ࡱ>  iPbjbj %jj3l88888\g|D:)P)P)P)/*.U1LCCCCI.DUe$%i Ek"fA2+*/*22"fB88P)P)cgBBB2:88P)P)CB2CBBCpCP) o]2CCyg0gCk42kCB<,8888 Girl Scouts Of The Huron Valley Council Camp Linden PO BOX 969, Ann Arbor MI, 48106 (734)971-8800 or (800)497-2688 FAX (734)971-2160  HYPERLINK "mailto:jmaddock@gshvc.org" jmaddock@gshvc.org  HYPERLINK "http://www.gshvc.org" www.gshvc.org APPLICATION FOR SEASONAL EMPLOYMENT The Girl Scouts of the Huron Valley Council is an Equal Opportunity Employer and does not discriminate with regard to race, color, religion, age, sex, height, weight, national origin, disability, veterans, or marital status. PLEASE TYPE OR PRINT Today's Date:  FORMTEXT  DATE 1/23/20081/23/2008 Last Name  FORMTEXT       First Name  FORMTEXT       Middle Initial  FORMTEXT    Social Security Number  FORMTEXT       As of June 1st are you (check one)  FORMCHECKBOX 18 - 20 years old  FORMCHECKBOX  21 years or older Current Mailing Address  FORMTEXT       City, State, ZIP  FORMTEXT       Phone Number  FORMTEXT       Valid Until  FORMTEXT       Permanent Address  FORMTEXT       City, State, ZIP  FORMTEXT       Phone Number  FORMTEXT       E-mail Address  FORMTEXT       How long have you lived in the State of Michigan?  FORMTEXT    Years  FORMTEXT    Months Present occupation or school attending  FORMTEXT       Dates available  FORMTEXT       to  FORMTEXT       Where did you learn about this Girl Scout Camp Position?  FORMTEXT       Have you been convicted of a crime involving children?  FORMTEXT       Have you been convicted of a crime (other than traffic violations)?  FORMCHECKBOX  No  FORMCHECKBOX  Yes (A conviction record will not necessarily be cause for disqualification.) If yes, please state offense, date, and location.  FORMTEXT       POSITION DESIRED Please number your first, second, and third choices for desired position:  FORMTEXT    Assistant Camp Director  FORMTEXT    Program Director  FORMTEXT    CIT Director  FORMTEXT    Health Officer  FORMTEXT    Unit Leader  FORMTEXT    Arts & Crafts Director  FORMTEXT   Waterfront Director  FORMTEXT    Unit Counselor  FORMTEXT    Riding Director  FORMTEXT    Boating Director  FORMTEXT    Day Camp Counselor  FORMTEXT    Riding Instructor  FORMTEXT    Lifeguard  FORMTEXT    Naturalist  FORMTEXT    Adventure Specialist  FORMTEXT    Kitchen Manager  FORMTEXT    Kitchen Assistant  FORMTEXT    Cook EDUCATION Name of schools attended (high school, College, Graduate School) Dates Attended Degree / Diploma 1.  FORMTEXT        FORMTEXT        FORMTEXT       2.  FORMTEXT        FORMTEXT        FORMTEXT       3.  FORMTEXT        FORMTEXT        FORMTEXT       List major study and specific courses related to the positions desired: FORMTEXT       EXPERIENCE AS A CAMPER OR CAMP STAFF MEMBER Did you ever attend camp as a child?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, please complete: Type of camp:  FORMCHECKBOX  Girl Scout  FORMCHECKBOX  Other  FORMTEXT        FORMCHECKBOX  Day Camp  FORMCHECKBOX  Resident Camp Number of summers participated  FORMTEXT     Have you ever completed a counselor in training leadership program?  FORMCHECKBOX Yes  FORMCHECKBOX  No Program assistant training?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Have you ever worked as a camp staff member?  FORMCHECKBOX  Yes  FORMCHECKBOX  No If yes, please complete: 1. Name of Camp  FORMTEXT       Position Held  FORMTEXT       Type of Camp  FORMTEXT       City/State  FORMTEXT       Dates of Employment  FORMTEXT      Phone Number  FORMTEXT       Camp Director  FORMTEXT       Description of Duties  FORMTEXT       Reason for Leaving  FORMTEXT       2. Name of Camp  FORMTEXT       Position Held  FORMTEXT       Type of Camp  FORMTEXT       City/State  FORMTEXT       Dates of Employment  FORMTEXT      Phone Number  FORMTEXT       Camp Director  FORMTEXT       Description of Duties  FORMTEXT       Reason for Leaving  FORMTEXT       EMPLOYMENT/VOLUNTEER EXPERIENCE (Do not include previous camp experience) 1. Name of Employer  FORMTEXT       Position Held  FORMTEXT       Address of Employer  FORMTEXT       Dates of Employment  FORMTEXT       Phone Number  FORMTEXT       Name and Title of Supervisor  FORMTEXT       Description of Duties  FORMTEXT       Reason for Leaving  FORMTEXT       2. Name of Employer  FORMTEXT       Position