2012 Camp Guggenheim Summer Camp Staff Application
Alumni Only
The Roman Catholic Diocese of Ogdensburg
SUMMER CAMP STAFF APPLICATION
FOR GUGGENHEIM SUMMER STAFF ALUMNI
Please fill out application as soon as possible but no later than March 1, .
| To which of the above addresses should correspondence be sent? | |
| Date you expect to be leaving college this spring? |
Date of Birth
Education:
| Name of School/College | |
| Major: | |
| Degree Earned: | or |
| Years completed by the close of the current school year | |
Program Areas of Special Interest:
At Camp Guggenheim, staff members are part of a team. A staff member’s willingness to help out with virtually all aspects of camp living is important to our lives as a community. Staff members are typically given primary responsibilities in one of the following areas. Please indicate the areas that you are interested in working in, and identify your preferences by numbering your choices in sequence (1st, 2nd, 3rd, etc.)
Liturgical Education and Workshop
Arts and Crafts
Adventure/Low Ropes program
Waterfront
Teen Vision
Program Floater
Kitchen (Food preparation and Ordering)
Camp Medical Supervisor (NYS RN, LPN or EMT required)
CERTIFICATIONS
Please click drop down menu and select Yes for all current certifications that you hold. Also please indicate the date issued and the License Number in the space provided:
Registered Nurse – NYS License Number
Licensed Practical Nurse – NYS License Number
Emergency Medical Technician – NYS License Number
American Red Cross (ARC) Lifeguard Training
ARC Waterfront Lifeguarding Module
ARC CPR for the Professional Rescuer
American Heart Association – Health Care Provider CPR
American Heart Association – Basic Life Support CPR
ARC Lifeguard Instructor
ARC Water Safety Instructor
NYS Certified First Responder
Other:
Note: Annual recertification in CPR is needed to maintain current Lifeguarding and RTE certification.
1. What strengths do you bring to the Guggenheim staff?
2. We all return to Guggenheim for a new season as new people. How have you grown since you last worked at Guggenheim?
3. Are there any camp activities / staff responsibilities (Morning or afternoon activities, general program, kitchen staffing, team clean up, etc.) that you are not willing to assist with? If so, please explain.
4. The Summer 2010 season is slated to run from TBA. RTE Weekend is scheduled for TBA.
When are you available or not available?
NOTIFICATION AND AGREEMENT
Please read before signing
I certify that all answers given by me are true, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts on this application (or any other accompanying documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.
It is the policy of the Diocese of Ogdensburg to afford equal opportunity to all employees and applicants for employment without regard to age, race, color, sex, national origin, marital status, disability, veteran status, religion (except when deemed necessary to fulfill job obligations of the Diocese of Ogdensburg) or any other status protected by law.
I understand that if offered a position with the Diocese of Ogdensburg, I will be required to submit a background check as condition of employment. As set forth in Canon Law and the code of Pastoral Conduct of the Diocese (Section 6), the Diocese and any agencies employed by it will maintain confidentiality in creating, storing, accessing, transferring and disposing of background checks authorized by this document and all reports, papers and information relating to such background checks. The Diocese will use all information obtained for no purpose other than conducting background checks on the undersigned.
Questions regarding this statement should be directed to the employment interviewer before signing. The application will be given every consideration, but its receipt does not imply that the applicant will be employed. By signing below I acknowledge that I have read, understood and agree to the above statements.
Please make a selection. I certify that I have read the policies above and agree with them.
Person Applying (full name) A value is required.
Date: A value is required.Invalid format. Ex. mm/dd/yyyy
Phone Number: A value is required. Ext:
(By typing your full name in the Person Applying Box above you certify that everything you entered in this form is true and that you understand what is being asked of you.)