Counselor Application Form

Required

Namerequired
First name
Last name
I will be available:required
Genderrequired
Date of birthrequired
Must contain a date in D/M/YYYY format
Mobile phone numberrequired
Whatsapp phone numberrequired
Email addressrequired
Address
Streetrequired
Cityrequired
Zip code
University/college addressrequired

 

Education
 
Degree 1
Years
School
Major subjects
Degree granted
Degree 2
Years
School
Major subjects
Degree granted

 

Past Work History
 
Provide a full record of all employment -- paid and volunteer -- and explain any gaps in employment.
 
Work 1
Dates
Employee/supervisor
Address and phone number
Nature of work
Reason for leaving
Work 2
Dates
Employee/supervisor
Nature of work
Reason for leaving

 

Camp Experience
Dates
Camp and director
Location
Camper or staff?

 

References
 
Give names and addresses of three persons (not relatives) having knowledge of your character, experience, work habits and ability.
 
Reference 1
Relationshiprequired
(e.g. employer, teacher, etc.)
Namerequired
First name
Last name
Addressrequired
Phone numberrequired
Email addressrequired
Reference 2
Relationshiprequired
(e.g. employer, teacher, etc.)
Namerequired
First name
Last name
Addressrequired
Phone numberrequired
Email addressrequired

 

Activity Skills
 
Put a "T" before those activities you can organize and teach as an expert and an "A" for those activities in which you can assist.
 
Arts/Crafts
Ceramics/pottery
Drawing/painting
Photography
Campcraft/Pioneering
Backpacking
Hiking
Orienteering
Overnights
Wilderness trips
Dance
List
Drama
Clowning
Theater
Music
Singing
Instrument
Sports/Fitness
Aerobics/exercise
Baseball/softball
Basketball
Bicycling/biking
Boxing
Fencing
Gymnastics
Horseback riding
Informal games
Soccer
Swimming
Tennis
Track and field
Volleyball
Miscellaneous
Academics
Community service
Foreign language
Leadership development/CIT
Radio/TV/video
Storytelling
Team building

 

Can you perform the essential functions of the job for which you have applied, with or without reasonable accommodation?required
Write a biographical sketch, including specialized training in leadership or working with your children and experience or training in other fields which might have a bearing on the position(s) for which you are applying.required
What contributions do you think you can make at Summer at King's Academy?required

 

Harassment
 
The policy is to prohibit all forms of harassment by our employees. This includes sexual, racial, religious and other forms of harassment. Note: a prior accusation is not an automatic bar to employment. This type of accusation and when it occurred will be evaluated before any decision is made.
Have you ever been accused of harassment of any person including, but not limited to, workplace harassment?required
If yes, please explain:required

 

Criminal Record
 
Note: a prior conviction is not an automatic bar to employment. The type of conviction and when it occurred will be evaluated before any decision is made.
Have you ever been convicted of a crime, other than a minor traffic offense?required
If yes, please explain:required

 

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I authorize:required
Note: The deadline to apply is May 1, 2023.