SUMMER 2016 | ​NYC SUMMER COMMUNITY TEAM WELCOME TO THE BEST SUMMER EVER!

Let’s make some rad memories! Before we get started here’s what you’ll need to get do:

DO THIS NOW! ❏ Scan & Email your signed S&K Contract to your Community Director [email protected] Dave Monteagudo [email protected] Nathaniel Eggleston [email protected] Mike Gregorek & Drew Wancket [email protected] Elea Crockett ❏ Schedule a date for your paperwork party with your Community Director. Bring your laptop if you can.

SCHEDULE THIS NOW! ​Must be completed before first day at camp ­ no exceptions. ❏ Schedule & Complete a Physical and TB Test​ ­ You will need this form (pages 2­3 below) to be completed by your doctor, or at least have this info included. ❏ Bring Completed form to Paperwork Party with your Community Director. ❏ Schedule & Complete a CPR/First Aid Class​ ­ ​do this only if you can’t attend the group classes scheduled by your Director. ​You are responsible for the cost of your certification. Classes must be provided by the approved agencies listed on pages 4­6 below. Contact your Community Director with any questions. ​ (SEC, HQ, Curbside Staff all need Pro Certifications) ❏ Bring your valid certification to the Paperwork Party. ❏ Schedule & Complete 15 Hour Food Handler’s Permit ​(Cooks Only) ❏ Bring Certificate to Paperwork Party with your Community Director.

BE READY! We will complete all the following at the Paperwork Party. ​Please bring the necessary information and documentation listed below to the Paperwork Party. We will provide the actual forms for you to complete. ❏ I­9 Federal Employment Eligibility Document ­ you will need: ❏ 2 forms of approved ID (approved documents list on page 7 below) ❏ Full address ❏ Social Security Number ❏ Birth Date ❏ Other names used ❏ W­4 Federal Tax Withholdings ­ you will need: ❏ Withholdings and deductions information ❏ NY State IT­2104 ­ you will need: ❏ Withholdings and deductions information for NY State ❏ Release of Records for Criminal Background Check ­ you will need: ❏ Last two addresses of Residency ❏ Employment History

ANY QUESTIONS? ​Call us anytime! We’re here for you… not the other way around! East Village​ ​Dave Monteagudo​ 347.​486​.5930 ​Kips Bay ​Nathaniel Eggleston ​347​.486​.5928 Upper East Side​ ​Mike Gregorek & Drew Wancket​ 347.​719.​4497 ​Williamsburg​ ​Elea Crockett ​347​.227​.0080

CARDIOPULMONARY RESUSCITATION (CPR) CERTIFICATION for NYS Children's Camps and NYS Bathing Facilities

Fact Sheet – March 2016 (Go to www.health.ny.gov to view the most current certification list) The New York State Sanitary Code (SSC) requires certain staff to possess a valid two-rescuer CPR certification in a course accepted by the Department as providing an adequate level of training as follows: Children’s Camps (Subpart 7-2 of the SSC) - CPR certification is required for the health director and other staff specified in sections 7-2.8 and 7-2.11(a)(5), aquatics director, lifeguards, and certain trip and activity leaders1. Swimming Pools and Bathing Beaches (Part 6 of the SSC) - CPR certification is required for all lifeguards (Supervision Levels I, IIa, IIb). CPR CERTIFICATIONS ARE VALID FOR 1 YEAR FROM THE DATE OF CERTIFICATION, REGARDLESS OF EXPIRATION DATE ON CARD

Accepted Courses Provider Certification Title

American Heart Association ¾ BLS Instructor Certification listing “Laerdal Medical” as the “TC ¾ BLS Provider (Course title - ) address contact Info” and “Course Location” on the back of the card are not acceptable. ¾ Healthcare Provider (Course title - BLS for Healthcare Providers)

American Lifeguard Association ¾ CPR/AED for the Professional Rescuer Instructor Led ¾ CPR/AED for the Professional Rescuer and Healthcare Providers American Red Cross ¾ Lifeguarding/First Aid/CPR/AED ¾ Basic Life Support for Healthcare Providers American Safety & Health Institute ¾ ASHI CPR for Professional Rescuer (CPR PRO) Emergency Care and Safety Institute ¾ Health Care Provider CPR EMS Safety Services, Inc. ¾ CPR/AED for Professional Rescuers Heart & Stroke Foundation of ¾ Level C - Basic Rescuer CPR Canada ¾ NSC Basic Life Support for Healthcare & Professional National Safety Council Rescuers New York City Department of Parks ¾ Municipal CPR: Basic Life Support & Recreation New York State Department of ¾ CPR/AED for Lifeguards, Camp Counselors and Camp Environmental Conservation Directors Regional Emergency Medical ¾ BCLS for Health Care Providers Course Services Council of New York City St. John Canada ¾ Level C (Basic Rescuer) CPR

1 A trip leader of a camp trip that includes an activity where emergency medical care is not readily available or an activity such as wilderness hiking, rock climbing, camping, horseback riding, bicycling, swimming and/or boating shall possess or be accompanied by staff who possess certification in a course listed on this Fact Sheet. An activity leader of an activity on the camp property where other CPR certified staff is not readily available shall possess or be accompanied by staff who possess certification in a course listed on this Fact Sheet.

