2017 SUMMER CAMP STAFF APPLICATION

Welcome to the Greater St. Louis Area Council Summer Camp Staff applicaon process! We are looking forward to meeng you at your interview and hope you will become, or connue to be, a member of one of the finest Boy Scout camp staffs in America. Please fill out this applicaon completely; this will enable us to make an informed decision regarding your selecon. Thank you!

Applicaon Date ______Name ______Preferred Name ______First M.I. Last Address ______City State Zip Home Phone ______Cell Phone ______

E‐Mail Address ______

Are you 21 or older? Yes _____ No _____ If under 21, age as of June 4, 2017: _____ Please indicate first, second, and third choices:

CAMPS STAFF POSITIONS _____ May (21 years or older) (18 years or older) (15 years or older) _____ Lewallen _____ Business Manager _____ Archery Counselor _____ Administrave Aide _____ Gamble _____ Chaplain _____ Commissioner _____ Aquacs Counselor _____ Famous Eagle _____ CIT Director _____ Dining Hall Steward _____ Commissary Aide _____ Swi Base _____ Program Director _____ Health Officer _____ Commissary Manager _____ S—F Ranch _____ Aquacs Director _____ Lake Counselor (Lewallen) _____ Food Service Aide _____ Field Sports Director _____ Nature Director _____ Nature Counselor _____ Older Scout Director _____ Older Scout Counselor _____ Scoutcra Counselor _____ Provisional Scoutmaster _____ Program Counselor (Swi) _____ Trading Post Aide _____ Ranch Supply Manager _____ Ranger Program Counselor _____ Voyageur Counselor _____ Ranger Program Director _____ Scoutcra Director _____ Seasonal Ranger _____ Trading Post Manager _____ Voyageur Director _____ Wrangler (Swi & S—F)

I am interested in pre‐camp employment: Yes _____ No _____ (Pre‐camp employment involves working at camp during the 3‐4 weeks before staff training. Hours are 8am‐5pm, Monday‐Friday; minimum age is 18. )

OFFICE USE ONLY

Selected _____ Not Selected _____ Hold _____ (Reason for holding) ______

May _____ Lewallen _____ Gamble _____ Famous Eagle _____ Swi Base _____ S—F Ranch _____

Posion ______Start Date ______End Date ______Salary ______EDUCATIONAL BACKGROUND Name & locaon Major High School: ______College: ______Other: ______

Scholasc honors: ______Acvies: ______

SCOUTING BACKGROUND

Currently registered as a: Boy Scout _____ Venturer _____ Adult _____ Council: ______

District: ______Troop/Crew: ______Number of years: ______

Highest rank aained: ______

Please describe your Scoung acvies: (include Troop/Crew, OA, or district leadership posions) ______

Summer camps aended and years: ______

I have earned, or have knowledge in, the following merit badges or skills:

NATURE SCOUTCRAFT FIELD SPORTS AQUATICS

_____ Astronomy _____ Backpacking _____ Archery _____ Canoeing _____ Environmental Science _____ Basketry _____ Climbing _____ Lifesaving _____ Fish & Wildlife Management _____ Camping _____ Fishing _____ Motorboang _____ Forestry _____ Chess _____ Horsemanship _____ Small‐Boat Sailing _____ Mammal Study _____ Cooking _____ Rifle Shoong _____ Swimming _____ Soil & Water Conservation _____ Indian Lore _____ Shotgun Shoong _____ Water Skiing _____ Nature _____ Leatherwork _____ Oceanography _____ Orienteering TRAINING & CERTIFICATIONS _____ Reple Study _____ Photography _____ Weather _____ Wilderness Survival _____ BSA Naonal Camping School _____ Woodcarving Year & Course: ______Lifeguarding: BSA _____ or Red Cross ______Water Safety Instructor _____ CPR Course: ______First Aid Course: ______Junior Leader Training Camp _____ Other: ______Please describe any previous summer camp staff experience: ______

Please describe your hobbies and special interests: ______

Why do you want to be a member of camp staff? ______

EMPLOYMENT HISTORY

Most recent employer ______Posion ______

Address ______Phone ______

Descripon of dues ______

PERSONAL REFERENCES ‐ Please list three individuals, not related to you, whom you have known for at least three years:

Years Name Address, Phone, Email Relaonship acquainted

Have you ever been convicted of a felony? Yes _____ No _____ If yes, please explain: ______“The Fine Print” ‐ Please read carefully before signing!

All camp staff members must be at least 15 years old by June 4, 2017, and must be registered members of the Boy Scouts of America or agree to become registered prior to employment.

Applicants are subject to background invesgaons, including criminal background checks. In compliance with Federal law, all persons selected will be required to verify their identy and eligibility to work in the United States.

I aest with my signature below that I have given the Greater St. Louis Area Council, Boy Scouts of America, true and complete informaon on this applicaon. I authorize invesgaon of all statements contained in this applicaon for employment as may be necessary in arriving at an employment decision. I understand that the results of any invesgaon may be disclosed to other employees involved in the hiring process. I authorize the Greater St. Louis Area Council to contact references provided for personal and employment reference checks. If any informaon I have provided is untrue, or if I have concealed material informaon, I understand that this will constute cause for the denial of employment or immediate dismissal.

I understand that neither the compleon of this applicaon nor any other part of my consideraon for employment establishes any obligaon for the Greater St. Louis Area Council, to hire me. If I am hired, I understand that either the Greater St. Louis Area Council, or I can terminate my employment at any me and for any reason, with or without cause, and without prior noce. I understand that no representave other than the Scout Execuve has any authority to enter into any agreement contrary to the foregoing or make any oral assurance or promise of connued employment.

I subscribe to the Scout Oath, Law, and Declaraon of Religious Principle. I agree to cooperate fully with the policies, program, and management of the Greater St. Louis Area Council, and to abide by the Charter, Bylaws, and Rules and Regulaons of the Boy Scouts of America. I further agree to provide a complete Heath and Medical Record if selected.

The Greater St. Louis Area Council is an equal opportunity employer, and does not discriminate in employment pracces.

Signed ______Date ______

Parent/Guardian (if under 18) ______Date ______

Greater St. Louis Area Council, Boy Scouts of America 4568 West Pine Boulevard ‐ St. Louis, Missouri 63108 314‐361‐0600 ‐ 800‐392‐0895 stlbsa.org ‐ [email protected]