Counselor Application Form

Namerequired

First name

Last name

I will be available:required

from July 9 to August 3, 2023

Genderrequired

Male

Female

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?

Camper

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

Yes

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

Yes

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

Yes

If yes, please explain:required

Upload your resume hererequired

Attach up to 1 file with a maximum size of 10MB

No file chosen

Upload a recent photo of yourself here

Attach up to 1 file with a maximum size of 10MB

No file chosen

I authorize:required

investigation of all statements herein, including any checks of criminal records, and release the school and all others from liability in connection with same. I understand that, if employed, I will be an at-will employee unless there is an agreement or law which alters that status. Furthermore, I understand that any agreement must be in writing and signed by the designated school official. I also understand that misrepresentations of falsifications herein or in other documents completed or submitted by the applicant will result in dismissal, regardless of the date of discovery by the camp.

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

In This Section

In This Section

Contact Summer at King's

Counselor Application Form