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FIRST AID CERTIFICATIONS for NYS Children’s Camp Staff Fact Sheet – March 2016 (Go to www.health.ny.gov to view most current certification list)

Subpart 7-2 of the State Sanitary Code requires the health director, other staff specified in section 7-2.8, and certain camp trip and activity leaders1 to possess valid certification in first aid. The courses listed below have been accepted by the Department as being equivalent to or exceeding first aid course standards specified in Section 7-2.2(m). Some medical personnel may possess training and experience that is equivalent to or exceeds this certification requirement. A résumé or list of qualifications should be submitted to the local permit-issuing official for evaluation.

Acceptable certifications for camp CPR staff are listed on the Fact Sheet titled Cardiopulmonary Resuscitation (CPR) Certification for NYS Children’s Camps and NYS Bathing Facilities.

Accepted Courses (First Aid certifications are valid for the time period specified by the provider, but may not exceed three years from the date of course completion.) Provider Certification Title ¾ Emergency Medical Response ¾ Responding to Emergencies (any certification title containing the wording American Red Cross “Responding to Emergencies” is acceptable) ¾ Wilderness and Remote First Aid ¾ Advanced First Aid – Certification must be accompanied by a Recognition of Participation in the ASHI training program approved by the New York State Department of Health. American Safety & Health Institute ¾ Basic Wilderness First Aid ¾ Wilderness First Aid ¾ Wilderness ¾ Wilderness EMT Canadian Red Cross Society ¾ Standard First Aid ¾ Advanced First Aid ¾ Emergency Medical Responder ¾ Wilderness First Aid BSA (16 hours) (course title Boy Scouts of America Emergency Care and Safety Institute – Wilderness First Aid)

¾ Wilderness First Aid Basic ¾ Wilderness First Aid Standard ¾ Wilderness First Aid Advanced Level ¾ Emergency Medical Responder National Registry of Emergency Medical ¾ Emergency Medical Technician Technicians2 ¾ Advanced Emergency Medical Technician ¾ ¾ NSC Emergency Medical Response National Safety Council ¾ NSC Advanced First Aid, CPR & AED National Ski Patrol ¾ Outdoor Emergency Care Technician New York State Department of ¾ Summer Camp First Aid for Camp Counselors and Camp Directors Environmental Conservation ¾ Certified First Responder ¾ EMT – Basic New York State Department of Health ¾ Advanced Emergency Medical Technician ¾ Critical Care ¾ Paramedic

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NOLS Wilderness Medicine Institute ¾ Wilderness Advanced First Aid (formerly Wilderness Medicine Institute of the ¾ Wilderness First Responder National Outdoor Leadership School) ¾ Wilderness EMT ¾ Medical First Responder St. John Ambulance Canada ¾ Emergency Medical Responder ¾ Standard First Aid ¾ Wilderness First Aid SOLO Wilderness Emergency Medicine ¾ Wilderness First Responder ¾ Wilderness EMT ¾ Wilderness Advanced First Aid ¾ Wilderness First Responder Wilderness Medical Associates ¾ Wilderness EMT ¾ Wilderness First Aid 16 Hours (Wilderness First Aid option B – 16 Hours is not acceptable) 1A trip leader of a camp trip that includes an activity where emergency medical care is not readily available or an activity such as wilderness hiking, rock climbing, camping, horseback riding, bicycling, swimming and/or boating shall possess or be accompanied by staff who possess certifications in one of the above acceptable courses; for camp trip swimming activities where emergency medical care is readily available, the certifications listed below may be substituted. An activity leader of an activity on the camp property where other staff certified in first aid in accordance with Section 7-2.8 of Subpart 7-2 is not readily available, shall possess or be accompanied by staff who possess certifications in one of the above acceptable courses. 2Most states utilize the National curriculum for their EMT certifications. Individuals that can provide proof that their state utilizes the National curriculum may be accepted. EMT certifications from states that do not utilize the National curriculum may be accepted on a case by case basis.

