Quapaw Area Council

Camp Rockefeller STAFF APPLICATION Gus Blass Reservation

(RETAIN THIS SHEET FOR YOUR OWN USE)

To all Scouts and Scouters:

Opportunities to serve by being a member of the Camp Rockefeller Camp Staff are available to outstanding members of the Boy Scouts of America. Competition for employment is keen, the jobs are demanding, and the experience is exhilarating.

The minimum age is sixteen. In a few cases, some mature fifteen years old may be considered.

Applicants must be a registered member of the Boy Scouts of America.

The principle of the Scout Oath and Law must be practiced as a way of life.

The Staff must set an example of excellence in Scouting which includes the proper wearing of the Camp Rockefeller Staff Uniform.

Salary is based on the position’s responsibility with consideration given to the individual’s experience and level of responsibility.

A picture of you included with the application is recommended.

References are important and a must! Applications will not be considered without references.

Review the jobs listed and indicate your first four (4) job preferences on the application.

Contracts, based on needs, will be offered upon successful completion of the personal interview and only to those applicants willing to commit to working for the entire camping season. There are no ‘short term’ positions available. CIT Applicants must fill out a CIT Application.

The 2019 tentative contract period is from Friday May 31, 2019 through July 15, 2019.

Mail your completed application to: 2018 Camp Staff Quapaw Area Council 3220 Cantrell Road Little Rock, AR 72202

Quapaw Area Council Boy Scouts of America

Camp Rockefeller Staff Application

Basic Personal Information Date: ______Name:______Date of Birth:______Shirt Size: Age as of June 2, 2018: Address: ______City:______State:______Zip:______Telephone: ( )______Mobile Phone: ( )______E-mail:______Temporary Address (if applicable) ______Last date at this address:______

Current Scouting Information Place a check mark next to the current type of unit in which you are registered ____Troop ____Team ____Crew ____Ship ____Not Registered Unit Number:______District:______Rank:______

Indicate the length of time for your involvement with the following levels of Scouting :______Boy Scout:______Venture:______Adult Leader:______Current Leadership position held:______

Place a check mark next to your level of OA membership _____Ordeal _____Brotherhood _____Vigil Honor

Why do you want to work at camp? ______Quapaw Area Council Boy Scouts of America

Positions Available: Minimum Age of 21 Minimum Age of 18 Minimum Age of 16 Aquatics Director Asst. Commissioner Aquatics Staff Business Manager Asst. Cook C.O.P.E. Staff Camp Director Dining Hall Steward Eco/Con Staff Camp Commissioner Eco/Con Director First Aid Instructor Chaplain Health Officer HandiCraft Staff Cook Office Manager Mountain Biking Staff C.O.P.E. Director Quartermaster R.O.C.K.S. Staff HandiCraft Director R.O.C.K.S. Director ScoutCraft Staff Program Director ScoutCraft Director S.T.E.M. Staff Range Officer Shooting Sports Staff Trading Post Staff Shooting Sports Director S.T.E.M. Director Trading Post Mgr.

Positions Preference: I am interested in the following camp positions. They are listed in order of my preference. 1. ______

2. ______

3. ______

4. ______

Having reviewed the minimum age requirements for the above camp positions, I will meet the minimum age for the positions I am applying for by June 9, 2018. Yes ______No ______

List the top ten merit badges and/or programs you feel most confident in teaching. 1. ______6. ______

2. ______7. ______

3. ______8. ______

4. ______9. ______

5. ______10. ______

Quapaw Area Council Boy Scouts of America

Areas of Knowledge, Experience, and/or Merit Badges: Indicate with a check mark what merit badges (MB), experience, or training you have completed.

Quapaw Area Council Boy Scouts of America

MEDICAL EXPERIENCE TRAINING EXPERIENCE ______Medical Student ______National Youth Leadership Training ______Paramedic ______NYLT Staff ______Medical Doctor ______National Leadership Seminar ______Advanced First Aid Certificate ______Counselor-In-Training ______C.P.R.Training ______Leave No Trace Trainer ______Nursing ______AGFC Hunter Safety

Student ___LPN ___ RN______Archery Instructor Certification ______EMT ______NRA Instructor

______Wood Badge UNIT POSITIONS PREVIOUSLY HELD ______Wood Badge Staff ______SPL ______Scouter’s Key ______ASPL ______Commissioner College ______Patrol Leader ______Philmont Training Center ______Asst. Patrol Leader Philmont Training Course ______Scribe ______National Camp School Certification ______Quartermaster Certification Area: ______Webmaster Certification Date: ______Historian ______Jr. Asst. Scoutmaster

Camp Staff Experience:

Camp Year Position

Quapaw Area Council Boy Scouts of America

Education:

Name of College / School: ______Grade Completed: ______

Course/ Major: ______

Extra - Curricular Activities: ______

Leadership Positions: ______

Honors & Recognitions: ______

REFERENCES REQUIRED: Adult member of your troop, team, or post, or current employer: Name: ______Phone #: ______Address: ______City: ______State: ______Zip: ______Position or Title: ______

Community Leader (youth leader, religious leader, civic leader): Name: ______Phone #: ______Address: ______City: ______State: ______Zip: ______Position or Title: ______

Teacher, supervisor, or associate: Name: ______Phone #: ______Address: ______City: ______State: ______Zip: ______Position or Title: ______

Quapaw Area Council Boy Scouts of America

Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age (except where required by BSA standards), marital status or handicap. Due to the strenuous nature of some camp staff positions, medical certifications must be met by all camp staff members.

DECLARATION OF PRINCIPLES:

The principles of the Boy Scouts of America are based on the Scout Oath and Scout Laws and one is committed to the goal of teaching young people to make ethical decisions for the rest of their lives.

Do you agree with this declaration of principle? YES ______NO ______

Where you referred or recommended for hire by a Camp Commissioner, Director, or Staff member? YES ______NO ______

If yes, by whom were you recommended? ______

______Unit Leader Signature of Endorsement Date

______Applicant Signature Date

______Parent Signature Date (Parent’s signature required if applicant is under 18 years of age)

------Date of Interview: ______

Considered for: ______

Interviewed by: ______