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Outdoor Education Staff Application
Step 1 of 7
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Personal Information
Name
*
First
Last
Best Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
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Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Cell Phone
*
Email
*
How old are you? Are you:
*
18 -21 years
21 years or older
If employed, can you provide proof that you are eligible to work in the US?
*
Yes
No
Have you been convicted of a crime other than a minor traffic offense?
*
No
Yes
If you answered "Yes" to having been convicted of a crime other than a minor traffic offense, please explain the circumstances.
Experience Information
How many years have you been working in Outdoor Education?
*
This will be my first year
1-2 years
2-3 years
4-5 years
5 + years
How many years have you worked with youth in an employed capacity?
*
This will be my first year
1-2 years
2-3 years
4-5 years
5 + years
Do you have previous summer camp experience at Camp Takodah?
*
No experience
CT Camper
CT Staff Member
CT Camper and Staff Member
Please check all fields you have previous outdoor education experience in:
*
Large Group Games & Icebreakers (over 50 people)
Team-building Initatives (Youth)
Team-building Initiatives (Adults)
Low Ropes Elements
High Ropes Elements Basic (Belay)
High Rope Elements Advanced (Zip Line/Swing)
Ropes Course Management
Knot Craft
Basic Canoeing and Kayaking
Voyaguer Canoeing
Orienteering
Fire-building and Safety
Nature Hikes
Environmental Education
Shelter Building
Guided Hiking (Forests)
Guided Hiking (Mountains)
Please check all fields you have previous leadership experience in:
*
Risk Management
Group Management
Group Processing and Debriefing
Facilitation of Goal Setting
Emergency Procedures
Fostering Safe Learning
Role Modelling
Problem Solving
Basic FirstAid/CPR
Wilderness First Aid
Lifeguarding
Please check all fields you have previous event or support experience in:
*
Wedding and Large event support
Cook Experience
Basic Food / Meal Preparation
Kitchen Support (Sanitation / Potwash)
Housekeeping / Cleaning
Driving (15 passenger vans)
If you have previous outdoor education, leadership or event support experience please describe the dates attended, organisation name, location, and your role (facilitator or support staff member). Please also feel free to highlight any particular strengths.
Other Information
Outdoor Education work is seasonal. Please highlight your interests
*
Spring Only (April - June)
Fall Only (August - Oct)
Spring and Fall (does not include summer)
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.
*
No
Yes
Shirt Size
*
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult 2XL
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)
*
High School - 1 Year
High School - 2 Years
High School - 3 Years
High School - 4 Years
College - 1 Year
College - 2 Years
College - 3 Years
College - 4 Years
Graduate School - Masters Degree
Graduate School - Doctoral Degree
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
*
Not Certified
Certified First Aid and CPR (valid through Nov 2019)
Certified EMT (valid through Nov 2019)
Wilderness First Aid or Wilderness First Responder
*
Not Certified
WFA (valid through Nov 2019)
WFR (valid through Nov 2019)
Lifeguard
*
Not Certified
Certified Lifeguard (valid through Nov 2019)
Certified Lifeguard Instructor (valid through Nov 2019)
Water Safety Instructor
*
Not Certified
Certified (valid through Nov 2019)
NH Commercial Boating License
*
Not Certified
Certified (valid through Nov 2019)
Ropes Course
*
Not Certified
Level 1 Certified
Level 2 Certified
Level 3 Certified
Challenge Course Manager Certified
Willing to attend Free Training
Archery
*
Not Certified
Certified (valid through Nov 2019)
Riflery
*
Not Certified
Certified (valid through Nov 2019)
Camp Takodah Bus Driver
*
Not Certified
Certified
Willing to attend Free Training (must be 21 years-old)
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?
*
Yes - I understand and agree to comply
No - I do not agree to comply
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.
*
Yes - I understand and agree to comply
No - I do not agree to comply
Statement on Diversity: We are an Equal Opportunity Employer, committed to valuing diversity and practicing inclusion.
*
Yes - I understand and agree to comply
No - I do not agree to comply
Accommodations: Can you perform the duties of the job with or without reasonable accommodation?
*
Yes - I can perform the duties of the job without accommodation
Yes - I can perform the duties of the job with reasonable accommodation
No - I cannot perform the duties of the job
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.
*
Yes - I understand and agree to comply
Yes - I do not agree to comply
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.
*
Yes - I understand and agree to comply
Yes - I do not agree to comply
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)