2016 YMCA CAMP OF MAINE STAFF APPLICATION

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1 2016 YMCA CAMP OF MAINE STAFF APPLICATION Thank you for your interest in working with YMCA Camp of Maine this coming summer. There are over 60 staff members hired every summer. Counselors, Directors, and Staff Members play an integral role in making every summer a success. YMCA Camp of Maine is a place or character and leadership development where selfconfidence, friendships, and life lessons are fostered. Activities take place on the water, on the sports fields, in the woods, in cabins and on the trails that connect them all. Camp staff and campers come from Maine, other New England states, Canada, and abroad. This diversity adds new programs and a broader understandings of the world. Everyone who comes to camp has significant value and has the great responsibility of growing while helping others grow. The Staff Application needs to be completed and returned as soon as possible. Three references are required. Two references need to be professional (teachers, coaches, supervisors, mentors) who can attest to your work ethic, responsibility, and honesty. Once reference must be personal (parent, aunt, uncle, grandparents) who can attest to your personal convictions. After all of your information has been returned to the office, an interview will be schedule in person or by telephone. Basic Guidelines and Information for Application: o YMCA Camp summer contract season is from June 19, 2016 August 13, 2016 o Minimum age for a Senior Cabin and Activity Leader is 18 as of June 1, 2016 o Minimum age for a Junior Cabin and Activity Leader is 17 as of June 1, 2016 o All positions require camp staff to live on property, unless authorized by the Director. Return to: YMCA Camp of Maine 305 Winthrop Center Road PO Box 446 Winthrop, ME Jeff Gleason CEO/Director

2 YMCA CAMP OF MAINE 2016 STAFF APPLICATION Name: Permanent Address: _ Street & Number City State Zip Phone: School or Business Address: _ Street & Number City State Zip Phone: Dates available From: To: What type of position do you want at camp? Do you meet or exceed any minimum age requirements for that position? YES NO NOT SURE Can you perform the essential functions of the job for which you have applied with or without reasonable accommodation? YES NO NOT SURE If you are hired, would you need housing for any person (s) other than yourself at the camp? YES NO PAST WORK HISTORY: Provide a full record of all employment paid and volunteer and explain any gaps in employment. Include any positions on camp staff. Use a separate sheet, if necessary. Dates Employer/Supervisor Address / Phone / Nature of Work Reason for Leaving

3 Can we contact all previous employers as a part of reference checking? YES NO CAMP EXPERIENCE: Use additional pages if necessary to go back five years. Dates Camp & Director Location Camper or Staff? EDUCATION: High School and College. Use additional pages if necessary. Years School Major Subjects Degree Granted Briefly write about your interest in working at YMCA Camp of Maine. CAMP PROGRAM SKILLS: In the following list, put a T before those activities you can organize and teach as an expert, and put an A for those activities in which you can assist. Put a C after those in which you have a current certification attach a copy of your certification. Academics Climbing / Rappelling Hiking Soccer Acting Clowning Jewelry / Beads Softball Aerobics Community Leadership Service Development Sports Archery Dance Leather Craft Storytelling Arts & Crafts Diving Music Street Hockey Astronomy Drama Nature Swimming Backpacking Environmental Orienteering Synchronized

4 Baseball Basketball Bicycling Birds & Insects Board & Card Games Camp craft /Pioneering Rustic Camping Canoeing / Kayaking Ceramics / Pottery Challenge Course Studies Exercise Fishing Personal Fitness Flowers / Horticulture Outdoor Cooking Outdoor Living Skills Painting Photography Swimming Teambuilding Tennis Theater Tie-Dying Football Piano Track & Field Foreign Language Radio / TV / Video Volleyball Forestry Rafting Water-Skiing Golf Rocks & Minerals Weather Guitar / Banjo Sailing Wilderness Trips Gymnastics Singing Yoga Other: CERTIFICATIONS AND CAMP SUPPORT STAFF SKILLS: In the following list, check those items that you have experience and skills. Mark with a C those for which you hold current certifications and attach a copy of your certification. Accounting CPR Menu Planning Auto Mechanics Electrical Nursing Bookkeeping First Aid Office Work Carpentry Food Handler s Permit Plumbing Computer Software Janitorial Purchasing Computer Lifeguard Technical Sanitation Cooking Meal Preparation Other: ANSWER these questions only if applying for a position requiring driving: Do you have a valid Driver s license? Yes No State: Do you have a current Boat-type license? Yes No Authorizing Body:

5 What contributions will you make at camp? What contributions do you think camp has on campers? Harassment: The camp s policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious, and other forms of harassment. Have you ever been accused of harassment of any person including, but not limited to, workplace harassment? (Note: a prior accusation or conviction is not an automatic bar to employment. The type of conviction or accusation and when it occurred will be evaluated by the camp before any decision is made). Yes No Explain: Criminal Record: Have you ever been convicted of a crime, other than a minor traffic offense? If yes, please describe. (Note: a prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated by the camp before any decision is made). Yes No Explain:

6 I authorize investigation of all statements herein, including any checks of criminal records, and release the camp and all others from liability in connection with same. I understand that, if employed, I will be an at-will employee unless there is an agreement or law which alters that status. Furthermore, I understand that any agreement must be in writing and signed by the designated camp official. I also understand that untrue, misleading, or omitted information herein or in other documents completed by the applicant may result in dismissal, regardless of the time of discovery by the camp. Signature: Date: All statements become part of any future employee personnel files. Applicants Signature: Parent/Guardian Signature: (If applicant is under 18 years old) Date: Date:

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