ERIE SHORES COUNCIL BOY SCOUTS OF AMERICA SCOUTREACH APPLICATION (2021)
SECTION 1: PERSONAL INFORMATION
Position applying for (circle all that apply): Intern Program Manager Program Aide Program Lead Work Study Today’s Date: Are you over 18 years of age? Date you’re available to start working?
Full Name: Phone number: Email:
SECTION 2: EDUCATION
Provide (month & year)/location/ name of school H.S. diploma or GED was earned. Highest level of education earned Are you a licensed teacher? Additional skills/training:
SECTION 3: EMPLOYMENT
All applications are required to submit a current resume. Is the information you submitted on your resume under employment experiences truthful? yes no. If not, please explain
Have you ever been fired? Please explain.
SECTION 4: REFERENCES (do not include relatives)
All applications are required to submit a current (2018) BSA Adult Application and disclosure form. Are the references listed on your BSA Adult application, non-relatives of you and able to provide a reference that applies to your work ethic and/or character? yes no; If not, please explain
SECTION 5: SCOUTING EXPERIENCE/ RELATED EXPERIENCE
List any Scouting related volunteer positions, paid positions, summer camp training, or advancement earned or completed; List any youth program delivery experience
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SECTION 6: AVAILABILITY (please list times that you are available to work).
Any changes to this schedule must be submitted in written (email form) to the staff advisor. Program delivery runs Monday thru Thursday 11a-5:30p, Fridays 11a-1p, and one Saturday per month. Are you available to work Saturdays with advanced notice? yes no
DAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY START
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ERIE SHORES COUNCIL BOY SCOUTS OF AMERICA SCOUTREACH APPLICATION (2021)
SECTION 7: ADDITIONAL INFORMATION
Have you neem convicted of anything other than a minor traffic violation? yes no The BSA Adult application includes a background check, please initial that you understand this.
All applicants are required a to submit a Scoutreach Application, a current resume that includes professional references, the Boy Scouts of America (2021) Adult Application, and Background Check Authorization form (https://filestore.scouting.org/filestore/pdf/524-501.pdf). The Scoutreach application, resume, references, BSA Adult application and background check authorization form can be dropped off to the office (5600 W Sylvania Ave; Toledo, Ohio 43623) or emailed to [email protected].
Signature of Application/Date
Equal Employment Opportunity Policy
The BSA is committed to equal employment opportunity and compliance with all applicable federal, state, and local laws that prohibit workplace discrimination and unlawful retaliation, such as those that prohibit discrimination on the basis of race, color, national origin, religion, age, sex (including pregnancy, childbirth, breastfeeding, or related medical condition), gender, sexual orientation, gender identity, marital or familial status, genetic information, citizenship status, protected activity (such as opposition to or reporting of prohibited discrimination or harassment), or any other status or classification protected by applicable federal, state, and/or local laws. This policy of equal employment opportunity applies to all aspects of the employment relationship, including without limitation advertising, recruiting, hiring, training, evaluation, promotion, transfer, work assignments, compensation, benefits, disciplinary action, termination, or any other term, condition, or privilege of employment.
BOY SCOUTS OF AMERICA RELIGIOUS PRINCIPLE
The Boy Scouts of America maintains that no member can grow into the best kind of citizen without recognizing his obligation to God and, therefore, acknowledges the religious element in the training of the member, but it is absolutely nonsectarian in its attitude toward the religious training. The policy of the organization or institution in with which the member is connected shall give definite attention to his religious life. Only persons willing to agree with this declaration of principle and the bylaws of the Boy Scouts of America shall be entitled to certificates of leadership. I am interested in being a Specialist or Intern for the Scoutreach Division of Erie Shores Council. I agree with the Religious Principle of Boy Scouts of America. I certify that the above statements are true. I have a valid driver’s license, and my own vehicle for traveling to sites. I understand this is a position of youth leadership, and will do my best to set a positive example to the youth I serve. I am available for up to twenty hours a week, Monday through Friday, and for occasional weekend activities.
DROP OFF, MAIL OR EMAIL TO: Boy Scouts of America Erie Shores Council P.O. Box 8728 5600 W Sylvania Ave Toledo, OH 43623-0728