The Park Camps Staff Application

First Name:

Middle Initial:

Birth Date:
(mm/dd/yy)

Last Name:

Age as of
June 2007:

Contact Information

Current address

(until )

Summer address

(after )

Street/number

City/State/Zip

Telephone

E-mail

School and Employment

Current School

Current Employer

Current Grade/Year

Position

School Address

Employer Address

Street/Number

City/State/Zip

Telephone

Position applied for:

Counselor-In-Training
(no experience, 8th grade)

Junior Counselor
(currently in 9th/10th grade or
one year as C.I.T.)

Senior Counselor
(currently in 11th grade, or two
years as Jr. Counselor)

Faculty-In-Training (FIT)
(graduating senior or college
student)

Faculty
(Post-college)

Camp division preferred:
Please check the camp in which you wish to work. If you are interested in more than one, please prioritize your choices [1-4]

Explorer Camp
(Ages 3½-5)

Pioneer Camp
(Ages 5½-7)

Arts Camp
(Ages 8-14)

Science Camp
(Ages 8-14)

Athletic Camps
(Ages 8-17)

Travel Camps
(Ages 8-15)

5th Wall / Steve Yeager Young Filmmakers' Workshop
(Ages 9-17)

Appalachian Challenge® Adventure (ACA)
(Ages 12-15)*

*Residential program
[Staffed by Faculty and FITs only]

References

List two references (not relatives). If you worked in The Park Camps or ACA program last year or have been a student at The Park School for at least the past two years, you may leave this portion of the application blank.

Name and Title

Address and Telephone No.:

Camp Experience

List any years you were a staff member at Park Camps or Appalachian Challenge® Adventure:

List previous experience as a counselor or teacher, including The Park School:

Number of years

Position:

Camp/School:

Address:

Telephone number:

Number of years

Position:

Camp/School:

Address:

Telephone number:

Number of years

Position:

Camp/School:

Address:

Telephone number:

Instruction/Supervision

These are a few of the many activities offered at The Park Camps and ACA. These activities vary from year to year depending on the skills and interests of the staff.
drawing collage jewelry-making drama music computers photography spanish athletics	rock climbing rappelling bicycling ropes course fishing archery filmmaking environmental studies japanese	canoeing physics backpacking ecology astronomy chemistry horseback riding model rocketry

List specific skills, interests, or hobbies you have in the above categories. Describe your instruction experience. We welcome new ideas.

NOTE: We cannot thoroughly evaluate your potential unless you tell us about your interests and qualifications. This is the section of the application process where you need to convince us that The Park Camps or ACA needs you.

As a member of the staff, you will be expected to teach or to assist a more experienced teacher with the program. Please use the space below to share your ideas with us.

Check all that apply and list date of certification:

A.R.C.* Community First Aid Safety
(mm/dd/yy)

A.R.C. Lifeguard Today (33 hr. Program)
(mm/dd/yy)

A.R.C. First Aid/Standard
(mm/dd/yy)

A.R.C. Water Safety Instructor Certificate (R-96)
(mm/dd/yy)

A.R.C. Emergency Response
(mm/dd/yy)

A.R.C. Babysitting Certification
(mm/dd/yy)

Basic Canoeing Certificate
(mm/dd/yy)

Wilderness First Responder
(mm/dd/yy)

C.P.R. Certification
(mm/dd/yy)

First Responder
(mm/dd/yy)

Certified Canoe Instructor
(mm/dd/yy)

Archery Certification
(mm/dd/yy)

Park School Challenge I Certificate
(mm/dd/yy)

Park School Challenge Leadership Certificate
(mm/dd/yy)

*A.R.C (American Red Cross)

Qualifications and Certifications

List any other special training, experience, or certifications you have that would be of benefit to The Park Camps.

Can you swim?

Do you have any overnight camping experience?

Yes
No

Emergency Information

Parent/Relative:

Physician:

Address:

Telephone:

If you have any allergies or special medical problems of which we should be aware, in case of an emergency, please give the details:

(If you are less than 18 years old, you will need to have a parent complete and sign a Medical Release Form if you are offered and accept a position.)

Expectations

All staff are expected to attend occasional meetings, which are scheduled between March and mid-June. These sessions are devoted to presentations and discussion of teaching techniques, camp philosophy, staff responsibilities, and planning.

All staff, unless pre-authorized by the Camp Director, are required to work June 18-22 for camp setup/planning week, for the entirety of the camp season/session, which includes two scheduled all night campouts (July 12 and July 26), and for end-of-camp cleanup on Friday, August 3 beginning at 4:00 pm. If necessary, cleanup may continue on Saturday morning, August 4.

If you know of any conflict(s) that will cause you to miss days during setup/planning week, camp, or end-of-camp cleanup, please explain in the box below. If you do not have a conflict, type NO CONFLICT in the box below.

By submitting this application, you are indicating that all information herein is accurate to the best of your knowledge. You will be asked to sign this document at your interview.