2012 Camp Guggenheim Summer Camp Staff Application
New Staff Only
The Roman Catholic Diocese of Ogdensburg
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
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:
Virtus Trained.
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.
REFERENCES:
Give the names and addresses of three people other than relatives and peers who have knowledge of your ability to work with teenagers and your character. Please include your Campus Minister or your Pastor in this list. Please ask each of these people to write a letter of recommendation for you and forward it under separate cover to: Office of Youth Ministry, P.O. Box 369, Ogdensburg, NY 13669 by March 1, .
Name |
Title/Position |
Complete Address |
Phone Number |
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)
EDUCATION:
| Name of School/College | |
| Major: | |
| Degree Earned: | or |
| Years completed by the close of the current school year | |
EMPLOYMENT:
Dates |
Employer/Contact Person |
Address |
Telephone |
Type of Work |
SUMMER CAMP EXPERIENCE
Were you ever a camper at a summer camp? If so, indicate what camp(s), including general address and dates.
In what ways do you feel that you could contribute to Camp Guggenheim as a staff member?
What contribution(s) do you think a good camp experience makes to youth?
Many of our campers will have questions regarding faith and God. Where are you, at this point in your life on your own faith journey?
Write a paragraph that describes your personality.
The summer season is slated to run TBA, and the required First Aid Training will be announced. When are you available to serve with us?
Availability:
NOTIFICATION AND AGREEMENT
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. Ex. 000-000-0000 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.)