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Were you ever a member of camp staff? Yes No Camp Name Location
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Phone Supervisor Inclusive Dates
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Major Responsibilities:
Program Coordinator (22) state your choice 1st 2nd 3rd CIT Coordinator (21) state your choice 1st 2nd 3rd Health Supervisor (21) state your choice 1st 2nd 3rd
Unit Leader (21) state your choice 1st 2nd 3rd Unit Counselor (19) state your choice 1st 2nd 3rd Unit Assistant (18) state your choice 1st 2nd 3rd
Waterfront Director (21) state your choice 1st 2nd 3rd Waterfront Specialist (19) state your choice 1st 2nd 3rd Wrangler (19) state your choice 1st 2nd 3rd
Crafts Specialist (19) state your choice 1st 2nd 3rd Business Manager (19) state your choice 1st 2nd 3rd Adventure Specialist (19) state your choice 1st 2nd 3rd
Nature Specialist (19) state your choice 1st 2nd 3rd
CAMPING SKILLS Primitive Camping 1 2 3 Outdoor Cooking 1 2 3 Saw use 1 2 3 Firebuilding 1 2 3 Orienteering (compass) 1 2 3 Jackknife use 1 2 3 Tent Pitching 1 2 3 Knots (square & clove hitch) 1 2 3 Hiking 1 2 3 Rock climbing 1 2 3 High Ropes Course 1 2 3 Low Ropes Course 1 2 3
SPORTS Softball 1 2 3 Volleyball 1 2 3 Group Games 1 2 3 Soccer 1 2 3 Basketball 1 2 3 Archery 1 2 3 Biking 1 2 3 Cheerleading 1 2 3 Aerobics 1 2 3 New Games (non-competitive) 1 2 3 Horseback Riding* 1 2 3 *Note style: English or Western
AQUATICS Swimming 1 2 3 Row Boating 1 2 3 Canoeing 1 2 3 Sailing 1 2 3 Diving 1 2 3 Synchronized Swimming 1 2 3 Water Exercise 1 2 3 Kayaking 1 2 3
DANCING Folk 1 2 3 Modern 1 2 3 Interpretive 1 2 3 Square 1 2 3
CREATIVE ARTS Painting 1 2 3 Weaving 1 2 3 Crafts 1 2 3 Photography 1 2 3 Other: 1 2 3 Ceramics 1 2 3 Creative Writing 1 2 3 Drawing 1 2 3 Print Making 1 2 3 Sculpture 1 2 3
DRAMATICS Acting 1 2 3 Creative Dramatics 1 2 3 Mime 1 2 3 Story Telling 1 2 3
NATURE & ECOLOGY Astronomy 1 2 3 Geology (rocks) 1 2 3 Botany (plants) 1 2 3 Birds 1 2 3 Trails 1 2 3 Environmental Education 1 2 3 Ecology 1 2 3 Aquatic Studies 1 2 3
MUSIC Play instrument 1 2 3 list:Song Leading 1 2 3
MISC. Foreign Language 1 2 3 list:
Other Interest(s):
2. SUMMARIZE courses taken or skills you have that relate to the position desired.
3. LIST EXPERIENCE in working with children, your role, and the results.
4. EXPLAIN why you are interested in working at Keyauwee Program Center?
PLEASE LIST any current certifications (i.e., ARC=American Red Cross)
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Keyauwee Program Center is an equal opportunity employer and does not discriminate on the basis of race, color, sex, religion, disability, national or ethnic origin.
PRIVACY STATEMENT