Outdoor Education Staff Application

Personal Information
Name*
First Last
Best Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone*
Email*
How old are you? Are you:*
If employed, can you provide proof that you are eligible to work in the US?*
Have you been convicted of a crime other than a minor traffic offense?*
If you answered "Yes" to having been convicted of a crime other than a minor traffic offense, please explain the circumstances.

Other Information
Outdoor Education work is seasonal. Please highlight your interests*
Earliest Starting Date for Employment*
Date Format: MM slash DD slash YYYY
Latest Ending Date for Employment*
Date Format: MM slash DD slash YYYY
Are you able to attend the mandatory Staff Orientations listed below? Please check the dates you can attend.*
- Spring Full Training (1st Week of May)
- Fall Full Training (3rd Week of August)
- I am unable to attend these training dates
Position(s) Desired*
- Program Director
- Facilitator / Instructor
- Support Staff
- Volunteer
*Please note that as a small facility, all program directors and staff members at some point with be required to perform housekeeping, maintenance, and kitchen support duties when required.
Are you interested in working with YMCA Camp Takodah's Residential Summer Camp program (Jun-Aug) - This is a separate consideration for employment.*
Shirt Size*
Please explain anything you would like to be considered (dates available, positions desired, etc.).

Education Information
Current School or Professional Employment*
Highest Level of Education Completed (as of June 2017)*
Work and Volunteer Experiences
Please provide dates of your services, organization names, your positions, and your supervisors (with phone numbers). Be sure to include any experience working with youth.
Employment Experiences (please include past three paid positions)*
Volunteer Experiences (please include past three volunteer positions)*
Certification Information
First Aid and CPR and EMT*
Wilderness First Aid or Wilderness First Responder*
Lifeguard*
Water Safety Instructor*
NH Commercial Boating License*
Ropes Course*
Archery*
Riflery*
Camp Takodah Bus Driver*
Special Skills
Please describe any hobbies, special skills, or interests that you possess, as well as any other certifications not listed above, that might prove beneficial to you in a summer camp position.*

Short Answer Reponses
Why are you interested in working in Outdoor Education at Camp Takodah? What do you hope to gain from the experience?*
Briefly describe an experience you have had working with children OR in a support role (preferably in an outdoor education setting) and why does this experience stick in your mind?*
Please describe an experience you feel has prepared you to work with our outdoor education team*
You have a group of twelve 5th graders of mixed ability and gender for 3 hours. The school has noted that communication and listemning skills in the classroom are a particular challenge. Please outline if the briefest form what you would do with this group? (Only required for those who wish to facilitate)*
Please comment on anything you feel makes you unique or sets you apart from other candidates or youth development professionals.*

References
Please provide three references who can attest to your character and work ethic. One reference must be a character reference (but not a family member), while the other two references must be previous employers as applicable. Of all three references, at least one must be a female and at least one should be a male. For all references, please provide their names, relationships to you, and their best phone numbers.
Reference 1 (name, relationship, phone number)*
Reference 2 (name, relationship, phone number)*
Reference 3 (name, relationship, phone number)*

Authorizations
Please indicate that you understand and agree to comply with each policy below.
Personnel Policies: The Cheshire YMCA and Camp Takodah Outdoor Education Personnel Policies are available on the Camp Takodah website at the outdoor education jobs page. There are several differences from Summer Camp's personnel policies. Have you read and agreed to comply with the 'Outdoor Education Expectations & Requirements' and agree to comply with the Outdoor Education Director at all times during your employment?*
Abuse Prevention: To protect the people in our care, as well as the staff members and volunteers who serve them, we follow strict policies on abuse prevention. We do everything possible to screen out potential offenders and to prevent abuse from occurring to people in our care. This protects the children from potential wrongdoers, and it minimizes the risk of false allegations against innocent staff members and volunteers. We fully cooperate with authorities in thoroughly investigating any and all allegations.*
Statement on Diversity: We are an Equal Opportunity Employer, committed to valuing diversity and practicing inclusion.*
Accommodations: Can you perform the duties of the job with or without reasonable accommodation?*
Background Checks: I authorize the YMCA to verify the information included in this application and specifically waive any rights to confidentiality. I understand that the YMCA will contact relevant character references, employers, its background check vendor, and its insurance carrier to check background and driving records. I release the YMCA and all others from liability in connection with these investigations. I understand that untrue, misleading, or omitted information herein may result in dismissal regardless of the time of discovery by the YMCA.*
Employment: 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 Outdoor Education Director. I attest that I am interested in helping to provide a quality program and support experience to all groups and will be able to be a good role model for children. I also attest that I am interested in helping to create a positive environment for all members of the Camp Takodah community and will be able to treat everyone with caring and respect.*
Electronic Signature*
Please type your name indicating that you have filled out the application honestly and completely and that you wish to submit your application for consideration of a summer camp position at Camp Takodah.
Thank you
We look forward to hearing from you. We are dedicated to finding the right people to work together in bringing growth, joy and excitement to the lives of all who join our programs. If you have any questions please don't hesitate to contact me at: peter@cheshireymca.org. - Pete Simmonds (Outdoor Education Director)

Outdoor Education Staff Application

Step 1 of 7

Personal Information

Experience Information

Other Information

Education Information

Work and Volunteer Experiences

Certification Information

Special Skills

Short Answer Reponses

References

Authorizations

Thank you