CAMP NASHOBA NORTH

2012 STAFF APPLICATION

If you would like to print out the staff application and send it in, please click here.

To apply online complete the entire application. When finished click on the SEND APPLICATION button at the bottom of the page. If you would prefer to fill out a paper application you may either print this out and write on it, or you may request an application by calling: 1-978-486-8236 or by filling out an information request.

Basic Information

Items in red are needed to process your request!

First Name
 Last Name
  
Address #1:
Address #2:
City: State:  Zip: 
Country
Home Phone:
 Work or School Phone:
 Cell Phone:
Fax Number:
 Email Address:
Website URL:

Additional Information
Gender:   Date of Birth:  
School or Business Address:  
Address #1:  
Address #2:  
City:   State:   Zip:   Phone:  
Which address should we send mail to:      Until Date:    
Must your family accompany you to camp?:    

Education
College Name:    
College Major:     Degree Earned:    
Current Year in College:    Year of Graduation:    
High School:     Year of Graduation:  

References

Please supply the names, addresses, and telephone numbers of 3 persons (not relatives) who have knowledge of your character, experience, and ability - not affiliated with Camp Nashoba.
Reference #1
Name:     Phone:  
Email Address (if available):
Address:
City,State, Postal Code:
Country:
How do you know this person?:
Additional Comments:
Reference #2
Name:     Phone:  
Email Address (if available):
Address:
City,State, Postal Code:
Country:
How do you know this person?:
Additional Comments:
Reference #3
Name:     Phone:  
Email Address (if available):
Address:
City,State, Postal Code:
Country:
How do you know this person?:
Additional Comments:

Previous Employment

Please list previous employers, dates, addresses, telephone numbers, and the nature of your work.
Employer #1
Name/Company:    Dates:
Email (if available):   Phone:

Address:

Nature of Work:
Employer #2
Name/Company:    Dates:
Email (if available):   Phone:

Address:

Nature of Work:
Employer #3
Name/Company:    Dates:
Email (if available):   Phone:

Address:

Nature of Work:
Employer #4
Name/Company:    Dates:
Email (if available):   Phone:

Address:

Nature of Work:
Employer #5
Name/Company:    Dates:
Email (if available):   Phone:

Address:

Nature of Work:


Questionnaire
What dates are you available?

From:
To:

What is your expected salary?
Are you authorized to work in the United States?
Please list any foreign languages you know:


Do you have any special dietary or sensory needs we may assist with? (specify)
Do you smoke?
Do you sleepwalk?
Do you have a valid U.S. driver's license? DL State:
DL Number:
Have you been convicted or arrested for either a felony or a misdemeanor?
Have you ever been convicted or arrested for any sex-related or child-abuse related offenses?
If yes, please explain:


Working with children can test your patience, flexibility and mental endurance; these are tough to test over the phone and through a questionaire, please take this time to show us about yourself. There are no wrong answers!

1. What's the funniest thing that has ever happened to you? All answers should be appropriate for children to read.
2. Please describe a person in your life who made you feel good about yourself when you were growing up (it can be as recent as last year).


Leadership and Certifications
Please list the extra-curricular activities in which you have participated in high school & college.
Give details of any leadership roles held.
What is your swimming ability?.
Do you currently hold: List expiration dates of each
American Red Cross Water Safety Instructor
American Red Cross Lifeguard Training
American Red Cross Small Crafts Instructor
Are you willing to obtain certifications if you are not currently certified?
Please list all current certificates: i.e., First Aid, CPR, etc.
What do you have to offer children at Nashoba North this summer?
Describe your camp experiences. Include the camp's name, dates, positions held and experiences as a camper.
Describe details and dates of any previous experience working with children

Activities

Please select the level of experience you have for each activity below - No Experience (None), Useful Experience (Some), Assistant Level Experience (Assist), or Organize/Teach Level of Experience (Teach).
Arts & Crafts
-->Pottery-->Batik-->Handbuilding
-->Potters Wheel-->Kiln Operation-->Glazing
-->Reed Baskets-->Tie Dye-->Silkscreen
-->Weaving-->Fimo-->Candlemaking
-->Painting-->Copper Enameling-->Sketching
-->Sewing-->Woodworking-->Mask Making
-->Stained Glass-->Jewelry
Sports
-->Archery-->Basketball-->Baseball
-->Badminton-->Cross Country-->Disc Golf
-->Lacrosse-->Tennis-->Soccer
-->Golf-->Game Referee-->Field Hockey
-->Volleyball-->Water Volleyball
Waterfront
-->Swimmming-->Diving-->Water Skiing
-->Sailing-->Windsurfing-->Boat Repair
-->Boat Driving-->Canoeing-->Kayaking
-->SUP-->Wake Boarding
Dance
-->Techno-->Jazz-->Ballet
-->Modern-->Hip Hop-->Latin
-->Step-->Aerobics
Riding
-->Huntseat Equitation Flat-->Equitation Over Fences-->Dressage
-->Stable Management-->Horse Shows-->Drive Trailer
-->Barn Management-->Teaching Experience
Music
-->Singing-->Piano-->Bugle/Trumpet
-->Drums-->Guitar-->Bass
-->Other Instrument
Theatre
-->Play Directing-->Costumes-->Play Writing
-->Musical Directing-->Scenery & Props-->Skits
Photography
-->Black & White Developing-->Photo Techniques-->Yearbook Layout
Canoe Trips
-->Day Canoe Trips-->Overnight Canoe Trips
Tennis
-->Rules & Strategy-->Ground Strokes-->Coaching
-->Personal Skills
Animal Care
-->Sheep-->Cows-->Goats
-->Other animals
Support Staff
-->Laundry-->Carpentry-->Lawn Mowing
-->Overnight Camping-->Maintenance-->Driving
-->Secretarial
Campcraft
-->Climbing Wall-->Hiking-->Orienteering
-->Outdoor Cooking-->Plant Identification-->Trail Formation
-->Rock Climbing-->Fishing-->Nature
Miscellaneous
-->Campfire Program-->Evening Program-->Journalism/Creative Writing
-->ESL-->Registered Nurse-->CPR Instructor
-->Babysitting/Childcare-->Disc Jockey-->Gardening & Landscaping
Food Service
-->Baker-->Cook-->Food Prep
-->Dining Hall Supervisor

Activities - Continued

Describe your teaching experience, qualifications gained, and personal standard of proficiency attained in connection with those activities you can organize and teach. Include qualifications, teams joined, offices held, trophies won, etc.
Activity Choice #1
Activity Choice #2
Activity Choice #3
Activity Choice #4


Conclusion
How did you hear about Nashoba North?   
A counselor is expected to participate fully with the campers in all activities, including hiking, swimming, and sports. Do you have any impairment, physical or mental, which interferes with your ability to perform the job for which you have applied?
Are you available for an interview?
If so, where?  


All statements become part of any future employee personnel files. Completion of this application form does not require Camp Nashoba North to offer employment for any part of the season. The camp encourages people of any ethnic or national origin, color, religion, sex, age or handicap to apply to the Camp. No questions on this application is intended to secure information to be used for discrimination. I hereby authorize Camp Nashoba North to thoroughly investigate my background, references, employment record and other matters related to my suitability for employment. 9/2012

By pressing the "Send Application" button below you agree to the terms stated in the above paragraph, and confirm that all information that you are submitting is accurate. If you find that you misentered some information, please let us know what information you entered incorrectly via e-mail.