Summer Camps - Overnight Residential Camp - Camp Watitoh - Becket Massachusetts – Overnight Camp, Sleepaway Camp, New England Camp, Massachusetts Camp, Residential Camps, Summer Camp

Position Details

Personal Information

Last Name:
First Name:
Home Address:
Home City:
Home State:
School Address:
School City:
School State:
Home Phone:
Away Phone:
E-mail:
Are you a citizen of the United States?	Yes No
Social Security Number (if any):
Date of Birth (MM/DD/YY):
Age in Years:
Height:
Weight (bare feet):
Marital Status:
Do you have any children?
Child's Age:
Child's Sex:
Child's Age:
Child's Sex:
Child's Age:
Child's Sex:

Education

Employment

Present Position:

Previous Camp Employment (List last employment first):

PROFESSIONAL TEACHING OR LEADERSHIP EXPERIENCE

YOUR PROGRAM SKILLS

In the following lists, choose "XX" for those activities you can organize and teach; chose a single "X" where you can assist effectively.



Swimming Ability (Be very accurate)
Can you swim?	Yes No
Swimming level:	Average Swimmer Strong Swimmer

American Red Cross:
Lifeguard Training:	Yes No
Water Safety Instructor:	Yes No
Aquatic School Attended:
Where:
When:

Were you ever in charge of Small Crafts: Yes No
Where:
When:

Ever in complete charge of a waterfront: Yes No
Where:
When:

Choose the Age Group of Campers you prefer for cabin duty:
6-8 9-11 12-14 15 and over
Second choice:
6-8 9-11 12-14 15 and over

Chose the Age Group you are best equipped to teach:
6-8 9-11 12-14 15 and over
Second choice:
6-8 9-11 12-14 15 and over

Miscellaneous and Additional Information Pertinent to your Qualifications

Any Special Conditions which will enter into your accepting Camp Employment?

What Camps have you attended as a camper? Where and when?

Personal interests and hobbies (and Professional Lessons, if any):

College Activities and Awards:

High School Activities and Awards:

Community Activities:

What skill (if any) are you competent to instruct or supervise during a Camp Hobby Period (Athletic or Creative)

If you are seeking a program specialty job, state in detail your basic training and teaching experience in this skill.

Any specialized training in camping or education pertinent to this position?

Job Title:
Year:
Location:
Employer:
Address:

Job Title:
Year:
Location:
Employer:
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Job Title:
Year:
Location:
Employer:
Address:

Please list the names of 3 references (not friends or relatives) who know you in a professional or educational capacity.
Name:
Address:
Phone:

Name:
Address:
Phone:

Name:
Address:
Phone: