ONLINE STAFF APPLICATION
Thank you for taking the time to apply for a position at our summer program. We will be contacting you shortly to discuss the summer in more detail. Please note that only complete application forms will be considered.
NOTE: Fields in red are required.
    GENERAL INFORMATION
First Name:   
Last Name:   
Social Security Number:   
Permanent Address Line 1:   
Permanent Address Line 2:   
City:   
State:   
Zip:   
Country:   
Home Phone:   
Cell or College Phone:   
Best time to reach me:   
Email:   
Are you 18 years of age or older?  Yes   No
If not, please state your age:   
Date of Birth (optional if over 18):       
Do you meet or exceed the minimum age requirements for the position?  Yes   No
    POSITION
Group Counselor (min age 18)
Jr Counselor (min age 16)
Group Leader (min age 21)
Director (min age 21)

Camp Nurse  
Bus Driver  
Instructor     (Check below all of those that apply)
      Riding  
      Swimming  

      Sports Specialty:  (Check below all of those that apply)
             Tennis  Gymnastics  Lacrosse  Team Sports 
             Archery  Ropes  Volleyball 

      Drama  
      Dance  
      Computer  
      Arts and Crafts  
      Nature  
      Song Leading  
Preference for age group:
3 & 4 year olds   5-9 year olds   10-13 year olds   13-15 year olds  

The reason I want to work at camp is:
    EDUCATION
Please select the level of education completed at close of current academic year:
    High School:  College:      Graduate School: 
High School Information:
Name of School: 
Location (City & State): 
Years Attended: 
College Information:
Name of School: 
Location (City & State): 
Years Attended: 
Major/Degree
Graduate Work/ Special Training Information:
Name of School: 
Location (City & State): 
Years Attended: 
Major/Degree 
Where will you be studying next year, if applicable?  
    PAST EMPLOYMENT

   List previous two summers or years

Dates:
 Employer:
 Address:
Phone:
 Nature of Work:
 Supervisor:
Reason for leaving:
    
Dates:
 Employer:
 Address:
Phone:
 Nature of Work:
 Supervisor:
Reason for leaving:
    
Dates:
 Employer:
 Address:
Phone:
 Nature of Work:
 Supervisor:
Reason for leaving:
    
Indicate any employer you do not wish us to contact and the reason  
    CAMP EXPERIENCE
Dates:
 Camp:
 Director:
Address:
 Camper or Staff:
  
Dates:
 Camp:
 Director:
Address:
 Camper or Staff:
  
    REFERENCES
Give names/addresses of 3 persons (not relatives) having knowledge of your character, experience and ability. Preferably people who have seen you work with children.
Name:  Address/City: 
Phone:  How they know you: 
Name:  Address/City: 
Phone:  How they know you: 
Name:  Address/City: 
Phone:  How they know you: 
   Referred by or heard about camp from: 
    CERTIFICATIONS
  Please email or mail copies separately in addition to indicating all certifications that apply below:
  First Aid Certifications:
Basic First Aid       Date Certified   
Responding to Emergencies       Date Certified   
CPR       Date Certified   
Professional CPR Date       Date Certified   
  Swim Certifications:
Life Guard Training       Date Certified   
Water Safety Instructor       Date Certified   
Other Certifications:    
    OTHER EXPERIENCE
Please list any related experience which you feel helped you be better qualified to be a camp counselor:     
    QUESTIONNAIRE

Please answer the questions for the positions that you are applying for:

GROUP COUNSELOR: As a counselor you will be expected to assist the instructors at each of the specialty activities that your campers go to.

Please rate yourself 1- 5 ( 5 being highest) in your ability to assistant instruct at these activities:

 Riding     Swimming     Sports   

 Arts and Crafts     Dance     Drama   

 Computer     Horse Science   

RIDING INSTRUCTOR:
Riding Level  
Instruction was with  
Teaching Experience:  
List any certifications you hold as a riding instructor:  
Do you have any horse showing experience?  
in what divisions?  

SWIM INSTRUCTOR:
Life Guard Certified  
WSI Certified  
Previous teaching experience: When and where?:  

SPORTS or ARTS INSTRUCTOR:
Specialty Area 1:  
Specialty Area 2:  
Specialty Area 3:  
Specialty Area 4:  
Related teaching or coaching experience:  
In addition to the specialties listed above, are there any other sports or activities that you can teach?  

DIRECTOR or GROUP LEADER POSITION:
Please explain pertinent experience, training and/or certifications that qualify you for this position:   

BUS DRIVER:
Commercial Driver's License #:  
Previous driving experience:  
    MISCELLANEOUS
What is your attitude about working with kids? 
How do you handle stressful situations on the job? 
What are your strengths and weaknesses? 
What are your interests? 
Why do you believe Thomas School is where you should spend your summer? 
If you are over 21, are you willing to drive campers in your car?  Yes   No
Are you willing to drive a mini bus?   Yes   No
Drivers License # 
Car Year and make of car 
License plate 
Car Registration # 
Are you available for an interview? 
when? 
If hired, would you be willing to house an international staff member?   Yes   No
Write a brief biological sketch, including specialized training in camping, and experience or training in other fields, which might have bearing on the position for which you are applying. 
Have you every been convicted of a criminal offense, including any crime relating in any manner to children? Give details. 
Do you have any pending crimial charges, including any relating in any manner to children? Give details. 
    AGREEMENT
Please read carefully before sending this application.
I do not have a contract with any other camp at this time.
I authorize investigation of all statements herein 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 and that any agreement to the contrary must be in writing and signed by the director of the camp. I also understand that untrue, misleading, or omitted information herein may result in dismissal regardless of the time of discovery by the camp. I understand that I will be required to attend all staff training the week prior to camp.
Please Initial:



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