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Killoqua Summer Staff Application

Killoqua New Staff Application

Name*
Email*
Phone*
Are you at least 18 years of age by June 20, 2024?*
- Yes
- No
Are you at least 16 years of age by June 20, 2024?*
- Yes
- No
Our summer season for 2024 runs June 20- August 23. We require all staff members be available for this period of time, and cannot guarantee time off. Are you available for this whole time frame?*
- Yes
- No
- Yes, I can also work extended dates: August 26-30
Pre Camp Training starts June 20. Some specialized positions begin on June 16. Camp Willie ends on August 23, we have one week of day camp following- August 26-30
Position(s) Desired*
- Counselor
- Unit Coordinator
- Inclusion Coordinator
- CIT Director
- Waterfront Coordinator
- Waterfront Assistant
- Horseback Riding Coordinator
- Horseback Assistant
- Challenge Course Specialist
- Craft Specialist
- Tripping Specialist
- Robotics Specialist
- Bus Driver
- Nurse
- Head Cook
- Assistant Cook
- Commissary
- Kitchen Assistant/Rover (Jr. Staff)
- Maintenance Assistant
- Assistant Camp Director
Present Address*
City*
State*
Zip*
Until when can we contact you at present address?*
Permanent Address*
City*
State*
Zip*
Dates Available for Employment*
Until*
School Attending or Present Occupation*
Grade or Level in School
Previous Education: School and/or College
Year Graduated
Program/Major
Previous Education: School and/or College
Year Graduated
Program/Major
Previous Education: School and/or College
Year Graduated
Program/Major
Leadership or Summer Camp Experience*
Camp Fire or Youth Organization Experience*
Work Experience
Employer 1
Position
Dates Employed
Supervisor Name
Supervisor Phone Number
Employer 2
Position
Dates Employed
Supervisor Name
Supervisor Phone Number
Employer 3
Position
Dates Employed
Supervisor Name
Supervisor Phone Number
Camp Experience
Camp #1
Position
Dates
Camp Director
Phone Number
Camp #2
Position
Dates
Camp Director
Phone Number
Experience Working with Children*
Have you had experience working with developmentally disabled children? If yes, please explain.
References
Please list three people, other than relatives, with whom you have worked and have known for at least six months. This could be employers, professors, teachers, fellow employees, etc. Please use only one character reference. References will be verified.
Name of Reference #1*
Position*
Email*
Phone*
Name of Reference #2*
Position*
Email*
Phone*
Name of Reference #3*
Position*
Email*
Phone*
Camp Activities
Please indicate your skills in the below areas.
Outdoor Skills
Tools*
Fire Building*
Backpacking*
Camp Stoves*
Compass*
Knots*
Outdoor Cooking*
Nature Activities*
Sports and Games
Archery*
Ropes Course*
Horseback Riding*
Biking*
Large Group Games*
Small Group Games*
Boating
Rowing*
Canoeing*
Sailing*
Kayaking*
Stand Up Paddle Boarding*
Arts & Crafts
Candle Making*
Weaving*
Batik*
Silk Screen*
Photography*
Darkroom*
Music/Dramatics
Song Leading*
Bugle / Trumpet*
Drama*
Guitar*
Explain any type of camping trip experience you have had (backpacking trips, family camping trips, etc)
Are there any reasons you may have difficulty in performing any of the essential functions of the job for which you have applied?*
- Yes
- No
If yes, please explain
American Red Cross Certificates
Do you hold any of the certificates below?
Lifeguard Training*
- Yes
- No
If yes, list expiration date:
Waterfront Module*
- Yes
- No
If yes, list expiration date:
WSI*
- Yes
- No
If yes, list expiration date:
Standard First Aid*
- Yes
- No
If yes, list expiration date:
Advanced First Aid*
- Yes
- No
If yes, list expiration date:
First Aid Instructor*
- Yes
- No
If yes, list expiration date:
CPR*
- Yes
- No
If yes, list expiration date:
Canoeing Instructor*
- Yes
- No
Sailing Instructor*
- Yes
- No
Please list waterfront or first aid certificates other than American Red Cross.
Please list other certificates - horseback riding, archery, outdoor living skills, etc.
I am interested in working with youth of the following ages and genders: (Please mark 2-3 choices)*
- 6-8
- 9
- 10
- 11
- 12-13
- 14-16
- Girls
- Boys
- Non Binary
Why are you applying for a position at Camp Killoqua?*
What will you contribute to the camp community? (This could include your skills, experiences, etc.)*
What do you hope to gain by working at camp?*
Have you had any criminal convictions for child abuse or sex related crimes?*
- Yes
- No
By submitting this application I certify that the information given in this application for employment is true and complete to the best of my knowledge. I authorize Camp Fire Snohomish County to make inquiry of my former employers or references as to my experience, job suitability, and/or reasons for leaving. I understand that if employed, the making of false statements on this application will be sufficient cause for my dismissal. Employment is contingent upon a satisfactory criminal history check. Camp Killoqua offers a non-smoking, non-drinking, and drug-free environment for both staff and campers. Employees are expected to support and abide by this philosophy. Do you agree?*
- Yes
- No

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Young people want to shape the world.

Camp Fire provides the opportunity to find their spark, lift their voice, and discover who they are.

In Camp Fire, it begins now.

Light the fire within

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Stanwood, Washington 98292 (360) 652-6250

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