Please provide the following personal information:
Please provide the following contact information:
Will you be 18 years old by July 15, 2007?
Yes
No
Do you have a valid driver's license? If so, please provide the state and number:
Indicate which of the following, if any, certifications you currently hold:
CPR - Adult
CPR (Cardio Pulmonary Resuscitation) - Child
CPR - Infant
Lifeguard
WSI (Water Safety Instruction)
First Aid
Advanced First Aid
WFA (Wilderness First Aid)
WFR (WIlderness First Responder)
EMT (Emergency Medical Technician)
Other
Please indicate for which position you are applying.
If there is a secondary position you would be interested in please indicate it here.
Concisely summarize your experiences working with children in our age range
(8-16 years old)?
What do you think you would contribute to our camp community?
What aspects of Camp Hawkeye's specific mission & philosophy are most important to you? Why?
What are the three most important things for a person working in a residential community environment with children?
Concisely explain why?
Concisely explain why you want to be a staff member at Camp Hawkeye
as opposed to another US camp?
Please provide contact information for three references, one of which must relate to your work with children, one must relate to your character, one must relate to your ability to function in a group.
Do not include friends or relatives for all three.
Reference 1:
Reference 2:
Reference 3:
Have you ever been convicted of child abuse or other sexual abuse?
Yes
No
Have you ever been accused or convicted of a felony or a misdemeanor? If yes please explain:
I understand that by completing this application I am giving Camp Hawkeye, LLC permission to do a background & reference check on me:
Yes
No
Date Completed:
-- mm/dd/yy
The statements made in this
application are true, complete and correct. I understand that any
misrepresentation of information shall be considered sufficient reason for
withdrawal of an application with Camp Hawkeye.
I hereby authorize Camp Hawkeye or its authorized
representatives bearing this release or copy thereof to obtain any information
pertaining to my employment, military, credit, criminal, driving record, workers
compensation claims, or educational records, including but not limited to
information concerning academic achievement, attendance, disciplinary actions,
criminal or civil court records, credit and driving history, character, work
habits, performance, experience and reasons for termination of past employment.
I hereby direct you to release such information at the request of Camp Hawkeye or its representatives.