GSCM Building a Better World Day Camp Staff Application 2018

Please complete this entire application in one session.

For additional information, contact:

Renee Williams

4806 Seton Drive

Baltimore, Maryland 21215

Phone: 1-410-358-9711

Fax: 1-443-692-5000

E-mail: rwilliams@gscm.org

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* Date of Application

Date

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* Personal Information

First and Last Names: *

Email Address 1: *

Email Address 2 (optional)

Primary Phone Number (incl. area code): *

Phone Number 2 (optional):

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* Skype Address (if none, type "I don't have one")

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* Current Home Address

Street:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

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* Permanent Address (if different)

Street

City/Town

State/Province

ZIP/Postal Code

Country

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* Present occupation or year in school:

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* Dates you are available to work during Summer 2018 (month and day)

From:

To:

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* Where did you learn about our open Girl Scout Camp positions?

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* What is the best way to reach you?

E-mail

Primary phone

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* Which day and time (using YOUR time zone) are best to contact you?

Weekdays between 9 a.m. and 5 p.m.

Weeknights between 5 p.m. and 9 p.m.

Saturday mornings

Saturday afternoons

Sunday mornings

Sunday afternoons

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* What is your age as of June 1, 2018?

18 - 20

21 - 24

25+

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* Are you currently a registered Girl Scout?

Yes

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* If you have ever been a registered Girl Scout, indicate levels of participation.

Daisy

Brownie

Junior

Cadette

Senior

Ambassador

Adult volunteer

If you were an adult volunteer, please specify your role(s)

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* Have you ever been convicted of a crime (other than a traffic violation)?

Yes

If "yes," explain here; tell what the offense was, date and location (a conviction record will not necessarily be cause for disqualification):

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* Positions of Interest. Rate your preferences, with "1" as your first choice and "3" as your third choice.

Counselor

Health Supervisor

Camp Director

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* List experiences working with children, the purpose of the experience, and your role.

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* Education (most recent)

Name of School (high school, college, graduate, other):

Dates attended:

Degree or highest grade completed):

Major/Field of Study:

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* Education (earlier)

Name of School:

Dates attended:

Degree or highest grade completed):

Major/Field of Study:

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* Please list specific courses and experiences related to the position you want.

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* Describe any community, school, or other experiences that will enable you to carry out the responsibilities of the position you are seeking.

33% of survey complete.