Southern Sierra Council, BSA Camp Staff Application

Note: This application is used to apply for all Southern Sierra Council Camps staff positions, whether or not the staff position is paid or voluntary. Please complete all pages of the application and related forms and return to your Camp Director or the Southern Sierra Council Bakersfield Service Center.

Name: Date of Birth:

Mail completed application to: Street Address:

Southern Sierra Council Camps City, State, Zip: Phone: Email address: 2417 M Street Bakersfield, CA 93301 Shirt size: S M L XL XXL Phone: 661-325-9036 Council / District: Fax: 661-325-2122 For Council Use Only:

Camp:

Position:

Responsible To:

Start Date: End Date:

Council Approved for Hire: Information about Employment

The Southern Sierra Council operates a variety of The length of employment varies with job camps to meet the needs of the youth in Central assignment; some are as long as ten weeks and . These Include long-term resident others are less than a week. The maximum payroll camps for Boy Scouts and short-term resident hours per week is 48 hours. camps for Cub Scouts, families and third-party groups as well. Applicants must be registered members of the Boy Scouts of America or agree to become registered Opportunities to serve Scouting as a member of a before employment begins. Southern Sierra Council Camp Staff are available to outstanding applicants. The application process The principles of the Scout Oath/Promise and Law is competitive; the jobs demanding; the must be practiced as a way of life. experience exhilarating. The staff is expected to set an example of Applicants are considered for positions without excellence in Scouting, which includes the proper regards to race, color, religion, sex, national origin, wearing of the uniform and adheres to standards age (unless there is a job-specific age of personal appearance. requirement), marital status, sexual orientation, veteran status or the presence of a health problem Compensation is based on position responsibility or handicap that is unrelated to their ability to with consideration given to the individual’s perform the jobs requested. experience.

The minimum age requirements vary from Review the list of positions and indicate three position to position. The minimum employment preferences on the application. Applicants are age is 15. Counselors in Training are age 14 and encouraged to attach resumes but resumes are older. Some positions require certifications and not required. training. Applicants must be of minimum age and have any certificates and training required Some positions require some vehicle driving. You completed by the first day of work for the position must have a valid driver’s license to qualify for they have excepted. All certifications must be such a position. valid during the entire employment period. Submit your application early, as positions are This Southern Sierra Council camp staff filled based on need and qualifications. The Camp application, employment agreement, medical Director or the Southern Sierra Council will notify forms, and Boy Scouts of America Adult/Youth you when a decision is reached regarding your Application are required to be completed and on application. file with the Southern Sierra Council prior to employment for all staff, regardless of whether The Southern Sierra Council, BSA is the position is salaried or voluntary. an EQUAL OPPORTUNITY EMPLOYER. All applicants for paid positions are also required to complete Form I-9 “Employment Eligibility Verification,” and provide the required documentation in addition to the staff application and employment agreement. Please check the areas where you have experience (merit badge or other).

Aquatics ____ Canoeing ____ Small-Boat Sailing ____ Water Safety Instructor ____ Kayaking ____ Lifeguard BSA ____ Lifesaving ____ Red Cross Basic Rescue ____ CPR Training ______(Date) ____ Rowing ____ Red Cross Adv. Lifesaving ____ Swimming ____ CPR Instructor______(Date) ____ Sailing ____ National Camping School Aquatics Computer Knowledge ____ Excel ____ Customer Service Experience ____ Word ____ Receptionist Experience

Cultural ____ Basketry ____ Citizenship in the Nation ____ Indian Lore ____ Leather Work ____ Citizenship in the World Handicraft ____ Art/Animation ____ Pottery/Sculpture ____ Basketry ____ Woodcarving ____ Photography Healthcare ____ Medical Student ____ Adv. First Aid Certificate ____ Licensed Physician ____ CPR Training ____ Physician Assistant (PA) ____ Nursing: ___ Student ____ Paramedic ____ Licensed Vocational Nurse (LVN) ____ Emergency Medical Technician (EMT) ____ Licensed Practical Nurse (LPN) ____ Emergency Medical Responder (EMR) ____ Licensed Nursing Practitioner (LNP) ____ Registered Nurse (RN) Kitchen ____ Dishwashing ____ Kitchen Prep ____ Food Service ____ Order/Inventory Nature/Ecology/Science/Tech. ____ Astronomy ____ Fishing/Fly Fishing ____ Weather ____ Bird Study ____ Environmental Science ____ National Camping School- ____ Insect Study ____ Plant Identification Ecology/Conservation