Held  FORMTEXT       Address of Employer  FORMTEXT       Dates of Employment  FORMTEXT       Phone Number  FORMTEXT       Name and Title of Supervisor  FORMTEXT       Description of Duties  FORMTEXT       Reason for Leaving  FORMTEXT       AREAS OF INTEREST CIRCLE AREAS IN WHICH YOU HAVE: 1. INTEREST 2. EXPERIENCE 3. TRAINING/TEACHING EXPERIENCE CAMPING SKILLS 1 2 3 AQUATICS 1 2 3 Camp Craft  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Swimming Instruction  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Outdoor Cooking  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Rowboating  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Firebuilding  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Canoeing  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Orienteering  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Sailing  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Pioneer Skills  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Diving  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Primitive Camping  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Snorkeling  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Backpacking  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Kayaking  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  NATURE/ECOLOGY CREATIVE ARTS Astronomy  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Photography  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Botany  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Painting/Sketching  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Biology  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Stained Glass/Etching  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Bats  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Pottery/Ceramics  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Nocturnal Wildlife  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Leatherwork  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Birds  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Natural Crafts  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Mammals  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Jewelry Making  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Aquatic  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Weaving/Basketry  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Forest Ecology  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Candle Making  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Reptiles/Amphibians  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  DANCE SPORTS Swing  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Softball  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Line  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Soccer  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Modern  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Volleyball  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Folk  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Archery  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Square  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  New Games/Initiatives  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Native American  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Ropes Courses  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Choreographing  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Horseback Riding  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  MUSIC OTHERS Song Leading  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Sign Language  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Piano  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  Language  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX Instrument  FORMCHECKBOX   FORMCHECKBOX   FORMCHECKBOX  (List:  FORMTEXT      ) (List: FORMTEXT      ) Other (please list  FORMTEXT      ) ACTIVITIES Briefly summarize community/school or other activities that will enable you to carry out the responsibility of the job you are seeking. Also list experience with children.  