestic Adoptee
*Adoption Agency:   Holt-USA       Other
*I will be 18 years or older & a high school graduate at the time of camp: Yes       No
*Can you perform the essential functions of the job for which you have applied with or without reasonable accommondation? Yes       No
Work&/or Volunteer Experience Related to Children & Teens
Dates Employer/Supervisor Address Responsibilities Phone/Email
Camp Experience
Dates Camp&Director Location Camper, Staff or Other
Certifications( Health/Safety)
Please mark those for which you hold current certification:
CPR       Lifeguard       First aid       Nursing       Other
Skills
 
Please answer the following questions
*Tell me about yourself
                                 
*Why do you want to be a part of Holt Camp?
                                 
*What contributions do you think that you can make at camp?
                                 
*What contributions do you think a well-run camp can make to children?
                                 
*Resume:
                                 
Cover Letter: