Greater Area Council Application for Employment – 2016 Seasonal Camp Staff www.glaacbsa.org (213) 413-4400 An Equal Opportunity Employer

The Greater , , is an equal opportunity employer. The Greater Los Angeles Area Council does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, sexual identity, marital status, disability, military status, or unfavorable discharge from military service.

I agree to abide by the Charter, Bylaws, and Rules and Regulations of the Boy Scouts of America.

Applicants are not required to give any information on this form that is prohibited by federal, state, or local law. All camp staff members must be registered members of the Boy Scouts of or become registered members of the Boy Scouts of America before employment begins.

Position Applying For: Name: Home Address City: State: Zip Code: Phone: Email:

Age 18 or older? Yes  No  Over 21? Yes  No  Relative employed by the council? Yes  No  Desired start date: If relative employed, name: Have you ever been employed by the council? No  If so, when?

How were you referred to the council? If by an individual and/or organization, give the name:

List all specialized skills and training applicable to the position for which you are applying.

Education (Attach information about other degrees or diplomas earned or in progress on a separate sheet. Also include technical or business training.) Highest Degree: GPA: Graduated: Yes  No  Major: School: Location:

2333 Way, Los Angeles CA 90026 1

Greater Los Angeles Area Council Application for Employment – 2016 Seasonal Camp Staff

Prior Work Experience Include any employment prior to today’s date, even if that employment has not ended. For more than two employers, submit the information in the same format on another sheet. Include military experience as if an employer, including branch, rank, and date of discharge. Last Employer: May we contact your current employer? Yes  No  Address:

City: State: Zip Code:

Supervisor Name: Phone:

Start Date: End Date: Ending Pay Rate: per (Date format: mm/dd/yyyy) Ending Position or Rank: Duties:

Reason for Leaving:

Previous Employer:

Address:

City: State: Zip Code:

Supervisor Name: Phone:

Start Date: End Date: Ending Pay Rate: per (Date format: mm/dd/yyyy) Ending Position or Rank: Duties:

Reason for Leaving:

Have you ever been terminated or asked to resign from any job? Yes  No  If so, give details on a separate sheet.

For which Camp you would like to apply  Cherry Valley  Camp Trask  Holcomb Valley  Forest Lawn  Firestone  Cabrillo  Log Cabin  Apply to All Boy Scout/Youth Experience: Council:

Unit Number: No. of Years Tenure as Youth: Adult:

Offices Held:

Achievements:

Special Training Completed:

Why do you want to be on Camp Staff?

2333 Scout Way, Los Angeles CA 90026 2

Greater Los Angeles Area Council Application for Employment – 2016 Seasonal Camp Staff Camping Experience Summer Camps: Camp Years Camp Years High Adventures National Camp Years Camp Years Staff Experience Camp Position Years Camp Position Years Camp Position Years (Circle one): Ordeal Brotherhood Vigil Availability (List dates available for work between June 1st and August 15th for summer camp)

Experience ( if earned merit badge OR  if experience in area)

Aquatics Food Service Camp Management __ Swimming MB __ Dishwasher __ NCS Camp Management __ Lifesaving MB __ Assistant Cook __ NCS Camp Commissioner __ Rowing MB __ Cook __ NCS Program Director __ Canoeing MB __ Food Service Management __ NCS Chaplaincy __ Lifeguard BSA __ Red Cross Lifeguard Handicrafts Program __ Red Cross WSI __ Basketry MB __ Bugling __ Red Cross Lifeguard Inst. __ Leatherwork MB __ Music – Voice __ NCS Aquatics Supervisor __ Indian Lore MB __ Instruments __ NCS Aquatics Director __ Woodcarving MB __ Public Speaking __ Pottery MB __ Theater COPE/Climbing __ Song Leading __ COPE Participant Newsletters __ Campfires __ COPE Instructor __ Journalism MB __ Ceremony Teams __ Rappelling Participant __ Photography MB __ Rappelling Instructor __ Yearbook/Newsletter Editor Computer Literacy __ Climbing MB __ Computer MB __ Rock Climbing Instructor Outdoor Skills __ Databases __ NCS COPE __ Backpacking MB __ Spreadsheets __ NCS Climbing __ Camping MB __ Word Processors __ Cooking MB __ Networks Ecology/Nature __ Hiking MB __ Windows __ Archeology MB __ Metalworking MB __ Macintosh __ Astronomy MB __ Orienteering MB __ Electricity MB __ Pioneering MB Medical/Health __ Energy MB __ Wilderness Survival MB __ First Aid MB __ Environmental Science MB __ Leave No Trace Instructor __ Emergency Prep MB __ Fish & Wildlife MB __ NCS Outdoor Skills __ First Aid Certification __ Fishing MB __ First Aid Instructor __ Forestry MB Shooting Sports __ CPR Certification __ Geology MB __ Archery MB __ CPR Instructor __ Insect Study MB __ Rifle MB __ LPN __RN __ Mammal Study MB __ Shotgun MB __ EMT B I P __ Nature MB __ Black Powder Experience __ Medical Student – Year ______Oceanography MB __ NRA Hunter Safety Inst. __ M.D. __ Reptile/Amphibian MB __ NCS Shooting Sports __ Soil & Water Con. MB Special Training __ Space Exploration MB Misc. __ Junior Leader Training (JLT) __ Weather MB __ Cit. in the Nation MB __ Boy Training __ NCS Ecology/Con. __ Cit. in the World MB __ __ Communications MB Equestrian __ Golf MB Mechanical/Trade Skills __ Horsemanship MB __ Equestrian MB __ Tractor Operation __ English Riding __ Carpentry Experience __ Roping __ Plumbing Experience __ Jumping __ Electrical Experience __ Jousting __ Riding Lesson Instructor 2333 Scout Way, Los Angeles CA 90026 3

Greater Los Angeles Area Council Application for Employment – 2016 Seasonal Camp Staff List in rank order of preference for your top four choices for positions.

CAMP MANAGEMENT Min. Age HANDICRAFT Min. Age FOOD SERVICE Min. Age Camp Director* 25 Handicraft Director 18 Food Service Manager 21 Assistant Camp Director* 21 Handicraft Instructor 15 Head Cook 21 Program Director* 21 Cook 18 Camp Commissioner* 18 HEALTH Dining Hall Steward 18 Health Director 18 Food Service Staff 15 OFFICE STAFF Health Instructor 15 Business Manager 21 SUPPORT STAFF Health Officer ISLAND ADVENTURE Assistant 18 (EMT-B minimum) 21 I/A Director 18 Quartermaster 18 Chaplain 18 I/A Instructor 15 Data Entry/Office Clerk 15 Weekly Commissioner ECOLOGY/NATURE (Volunteer) 18 AQUATICS Nature Director 18 Counselor in Training Aquatics Director* 21 Nature Instructor 15 (Volunteer) 14 Waterfront Director* 18 Pool Counselor 18 OUTDOOR SKILLS Aquatics Instructor 15 Outdoor Skills Director* 18 Outdoor Skills Instructor 15 Mark your choice here: CLIMBING Tower Director* 21 SHOOTING SPORTS 1st Choice: Tower Counselor 18 Rifle Director* 21 2nd Choice: Tower Instructor-in-training 16 Shotgun Director* 21 Archery Director 18 3rd Choice: ACE Archery Instructor 15 4th Choice: ACE Director 21 ACE Counselor 18 TRADING POST ACE Instructor-in-training 16 Trading Post Manager 21

Trading Post Clerk 15 EQUESTRIAN Head Wrangler 21 MISCELLANEOUS

Wrangler 18 Day/Camp Staff min age 15 Assistant Wrangler 15 Trail to Eagle Instructor min age 15 Weekend Staff min age 15

References Give the names of three persons not related to you whom you have known for at least three years. Years Name Address, Phone, Email Company Acquainted 1

2

3

2333 Scout Way, Los Angeles CA 90026 4

Greater Los Angeles Area Council Application for Employment – 2016 Seasonal Camp Staff Applicants are subject to background investigations, including criminal background checks. Offers of employment are conditional and subject to the applicant passing background investigations including criminal background checks. In compliance with federal law, all persons hired will be required to verify their identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

Please read carefully before signing:

I attest with my signature below that I have given the Greater Los Angeles Area Council, Boy Scouts of America, true and complete information on this application. No requested information has been concealed. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that the results of any investigation may be disclosed to other employees involved in the hiring process and I consent to the dissemination of the results of any investigation to such employees. I authorize the Greater Los Angeles Area Council, Boy Scouts of America, to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will result in the denial of employment or immediate dismissal. I understand that I will be required to submit a separate authorization form to the Greater Los Angeles Area Council, Boy Scouts of America authorizing the Greater Los Angeles Area Council, Boy Scouts of America to obtain the foregoing information.

I understand that the relationship between the Greater Los Angeles Area Council, Boy Scouts of America and me is referred to as “employment at will.” This means that my employment can be terminated at any time for any reason, with or without cause, with or without notice, by the Greater Los Angeles Area Council, Boy Scouts of America or me. No representative of the Greater Los Angeles Area Council, Boy Scouts of America has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. Nothing contained in this application creates an express or implied contract of employment.

This application is current for 45 days. At the conclusion of that time, if I have not heard from the Boy Scouts of America, Los Angeles Area Council and still wish to be considered for employment, it will be necessary to complete a new application.

I certify, under penalty of perjury, that all of the above information is true and complete, and I understand that any falsification of omission of information may result in denial of employment or, if hired, may result in my termination from employment

Signature Date

Print Name

I am the parent or legal guardian of the individual who is applying for employment in this application. I authorize the individual who is applying for employment with this application to submit an application to the Boy Scouts of America, Los Angeles Area Council.

Parent’s signature if Applicant is under 18 :______

Return this application to:

Attn: Gracie Peralta or Heather Endo 2333 Scout Way, Los Angeles, CA 90026

or Email: gracie.peralta@.org / [email protected]

2333 Scout Way, Los Angeles CA 90026 5

Greater Los Angeles Area Council Application for Employment – 2016 Seasonal Camp Staff

2333 Scout Way, Los Angeles CA 90026 6