Camp Olympia Summer 2014 Counselor Application

GENERAL INFORMATION

 
Gender: 
First Name:
Middle Name:
Last 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: 
 Month: Day: Year:Age:
 
Social Security #:
- -
 
Drivers Lic. State:
Drives Lic. No.:
 
Are you authorized to work in the U.S?
 
What special skills do you have such as speaking a foreign language, singing, playing a musical instrument, etc.?
 
How did you hear about Camp Olympia? 
If you selected Friend/Family, who specifically referred you? 
 
 
Please select the position(s) for which you are applying:
No Yes Counselor No Yes Photographer
No Yes Videographer No Yes Nurses' Assistant
No Yes Wrangler No Yes Nanny
 
Please check available terms for employment:
No Yes Term 1 (June 8 - June 21) No Yes Term 2 (June 22 - July 12)
No Yes Term 3 (July 13 - August 2) No Yes Term 4 (August 3 - August 17)
No Yes I am able to attend the MANDATORY COUNSELOR TRAINING SCHOOL scheduled June 1 - June 6
 

WORK EXPERIENCE

 
Employer:
Employment Date:
Position:
Phone:
City/State:
 
 
Employer:
Employment Date:
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

Below is a list of the 35+ activities, categorized in 6 groupings, that we provide campers at Olympia. (Each activity has a code listed beside it for office purposes.) Please read through the list of activities and then below the list of activities, please rank your top 10 activities that you would be interested in and qualified to teach or assist. Then beside each ranking, please list any specific skills and level of experience with the activity you choose.
Camp Olympia Activities
TEAM & INDIVIDUAL SPORTS WATERFRONT ACTIVITIES
Baseball (code 03)   Canoeing (code 05)
Softball (code 46)   Sailing (code 19)
  Basketball (code 04)   Wakeboarding (code 30)
Football (code 12)   Waterskiing (code 29)
Soccer (code 22)   Kayaking (code 51)
Tennis (code23)    
Volleyball (code 28) AQUATIC ACTIVITIES
Ping Pong (code 33)   Diving (code 20)
Track and Field (code 24)   Snorkeling (code 21)
Weightlifting (code 35)   SCUBA (code 40)
Lacrosse (code 38)   Swim Lessons (code 50)
Golf (code 37)    
     
SPECIALTY ACTIVITIES MISCELLANEOUS ACTIVITIES
Challenge Course (code 47/34)   Aerobics (code 36)
Horseback - Western (code 15)   Arts &Crafts (code 02)
  Recreational Biking (code 43)   Charm (code 06)
Frisbee (code 13)   Cheer (code 07)
Gymnastics-Tumbling (code 14)   Dance (code 08)
Photo-Journalism (code 17)   Drama (code 09)
Video-Digital Editing (code 27)    
     
OUTDOOR SKILLS
Fishing (code 11)    
Outdoor Skills (code 31)    
Archery (code 01)    
Riflery (code 18)    
     
Please RANK those activities you can
teach in order of ability and knowledge.
Please list any specific skills and your experience with each activity choice, including years of experience and level of experience.   (Example: 2 years at collegiate level)
1A.
1B.
2A.
2B.
3A.
3B.
4A.
4B.
5A.
5B.
6A.
6B.
7A.
7B.
8A.
8B.
9A.
9B.
10A.
10B.
           
SPECIFIC ACTIVITY SKILLS
No Yes , I am a certified life guard
No Yes , I am a boat driver.
No Yes , I have bike maintenance skills.
No Yes , I have belay experience.
Please list any additional certifications or special skills you have regarding the activities that you have selected.
CAMP OLYMPIA JUNIOR GOLF ACADEMY
We are looking for counselors who are proficient at golf and love kids.  Campers play on the course adjacent to Olympia , Whispering Pines, which has been ranked the number one private course in Texas for the past four years!   If you are interested, please check the box below and place golf as the first activity in your list above.
No Yes, I am interested in helping with the Junior Golf Academy at Camp Olympia this summer.

ACKNOWLEDGEMENT

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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