Female Counselor Application

GENERAL INFORMATION

Last Name:		First Name:
Middle Name:		Name Preference:

Home Phone:		Cell Phone:

Email Address:

School:

Home Address:
City:		State:
Zip Code:		Country:

Current Address:
City:		State:
Zip Code:		Country:

Date of Birth - Year: Month: Day:

Social Security #:	- -	Age:

Drivers Lic. State:		Drives Lic. No.:

Are you authorized to work in the U.S?

What special skills do you have such as singing, playing a musical instrument, etc.?

What foreign language(s) do you speak, if any?

How did you hear about Camp Olympia?
Please provide specifics:


Please select the position(s) for which you are applying:
	Counselor	Photographer
	Videographer	Nurses' Assistant
	Wrangler	Nanny


Please check available terms for employment:
	Term 1 (June 8 - June 21)	Term 2 (June 22 - July 12)
	Term 3 (July 13 - August 2)	Term 4 (August 3 - August 16)
	I am able to attend the MANDATORY COUNSELOR TRAINING SCHOOL scheduled June 1st - June 6th

WORK EXPERIENCE


Employer:	Employment Date:	from: to
Position:	Phone:
City:	State:

Employer:	Employment Date:	from: to
Position:	Phone:
City:	State:

Employer:	Employment Date:	from: to
Position:	Phone:
City:	State:


CAMP EXPERIENCE
Have you ever attended a camp as a camper? If so, what camp?
Why do you want to be a counselor at Camp Olympia?
What do you feel you will add to the program?
What do you consider the main objectives of a youth camp?
In an age range of 7-15, what age do you prefer to work with?
Why?

CAMPUS LIFE
What is your field of study?
What is your classification?
What actual experience do you have in leading...
children?
peers?
Please use the text box below to tell us about yourself, include interests, clubs, organizations, etc. We are interested in you!


SKILLS AND INTERESTS

Please bear with us! Accurate information is essential. Detailed information will allow us to make best use of your areas of expertise. For each of the activities listed, please place a check in the checkbox of the 'Teach' column if you feel you would be able to teach this activity at Camp Olympia. Please place a check in the checkbox of the 'Assist' column if you feel you would be able to assist in the teaching of this activity at Camp Olympia. Lastly, please list any certifications you hold or specialized skills you have in any of the activities listed in the text field to right of the Teach/Assist check boxes.

Teach or Assist	Activity	Any Certifications/Specialized Skills?

OUTDOOR SKILLS
	Fishing (code 11)
	Outdoor Skills (code 31)

TARGET SPORTS
	Archery (code1)
	Riflery (code 18)
	Shotgun Experience (sport Target)?

ADVENTURE ACTIVITIES
	Challenge Course (code 47/34)
	Belay Experience?

WATERFRONT ACTIVITIES
	Canoeing (code 05)
	Sailing (code 19)
	Wakeboarding (code 30)
	Waterskiing (code 29)
	Kayaking (code 51)
	Boat Driver?	# of Hours of Experience

AQUATIC ACTIVITIES
	Diving (code 20)
	Snorkeling (code 21)
	SCUBA (code 40)
	Swim Lessons (code 50)
	Life Guard?

EQUESTRIAN
	Horseback - Western (code 15)

TEAM & INDIVIDUAL SPORTS
	Baseball (code 03)
	Softball (code 46)
	Basketball (code 04)
	Football (code 12)
	Soccer (code 22)
	Tennis (code23)
	Volleyball (code 28)
	Ping Pong (code 33)
	Track and Field (code 24)
	Lacrosse (code 38)
	Golf (code 37)

SPECIALTY ACTIVITIES
	Frisbee (code 13)
	Gymnastics-Tumbling (code 14)
	Photography - Black & White (code 17)
	Video-Digital Editing (code 27)
	Recreational Biking (code 43)
	Bike Maintenance Skills?

MISCELLANEOUS ACTIVITIES
	Aerobics (code 36)
	Arts &Crafts (code 02)
	Charm (code 06)
	Cheer (code 07)
	Dance (code 08)
	Drama (code 09)

CAMP OLYMPIA JUNIOR GOLF ACADEMY
We are looking for counselors who are proficient at golf and love kids. If you are interested, please check the box below and place golf as the first activity in your list above.
	Yes, I am interested in helping with the Junior Golf Academy at Camp Olympia this summer.


Please RANK those activities you can teach in order of ability and knowledge.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

I have read and understand the basic job functions of an Olympia counselor. I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements may result in dismissal. I authorize Camp Olympia to make an investigation of any of the facts set forth in this application. I understand that employment at Camp Olympia is "at will", which means that Camp Olympia can terminate the employment relationship at anytime, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no employee of Camp Olympia, Inc., other than the director, has any authority to alter the foregoing.

I understand that CAMP OLYMPIA IS A TOBACCO FREE, ALCOHOL FREE ENVIRONMENT.

Initial:

Today's Date:

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