Camp Application - Ijams Nature Center

Ijams Nature Center
2915 Island Home Avenue
Knoxville, TN 37920
(865) 577-4717
www.ijams.org
Ijams Nature Center
Summer Day Camp
Camp Counselor Job Application
Full Legal Name: ______________________________ Name Goes By: _________________
Phone: _____________________________ E-mail address: ___________________________
Cell Phone: __________________________ Home Phone: ____________________________
Street Address: ________________________________________________________________
City: ________________________ State: __________ Zip: __________
General Information
Are you at least 18 years of age?
If “no” then when will you turn 18? ____________
Which position(s) are you interested in applying? (Check all that apply.)
Lead Counselor (must be at least 18 years of age and a high school graduate)
Youth Counselor (must be at least 16 years of age)
With which age group(s) do you feel you are best suited to work? (Check all that apply.)
4-8 year olds
9-13 year olds
Are you available to work the entire summer (June 2 – August 2)?
If not, when are you available? _____________________________________________________
Will you be attending summer school or have any other employment this summer?
Please explain: _________________________________________________________________
Education
High School Graduate?
College/University
__________________
Major Subject(s)
Years Attended
Degrees Received
Past Employment
Provide a full record of all employment - paid and volunteer. List your most recent employment first
and give a complete mailing address with phone number. Explain any gaps in employment. Use a
separate sheet if necessary. (May attach resume in lieu of completing this section)
Employer: __________________________________ Supervisor’s Name: __________________
Phone: ________________________ Street Address: __________________________________
City: ____________________________ State: ___________________ Zip: ________________
Dates Employed: _____________________________ Salary (optional): ____________________
Nature of Work: ________________________________________________________________
_____________________________________________________________________________
Reason for leaving: ______________________________________________________________
_____________________________________________________________________________
Employer: __________________________________ Supervisor’s Name: __________________
Phone: ________________________ Street Address: __________________________________
City: ____________________________ State: ___________________ Zip: ________________
Dates Employed: _____________________________ Salary (optional): ____________________
Nature of Work: ________________________________________________________________
_____________________________________________________________________________
Reason for leaving: ______________________________________________________________
_____________________________________________________________________________
Employer: __________________________________ Supervisor’s Name: __________________
Phone: ________________________ Street Address: __________________________________
City: ____________________________ State: ___________________ Zip: ________________
Dates Employed: _____________________________ Salary (optional): ____________________
Nature of Work: ________________________________________________________________
_____________________________________________________________________________
Reason for leaving: ______________________________________________________________
_____________________________________________________________________________
Any additional comments about employment: _________________________________________
List any previous experience working with children, specialized training in camping, or experience /
training in other fields which might have a bearing on the position(s) for which you are applying.
Attach a separate sheet if necessary.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Why do you want to work at Ijams Nature Center?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
What contributions do you feel you can make at Ijams Nature Center?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Describe your definition of the ultimate camp staff person.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
What experience do you hope children gain from their time at Ijams Nature Center summer camps?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Please list any training, experiences, extracurricular activities, and certifications such as First Aid,
CPR, Lifeguard, Water Safety Instructor (WSI), Wilderness First Responder, etc., that are relevant to
the position for which you are applying. Submit a photocopy of any certifications.
Certification/Training
Date of Certification/Training
Expires
Camp Activities
Place a “1” next to the activities that you could organize and teach proficiently. You must be
personally skilled and experienced. Place a “2” next to the activities you could actively assist in
teaching. Place a “3” next to activities to which you have had some exposure. If you have no
experience with an activity, leave it blank. Score these activities carefully as they have bearing on
your employment possibility.
Arts and Crafts
Nature Activities
Outdoor Recreation
_____ Singing
_____ Hiking
_____ Canoeing/Kayaking
_____ Music
_____ Insect Collection
_____ Stand-up Paddleboard
_____ Drama
_____ Tracking
_____ Rock Climbing
_____ Paper Crafts
_____ Birding
_____ Hiking
_____ Painting
_____ Orienteering
_____ Camping
_____ Pottery/Clay
_____ Mountain Biking
Other Information
Do you have reliable, dependable transportation to and from work?
Have you ever been convicted of a crime, or are there any charges pending against you for a crime
involving drugs, sex, violence, child abuse, or any felony? (If yes, explain fully on an additional
sheet.)
Are there any reasons you may have difficulty in performing any of the essential functions of the job
for which you have applied? (If yes, explain fully on an additional sheet.)
Personal References
List at least three (3) people including coworkers, teachers, coaches, etc. who have knowledge of
your character, experience, work habits, and ability. Do not include relatives or duplicate supervisors
that you listed under the Past Employment section. Provide a complete mailing address, phone
number, and email for each person.
Name: __________________________________ Relationship to you: _____________________
Street Address: _________________________________________________________________
City: ________________________________ State: ________________ Zip: ________________
Phone: __________________________________ Email: _______________________________
Name: __________________________________ Relationship to you: _____________________
Street Address: _________________________________________________________________
City: ________________________________ State: ________________ Zip: ________________
Phone: __________________________________ Email: _______________________________
Name: __________________________________ Relationship to you: _____________________
Street Address: _________________________________________________________________
City: ________________________________ State: ________________ Zip: ________________
Phone: __________________________________ Email: _______________________________
I authorize investigation of all statements herein, including any checks of criminal records and past
employment history, and release the camp and all others from liability in connection with the same. I
understand that nothing contained in the application or conveyed during any interviews is intended
to create an employment contract between me and Ijams Nature Center. I also understand that
untrue, misleading, or omitted information herein or in other documents completed or submitted by
the applicant may result in dismissal, regardless of the date of discovery by Ijams Nature Center.
Signature: ______________________________________________ Date: _________________