FORMTEXT       TRAINING AND SKILLS Courses taken in training or leadership Agency Place Dates  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Other Training and Experience: CERT. DATE CERT. DATE Lifeguard Training  FORMTEXT       Registered Nurse (State  FORMTEXT   )  FORMTEXT       Water Safety Instructor  FORMTEXT       Licensed Practical Nurse(State  FORMTEXT   )  FORMTEXT       Basic Swimming Instructor  FORMTEXT       E.M.T. (State  FORMTEXT   )  FORMTEXT       ARC Sailing Instructor  FORMTEXT       C. P. R.  FORMTEXT       ARC Canoe Instructor  FORMTEXT       CPR for the Professional Rescuer  FORMTEXT       Other  FORMTEXT        FORMTEXT       First Aid (Level  FORMTEXT      )  FORMTEXT       Other FORMTEXT        FORMTEXT       Licensed Driver (State  FORMTEXT   )  FORMTEXT       I hereby authorize you to check all my educational references and the personal and employment references as indicated on this application. I further authorize these references to release to you all information that they have about me (check all that apply): Present employer  FORMCHECKBOX  Present employer after accepting position  FORMCHECKBOX  Previous employer  FORMCHECKBOX _ Additional references listed  FORMCHECKBOX  Applicants Statement I certify that answers given herein are true and complete to the best of my knowledge. I authorize the Girl Scouts of the Huron Valley Council (Girl Scouts) to investigate all statements contained in this application, including records of any former employers, police departments and other references or sources concerning me. I hereby release the Girl Scouts from any liability whatsoever as a result of such inquiries and disclosures. I waive any written notice of the release of such records that may be required by state or federal law. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby acknowledge that any employment relationship with the Girl Scouts is of an at will nature, which means that the employee may resign at any time, and the Girl Scouts may discharge employee at any time with or without cause. It is further understood this at will employment relationship may not be changed by any written document, oral statements or by conduct unless such change is specifically acknowledged in writing by the Girl Scouts CEO. I agree that any action or suit against the Girl Scouts arising out of my employment or termination of employment, including but not limited to claims arising under state or federal civil rights statutes, must be brought within 180 days of the event giving rise to the claims or be forever barred. I waive any limitation periods to the contrary. Further, I agree that any action or suit as described above shall be submitted to binding arbitration before the American Arbitration Association under the National Rules for Resolution of Employment Disputes. I waive the right to pursue any action or suit in a court of law. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Girl Scouts of the Huron Valley Council. Applicants Signature: FORMTEXT       Date: FORMTEXT       Electronic Signature Return this application to: Girl Scouts of the Huron Valley Council Attention: Jason Maddock, Camp Director PO Box 969 Ann Arbor, MI 48160-0969 Fax #: (734) 971-2160  HYPERLINK "mailto:jmaddock@gshvc.org" jmaddock@gshvc.org  FILENAME \p Document1 )45 0LNbdrtմƨՖƨƌ{sdZdZd>*CJOJQJ^Jj>*CJOJQJU^JOJQJ\^JCJOJQJ^J>*OJQJ^J5CJOJQJ^J"j5CJOJQJU^J0J5CJOJQJ^J"j5CJOJQJU^Jj5CJOJQJU^J5CJOJQJ^JCJ(OJQJ^J OJQJ^J5OJQJ^JCJOJQJ^J)5U .0^4 $ 0*(a$$a$ &dP $ X a$  @ !$`' $a$ JPfPhPt <>RTVZ\ἪἄreUejCJOJQJU^JjCJOJQJU^J"j>*CJOJQJU^J"j*>*CJOJQJU^J'j>*CJOJQJU^JmHnHu"j>*CJOJQJU^J>*CJOJQJ^JCJOJQJ^J"jB>*CJOJQJU^Jj>*CJOJQJU^J>*CJOJQJ^JmHnHu HJfhjl  " $ & 0 2 N P d ׷מnמ\nמ"j>*CJOJQJU^J'j>*CJOJQJU^JmHnHu"j>*CJOJQJU^J>*CJOJQJ^Jj>*CJOJQJU^J8CJOJQJ^JjCJOJQJU^JjCJOJQJU^JCJOJQJ^JjCJOJQJU^J$jCJOJQJU^JmHnHud f h r t     B D X Z \ f h ߸߸߸߸p߸^"j>*CJOJQJU^J"jh>*CJOJQJU^J"j>*CJOJQJU^J"j|>*CJOJQJU^J"j>*CJOJQJU^J>*CJOJQJ^JCJOJQJ^J'j>*CJOJQJU^JmHnHuj>*CJOJQJU^J"jl>*CJOJQJU^J$4  j 4 H f $a$$ l/&dPa$ $ )X(a$ $ (a$$(a$ $  0*(a$ $ 0*(a$ $ 0*(a$ X Z n p r v x  " $ & 0 2 T V j l n x z " 6 ʸʦʔʂp"jR >*CJOJQJU^J"j >*CJOJQJU^J"jV >*CJOJQJU^J"j>*CJOJQJU^J"jj>*CJOJQJU^J>*CJOJQJ^JCJOJQJ^J'j>*CJOJQJU^JmHnHuj>*CJOJQJU^J)6 8 : D F np߸™‰™o߸]߸"j >*CJOJQJU^Jj8 CJOJQJU^J8CJOJQJ^Jj CJOJQJU^JjCJOJQJU^J"jN >*CJOJQJU^J>*CJOJQJ^JCJOJQJ^J'j>*CJOJQJU^JmHnHuj>*CJOJQJU^J"j >*CJOJQJU^J! 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