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Search
Applicant Information
First Name
Last Name
Age
Birth Date
Sex
Email address
Social Security Number
Drivers License
(State & #)
Your Address at School
School Town
State
Zip
Date leaving School
School Phone
Best time to call
Home Address
Home Town
State
Zip
Home Phone
Education
High School
Date Graduated
GPA
College
Date Graduated
GPA
Major
Minor
Camp Experience -- Camper Or Staff
Camp Name
Dates
Position
Camp Name
Dates
Position
Camp Name
Dates
Position
Camp Experience
*
Describe your camp experience, responsibilities and time you spent at each camp.
Volunteer & Extracurricular Activities
Organization
Position
Year
Organization
Position
Year
Organization
Position
Year
Other details
Employment Non-camp
Indicate any employer you do not wish us to contact and the reason
Employer Name
Address
Phone
Position
Dates
Reason You Left This Position
Employer Name
Address
Phone
Position
Dates
Reason You Left This Position
Employer Name
Address
Phone
Position
Dates
Reason You Left This Position
Camp Activities
Please use the below coding, do not leave any activity blank
0) Activities you have no skill in
1) Activities you can teach or organize
2) Activities you can assist in teaching
3) Activities that are just Hobbies
Canoeing
0
1
2
3
Geology
0
1
2
3
Song Leading
0
1
2
3
Arts & Crafts
0
1
2
3
Camp Cooking
0
1
2
3
Stars
0
1
2
3
Photography
0
1
2
3
Archery
0
1
2
3
Orienteering
0
1
2
3
Animal Care
0
1
2
3
Newspaper
0
1
2
3
Water Skiing
0
1
2
3
Overnight Camping
0
1
2
3
Plant Identification
0
1
2
3
Team Building
0
1
2
3
Swimming
0
1
2
3
Weather
0
1
2
3
Ecology
0
1
2
3
Drama
0
1
2
3
Sailing
0
1
2
3
Backpacking
0
1
2
3
Science
0
1
2
3
Games
0
1
2
3
Musical Inst
0
1
2
3
Volleyball
0
1
2
3
Baseball
0
1
2
3
Rifelry
0
1
2
3
Fishing
0
1
2
3
Basketball
0
1
2
3
Soccer
0
1
2
3
BMX Biking
0
1
2
3
Row Boating
0
1
2
3
Additional Activities you can teach, hackisack, juggling, etc
List your top three skills that you are capable of teaching at camp.
Select from the skills you marked on the activity list.
Skill you can teach at camp
Experience you have in this area
Skill you can teach at camp
Experience you have in this area
Skill you can teach at camp
Experience you have in this area
List Certifications & Expiration Dates
*
(Water Safety Instructor, Lifeguard, CPR, First Aid, Riflery, Boat Safety, Sailing, Canoeing, Archery)
Personal Thoughts
What lessons do you feel your campers should learn at camp?
What skills Best qualifies you for this position?(training or experience with children)
What are your expectations of camp?
Tell us a little about your family?
Why do you think we should hire you?
How would you disipline a camper who was not considerate of other campers feelings?
What 3 Qualities of a Counselor are your strengths? Why ?
What position at camp are you applying for?
Watch https://www.youtube.com/watch?v=Yc0iXR8Y3xE
If not loading, search Youtube for "A Stolen Fairytale (PSA to stop child sexual abuse)" by "collectorsartistry"
Why do you feel we put this video in the middle of your application.?
Personal Characteristics
Rate your personal characteristics
#1- Hey that's me
#2- Sometimes that's me
#3- I never feel that way
Thankful
1
2
3
Warm & Caring
1
2
3
Sad
1
2
3
Lonely
1
2
3
Outgoing
1
2
3
Self Starter
1
2
3
Misunderstood
1
2
3
Cooperative
1
2
3
Moody
1
2
3
Aggressive
1
2
3
Follower
1
2
3
Determined
1
2
3
Flexible
1
2
3
Enthusiastic
1
2
3
Easy-going
1
2
3
Patient
1
2
3
Approachable
1
2
3
In Control
1
2
3
Understanding
1
2
3
Helpful
1
2
3
List 3 of your most often felt moods.
*
Please tell us how these moods affect your every day life.
Complete the following
Please include any details or exceptions
I am in good health and have no physical limitations that would preclude me from doing an active job.
Yes
No
Explain more
I have tattoos.
Yes
No
Size, Location
I have Piercings.
Yes
No
Location, number
I Smoke cigarettes or cigars.
Yes
No
Frequency
I regularly partake in illegal drugs
Yes
No
Type & Frequency
I belong to a Fraternity/Sorority
Yes
No
Name & Purpose
I drink Alcohol
Yes
No
Type & Frequency
I took the Emotional IQ Test and my Score was
References
Please list three references [not friends or relatives] that have knowledge of your character, experience, and your ability to work with children.
Name
Phone
Relation
Name
Phone
Name
Relation
Phone
Relation
Medications
While you are at camp, our camp Nurse is responsible for keeping and dispensing all prescription medications
What medications will you be giving her?
I have read and fully agree with and understand the "Life at Swift Nature Camp a Councelors Guide" as well as the Counselor Job Description.
Yes
No
Have you been convicted of a crime(s) other than a traffic violation in the past 10 years? A prior conviction will not necessarily bar you from employment. The type and date of the conviction will be considered by the camp prior to employment
Yes
No
Have you ever been convicted of a crime(s) in which a child was the victim?
Yes
No
Have you ever been criminally charged with any crime related to the mistreatment, abuse, molestation or pornography of children?
Yes
No
If Yes to any of the above, please explain
May Swift Nature Camp conduct a personal background check: including contacting references, a driving record, sexual abuse,and a criminal background check as required for all positions? If NO why not?
In ordered to be hired a background check is mandatory
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Winter
25 Baybrook Ln.
Oak Brook, IL 60523
Phone: 630-654-8036
swiftcamp@aol.com
Camp
W7471 Ernie Swift Rd.
Minong, WI 54859
Phone: 715-466-5666
swiftcamp@aol.com
Swift Nature Camp