At a SUMMER DAY CAMP, when the camp’s program does not include equestrian, bicycling, challenge course, rock climbing, boating, riflery, archery, motorized recreational vehicles, wilderness hiking/activities, and similar activities; and emergency medical care is available within 10 minutes, the following certifications may be substituted for the above courses. These certifications do not satisfy the requirement for camp CPR certified staff. Acceptable certifications for CPR are listed on the Fact Sheet titled Cardiopulmonary Resuscitation (CPR) Certification for NYS Children’s Camps and NYS Bathing Facilities. Provider Certification Title ¾ Heartsaver First Aid American Heart Association ¾ Heartsaver First Aid CPR AED ¾ Heartsaver Pediatric First Aid CPR AED ¾ Community First Aid Instructor Led* American Lifeguard Association *Certificates must include words Instructor Led ¾ First Aid/CPR/AED American Red Cross ¾ Adult and Pediatric First Aid/CPR/AED ¾ Basic First Aid* ¾ Pediatric CPR, AED, and First Aid* American Safety and Health Institute (ASHI) *Certification must be accompanied by a Recognition of Participation in the corresponding ASHI training program approved by the New York State Department of Health Emergency Care and Safety Institute ¾ First Aid for NY Day Camps, Basic Level ¾ Basic First Aid (course title – Basic First Aid for Community Rescuers) EMS Safety Services Inc. ¾ CPR & First Aid (course title – CPR/AED and First Aid for Community Rescuers) ¾ PediatricPlus CPR, AED, and First Aid - Certification must be accompanied Medic First Aid by a Recognition of Participation in Medic First Aid training program approved by the New York State Department of Health ¾ NSC First Aid National Safety Council ¾ NSC First Aid, CPR & AED

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LISTS OF ACCEPTABLE DOCUMENTS All documents must be UNEXPIRED

Employees may present one selection from List A or a combination of one selection from List B and one selection from List C.

LIST A LIST B LIST C Documents that Establish Documents that Establish Documents that Establish Both Identity and Identity Employment Authorization Employment Authorization OR AND

1. U.S. Passport or U.S. Passport Card 1. Driver's license or ID card issued by a 1. A Social Security Account Number State or outlying possession of the card, unless the card includes one of 2. Permanent Resident Card or Alien United States provided it contains a the following restrictions: Registration Receipt Card (Form I-551) photograph or information such as (1) NOT VALID FOR EMPLOYMENT name, date of birth, gender, height, eye 3. Foreign passport that contains a color, and address (2) VALID FOR WORK ONLY WITH temporary I-551 stamp or temporary INS AUTHORIZATION I-551 printed notation on a machine- 2. ID card issued by federal, state or local (3) VALID FOR WORK ONLY WITH readable immigrant visa government agencies or entities, DHS AUTHORIZATION provided it contains a photograph or 4. Employment Authorization Document information such as name, date of birth, 2. Certification of Birth Abroad issued that contains a photograph (Form gender, height, eye color, and address by the Department of State (Form I-766) FS-545) 3. School ID card with a photograph 5. For a nonimmigrant alien authorized 3. Certification of Report of Birth to work for a specific employer 4. Voter's registration card issued by the Department of State because of his or her status: (Form DS-1350) 5. U.S. Military card or draft record a. Foreign passport; and 4. Original or certified copy of birth certificate issued by a State, b. Form I-94 or Form I-94A that has 6. Military dependent's ID card county, municipal authority, or the following: 7. U.S. Coast Guard Merchant Mariner territory of the United States (1) The same name as the passport; Card bearing an official seal and 8. Native American tribal document (2) An endorsement of the alien's 5. Native American tribal document 9. Driver's license issued by a Canadian nonimmigrant status as long as 6. U.S. Citizen ID Card (Form I-197) that period of endorsement has government authority not yet expired and the 7. Identification Card for Use of proposed employment is not in For persons under age 18 who are Resident Citizen in the United conflict with any restrictions or unable to present a document States (Form I-179) limitations identified on the form. listed above: 8. Employment authorization 6. Passport from the Federated States of 10. School record or report card document issued by the Micronesia (FSM) or the Republic of Department of Homeland Security the Marshall Islands (RMI) with Form 11. Clinic, doctor, or hospital record I-94 or Form I-94A indicating nonimmigrant admission under the 12. Day-care or nursery school record Compact of Free Association Between the United States and the FSM or RMI

Illustrations of many of these documents appear in Part 8 of the Handbook for Employers (M-274).

Refer to Section 2 of the instructions, titled "Employer or Authorized Representative Review and Verification," for more information about acceptable receipts.

Form I-9 03/08/13 N Page 9 of 9