Camp Rockefeller STAFF APPLICATION Gus Blass Scout Reservation
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Quapaw Area Council Boy Scouts of America Camp Rockefeller STAFF APPLICATION Gus Blass Scout Reservation (RETAIN THIS SHEET FOR YOUR OWN USE) To all Scouts and Scouters: Opportunities to serve Scouting 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 Cub Scout:_______ 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: _____________________________________________ .