Outdoor Skills ____ First Aid ____ Emergency Preparedness ____ Orienteering ____ Pioneering ____ Mountain Biking ____ Wilderness Survival ____ National Camping School-Outdoor Skills (ODS) or 1st-Year Camper Training Program/Other Skills ____ Song Leading ____ Campfire Programs ____ Musical Instrument/ Vocal experience in a ____ Traffic Safety public setting (list ability/instrument) ____ Personal Fitness ______Signs, Signals, and Codes ______Leading Games ______Sports ____ Communications ____ Flag Retirement ____ Public Speaking ____ Other ______Music & Bugling ______High Adventure Expedition ______Story Telling ______Shooting Sports ____ Archery ___ National Camping School______(Date) ____ Shotgun ____ Range Safety Officer Shooting (RSO) ___ Other______Rifle Shooting ______Chief Range Safety ______Officer (CRSO) ______Trade/Maintenance/Clerical/Ordination ____ Automotive Maintenance ____ Welding ____ Plumbing, Sanitation, Wastewater ____ Boat Operation ____ Carpentry Experience ____ Chainsaw Use Experience ____ House Keeping ____ Home Repairs ____ Electrical ____ Office/Clerical Experience ____ Heavy Machinery Experience ____ Retail/Sales Experience ____ Tractor Operation ____ Framing ____ Food Service Experience ____ Plumbing – Supply lines Experience ____ Chaplaincy ____ Inventory Management Experience Please type or print

Name:

Name and telephone number of the person to contact in an emergency:

Have you ever been convicted of a felony? (You may answer "no" if your conviction has been ordered sealed, expunged, or eradicated.) Yes No Convictions of a crime is not an automatic bar to employment --- all circumstances will be considered, including what you were convicted of and how long ago. Please provide complete information about the conviction by attaching a separate statement.

Choices of Employment: Position applying for Department

First Choice:

Second Choice:

Third Choice:

Give a detailed account of why you want to work at Camp Kern. Attach a separate sheet if necessary.

Dates available for employment - (be specific) - From: To:

List current certification and dates (National Camp School, First Aid, CPR, EMT, Rifle, Lifeguard, etc.):

Camping Experience (List long-term camps only) Number of years as Name of Camp Location Camper Staff Position(s)

Currently registered in Scouting as: Unit Type: Number:

The number of years in Scouting as a youth: As an adult: Current rank:

Scouting positions held:

Achievements: Please type or print Describe leadership experiences:

Are you a member of the ? Yes No Honor received:

Order of the Arrow positions held:

Educational Background

Name of school/college: Location:

Scholastic honors:

Sports:

Activities/Clubs:

Languages spoken other than English:

Hobbies, Special Interests:

Employment

Present or most recent employer: From: To:

Address: Phone number:

Job Title Supervisor's name:

Description of duties (Indicate significant responsibilities, accomplishments & contributions):

Are you legally authorized to work in the United States? Yes No

References: Give names and phone numbers of 3 or more persons (not relatives) who have knowledge of your character, experience, and abilities. Provide a reference letter from each person listed using the provided form.

Name Telephone Staff must reside on-site in quarters provided (staff bunk cabins) for all resident camps. Management reserves the right to inspect quarters at its discretion.

I hereby make an application for summer employment and in accordance with the principles of the organization, subscribe to the Scout Oath or Promise, Law, and Declaration of Religious Principle. I agree to be loyal to and cooperate fully with all of the BSA policies, programs, and management including those described in this application. If selected, I further agree to submit a completed Health and Medical record upon arrival in camp. I understand that a personal interview may be required before employment will be granted and that I must execute a signed staff agreement prior to employment.

I authorize investigation of all statements contained in this application for employment as may be necessary for arriving at an employment decision. I authorize all my previous employers, schools, and all other references to furnish the information requested. I hereby declare that the information provided by me in this application for employment is accurate and complete to the best of my knowledge. I understand that any falsification or misrepresentation in this application is cause for discharge.

Signature Signature of parent if applicant is under age 18 Date Reference Letter

Applicant Name

Applicant Positions applying for:

Please answer all questions honestly and accurately: What is the nature of your relationship with the applicant?

Is the applicant honest and trustworthy at all times?

If no please supply full details:

How would you describe the applicant’s overall work performance?

What would you say are the applicant’s strengths?

What would you say are the applicant’s development areas (eg. weaknesses)?

How likely are you to entrusting the care of your child(ren) to the applicant?

How likely are you to entrust cash or valuable assets to the applicant? How would you describe the applicant's work style?

Please check which box best applies to the applicant: Excellent Good Satisfactory Below Average Poor General Conduct Work Performance Attitude towards Work Initiative Time Keeping Relationships with Colleagues Relationships with Customers

If you Indicated applicant is “Below Average” or “Poor” for any category please state your reasons below:

On a scale of 1-10, 1 being least and 10 being most, how would you rank the applicants exhibiting the 12 values of the Scout Oath/Promise? (mark the number with an X) Trustworthy 1 2 3 4 5 6 7 8 9 10 Loyal 1 2 3 4 5 6 7 8 9 10 Helpful 1 2 3 4 5 6 7 8 9 10 Friendly 1 2 3 4 5 6 7 8 9 10 Courteous 1 2 3 4 5 6 7 8 9 10 Kind 1 2 3 4 5 6 7 8 9 10 Obedient 1 2 3 4 5 6 7 8 9 10 Cheerful 1 2 3 4 5 6 7 8 9 10 Thrifty 1 2 3 4 5 6 7 8 9 10 Brave 1 2 3 4 5 6 7 8 9 10 Clean 1 2 3 4 5 6 7 8 9 10 Reverent 1 2 3 4 5 6 7 8 9 10

Reference Information Signature

Print Name

Date

Company Name

Telephone Number

I would like to further discuss the applicant over Yes or No the phone. (Circle one)