Application for Employment at Red Pine Camp

Please make sure you have read the Employment section before completing this form.

Fill in the relevant information and then click on "submit" at the bottom

*Personal Information and Security Information is required - you MUST fill in these sections*

Personal Information
First Name:

Last Name:

Address:

City:

State:
Zip:

Country:

Home Phone:

Fax:

E-Mail:

DoB: mm/dd/yy

Social Security Number:

* Leave this blank if you want RPC to call you for this information.
*Availability:

* Between June 9 and August 9

Note: Additional pre- and post-camp work is available by request on a limited basis.

Employment Information

Occupation:

Employer:

College Information
College: City, State
GPA: Grad Year
Degree: Major/Minor:

High School Information
High School:

Class of:

Honors:
Social and Professional Affiliations:

You must write a response to this:  Extra Curricular Activities:

Working at Red Pine Camp
Would you care to apply for a position as: (pick one)
Instructor/Counselor
 Health Care
 Food Service
 Main Office
 Maintenance
You must write a response to this:  Describe your skills for this position:

You must write a response to this:  Describe your personal experiences which have contributed to your understanding of children:

The following are activities we offer for instruction at Red Pine Camp.  Please label each with the following: 1 - If you have instructed
2 - If you are skilled at and could instruct
3 - If you have experienced
Leave empty - If you have no experience
Aerobics Aerobic Jazz Archery Arts and Crafts
Basketball Canoeing **Land sports Dance (type)
Drama Gymnastics Mountain Biking Horseback Riding (English)
Nature Sailing Self Defense Field Hockey
Soccer Swimming Tennis Outdoor Living Skills
Water Aerobics Water Skiing Windsurfing Other skill?
** Land sports will include alternating days of volleyball, softball, frisbee, etc and staffed by multiple persons employed by Red Pine Camp.

Please list any American Red Cross Certification(s) that you presently hold:

Please list any other credentials or certifications that may be a benefit to Camp Red Pine:

You must write a response to this:  Describe any previous experience you have of Camps.  Camper or Staff.

You must write a response to choice 1 and 2 below:  All Red Pine counselors must instruct at least one activity.  Please describe teaching experiences, qualifications, and personal standard of proficiency attained in the position you desire.

1st choice 2nd choice

You must write a response to this:  What do you feel would be the greatest contribution you could make at Red Pine ?  What do you feel Red Pine has to offer you ?

You must write a response to this:  Please describe some of your most positive qualities as well as some of your weakest qualities.

Red Pine has both American and International campers and staff.  Please list foreign languages that you understand or speak:

Female applicants: What age group would you like to be housed with ? Please indicate below.
6 - 9
 10 - 11
 12 - 13
 14 - 15

In addition to room and board provided, what salary would you request for a nine week session ?

General Health
General State of Health:

Physical Limitations:

Date of last Physical Exam:

Diet Restrictions:

Allergies: Yes or  No Vegetarian: Yes or No Smoker: Yes or No

Security Information

This information is for security reasons.  Any information given at this time will remain strictly confidential.  Please answer "yes" or "no" to each of the following questions.  Any affirmative response must be explained in full detail in the space provided below:

1. Have you ever been accused or convicted of a crime, either felony or misdemeanor ? Yes No
2. Have you ever been accused or convicted of a moving violation involving alcohol or drugs ? Yes No
3. Have you ever been accused or convicted of a sexual offense ? Yes No
4. Have you ever been accused or convicted of child abuse ? Yes No
5. Are you on probation for any offense ? Yes No
6. Is there anything in your past that you feel you should reveal to us ? Yes No
7. Are you a non-resident of the US and/or unable to gain legal employment in the US? Yes No
Additional Information:

By submitting this application, I authorize investigation of all statements herein and release the camp and all others from liability in connection with same.  I understand that untrue, misleading, or omitted information herein may result in dismissal regardless of the time of discovery by the camp.

Script Modified on Tuesday, October 23, 2007 07:42 PM