Personal Information
First Name: Middle Name: Last Name: E-mail address: Cell Phone#: Date of Birth:
Present or School Address:
Street: City: State: Zip: Phone: Dates you expect to be at this address and phone (mm/dd/yy):
Permanent Address:
Same as School Address
Street: City: State: Zip: Phone: Dates you expect to be at this address and phone (mm/dd/yy):
Employment Opportunities
Position(s) Applying For:
Available to work:
From: (mm/dd/yy): To: (mm/dd/yy):
Spring Break Dates:
From: (mm/dd/yy): To: (mm/dd/yy):
How did you learn about Gyynn Valley?
Alumni Years:
Friend Name:
Internet Website:
Staff Fair Where:
Other:
Education
Name of College/University:
Major:
Year:
Please Select Freshman Sophomore Junior Senior Degrees Granted/Year:
Name of College/University:
Major:
Year:
Please Select Freshman Sophomore Junior Senior Degrees Granted/Year:
Name of College/University:
Major:
Year:
Please Select Freshman Sophomore Junior Senior Degrees Granted/Year:
Employment/Work History
List all information for the last four summers/years.
Name of Employer/Immediate Supervisor:
From: (mm/dd/yy):
To: (mm/dd/yy):
Address:
Phone:
Nature of Work:
Reason for Leaving:
Name of Employer/Immediate Supervisor:
From: (mm/dd/yy):
To: (mm/dd/yy):
Address:
Phone:
Nature of Work:
Reason for Leaving:
Name of Employer/Immediate Supervisor:
From: (mm/dd/yy):
To: (mm/dd/yy):
Address:
Phone:
Nature of Work:
Reason for Leaving:
Name of Employer/Immediate Supervisor:
From: (mm/dd/yy):
To: (mm/dd/yy):
Address:
Phone:
Nature of Work:
Reason for Leaving:
Camp Experience
Camp:
Director Name:
Location:
Position:
Please Select Camper Staff From: (mm/dd/yy):
To: (mm/dd/yy):
Camp:
Director Name:
Location:
Position:
Please Select Camper Staff From: (mm/dd/yy):
To: (mm/dd/yy):
Camp:
Director Name:
Location:
Position:
Please Select Camper Staff From: (mm/dd/yy):
To: (mm/dd/yy):
References
Give names and contact information of 3 persons, or places of employment, who have knowledge of your character, experience and abilities. Please do not list relatives or friends . After completing this application, you will be prompted to print out reference forms. Please ask your references to complete the forms and mail to Gwynn Valley Camp.
Name: Relationship to you: Address: City: State: Zip Code: Phone Number:
Name: Relationship to you: Address: City: State: Zip Code: Phone Number:
Name: Relationship to you: Address: City: State: Zip Code: Phone Number:
Getting To Know You:
The following questions are designed to help us get to know you better and give you a chance to understand more of what your role in camp might be. They are very important and a mandatory part of the application process.
Autobiographical essay - tell us about yourself (family, education, social, etc.) and any other experiences which make you an excellent candidate for this position.
Why are you interested in working at a camp? Why Gwynn Valley specifically?
Describe all experiences you have had with children (including their ages and your responsibilities).
Please describe all leadership positions you have held and the related responsibilities.
What do you see being your greatest challenges with the lifestyle at camp? How will you manage these?
We are a non-sectarian camp - our campers and staff are of many faiths. We sing blessings at each meal and hold a service on Sundays. Would you be comfortable in this setting? If not, please explain why?
If you are interested in working with our Wilderness Program for Mountainside (ages 11-13) or Riverside (ages 13-14), please explain your experience with this age group and your outdoor experience / skills.
If you are interested in working in our Day Camp program, please explain why and list any personal experience you have had with other day camps.
If you are interested in working with our support staff (kitchen, maintenance, housekeeping, laundry, medical, office, etc) please describe your experience and explain why you are interested in doing this job in a camp setting.
Certifications & Completed Workshops:
Skills & Experience:
Check the areas you feel qualified to instruct:
Please describe in detail your experience, qualifications, teaching experience, and aptitude for your top three (3) skill areas listed above. Please also include any experience involving children in these skill areas.
I have answered all questions honestly and accurately and I have no problem complying with the type of lifestyle indicated by camp and camp policies. I also gives permission for the camp to check employment history, references, criminal records, and driving records. In the event of employment, I agree to
abide by all operating procedures and policies and to be in compliance with Gwynn Valley's Drug/Tobacco/Alcohol-Free Workplace Policy.
Yes
Consent For Release Of Employee Information
PROTECTIVE SERVICES/CRIMINAL RECORD/MOTOR VEHICLE CHECK/CREDIT HISTORY REPORT for Gwynn Valley Camp, 301 Gwynn Valley Trail, Brevard, NC 28712
I understand that Gwynn Valley Camp has a practice of requesting a background check which could
include protective services/criminal record check/motor vehicle check/credit history report on
prospective employees prior to contract confirmation. I hereby authorize Gwynn Valley's Insurance
Carrier to conduct a Motor Vehicle Records check and release that information to Gwynn Valley Camp.
Other names records may be filed under:
Please list location of residences for the past 5 years (school and home counties):
City: State: Zip: County: Area Code:
City: State: Zip: County: Area Code:
City: State: Zip: County: Area Code:
City: State: Zip: County: Area Code:
City: State: Zip: County: Area Code:
By signing below you agree to the following statement:
I hereby grant permission to authorize the above-mentioned checks and give permission to allow verification of any information given on my application. I understand that failure to provide accurate information may result in nullification of offer or termination. I understand that the information obtained will become part of my employment application.
Gwynn Valley Camp is an equal opportunity employer and does not discriminate on the basis of race, color, sex, religion, disability, national origin, or ethnic origin.
Sign and Date
Applicant Signature: Date: (mm/dd/yy):
