Application

Dates of Availability for Summer: (Be Specific)
From: To:

Position(s) Desired

First Name

Last Name

Email

Main Phone

Other Phone

Date of Birth

Will you be eighteen by the start of camp?

Dates Available at Current Address:
From: To:

Street Address

City

State

Zipcode

Dates Available at Home Address:
To:

Street Address

City

State

Zipcode

Present Occupation or Student Status

How did you learn about camp?

Clubs or Extra-Curricular Activities

Check if you have current certifications in the following and indicate expiration date where applicable

Please list any expiration dates for the above certifications

Please check areas in which you have: experience,teaching knowledge, teaching experience

• Acting
• Archery
• Arts & Crafts

• Campfires
• Camping
• Canoeing

• Dancing
• Farm Animals
• Fishing

• Games & Icebreakers
• Gardening
• High Ropes

• Hiking
• Horseback Riding
• Kayaking

• Low Ropes
• Mountain Biking
• Nature Study

• Map & Compass
• Outdoor Cooking
• Song Leading

• Sports
• Story Telling
• Swimming

Please select from the skills you checked above the top three skills that you are capable of and willing to instruct at camp. Describe all personal and teaching experience you have in connection with these skills, including the length of time involved with and how old you were at the time.

Skill One

Skill Two

Skill Three

Any Additional Skills

What are your strongest qualities?

What personal characteristic would you like to improve?

What do you perceive to be the responsibilities of a camp counselor?

Do you prefer to work alone or with a group? Why?

Why have you decided to work at camp for this summer?

Camp life is often very structured with long hours, hard work, no drinking alcoholic beverages, no smoking, and curfews. How will you adapt to following these strict rules at camp?

Why should a camp director choose you as a counselor?

Describe all leadership positions you have held

Describe the most recent and relevant experiences you have had with children, list children's ages, your responsibilities and years involved.

Have you previously worked or attended a summer camp?
Yes No

Please provide more detail including number of years worked or attended, which camp, dates, which organization, and what positions you held at camp

Employment Experience
Describe you most recent jobs including position, employer, supervisor and address

Are you in good health?
Yes No If no, explain

Any physical disabilities?
Yes No If yes, explain

Any allergies?
Yes No If yes, specify

Are you vegetarian?
Yes No

Any special dietary needs?
Yes No If yes, please specify

Camps are smoke free environments. Are you prepared not to smoke for the summer on camp premises?
Yes No

Please answer the following questions honestly. These questions and their answers will be used to protect you and Happy Hollow Camp. Information from these questions will be used approrpriately and will be kept as confidential information.

Have you ever been arrested?
Yes No

Have you ever been charged or convicted of sexual abuse or molestation?
Yes No

If you answer yes to any of the above questions, please explain:

It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.

I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information. I give permission for this agency to perform a criminal record check on me in any county which I have resided.

The Employer is an equal opportunity employer. The employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excluding any applicant’s consideration for employment on a basis prohibited by local, state or federal law.

Happy Hollow Children's Camp, Inc. operates within a smoke, drug, and alcohol free environment.

In maintaining a Camp of such activities and services that will contribute to the Camper's physical, mental, social, and spiritual growth, responsibilities of the Camp Staff are serious and exacting. Your signature to this application indicates your willingness to give your best efforts and abilities to achieving Happy Hollow's purpose.

By checking the box below, you agree to these terms and conditions