Camp Rockefeller STAFF APPLICATION Gus Blass Scout Reservation 2017 (RETAIN THIS SHEET FOR YOUR OWN USE) To all Scouts and Scouters: Opportunities to serve Scouting by being a member of the Camp Rockefeller Camp Staff are available to outstanding members of the. Competition for employment is keen, the jobs are demanding, and the experience is exhilarating. The minimum age is sixteen. In a few cases, some mature fifteen years old may be considered. Applicants must be a registered member of the. The principle of the Scout Oath and Law must be practiced as a way of life. The Staff must set an example of excellence in Scouting which includes the proper wearing of the Camp Rockefeller Staff Uniform. Salary is based on the position s responsibility with consideration given to the individual s experience and level of responsibility. A picture of you attached to the application is recommended. References are important and a must! Applications will not be considered without references. Review the jobs listed and indicate your first four (4) job preferences on the application. Contracts, based on needs, will be offered upon successful completion of the personal interview and only to those applicants willing to commit to working for the entire camping season. There are no short term positions available. CIT(Counselors In Training) Applicants must fill out a CIT Application. The 2017 tentative contract period is from June 2, 2017 through July 17, 2017. Mail your completed application to: 2017 Camp Staff Quapaw Area Council 3220 Cantrell Road Little Rock, AR 72202
Camp Rockefeller Staff Application Basic Personal Information Date: Name: Date of Birth: Address: _ City: State: Zip: Telephone: ( ) Mobile Phone: ( ) E-mail: Temporary Address (if applicable) Last date at this address: Current Scouting Information Place a check mark next to the current type of unit in which you are registered Troop Team Crew Ship Not Registered Unit Number: District: Rank: Indicate the length of time for your involvement with the following levels of Scouting Cub Scout: Boy Scout: Venture: Adult Leader: Current Leadership position held: Place a check mark next to your level of OA membership Ordeal Brotherhood Vigil Honor Why do you want to work at camp?
Positions Available: Minimum Age of 21 Aquatics Director R.O.C.K.S. Lead Camp Director C.O.P.E. Lead River Staff* Camp Commissioner S.T.E.M. Director Program Director GWB Lead* ScoutCraft Lead Business Manager TBA Lead** Eco/Con Director Trading Post Mgr. Minimum Age of 18 HandiCraft Lead Cook Asst. Commissioner Minimum Age of 16 Dining Hall Steward Trading Post Asst. Aquatics Staff Quartermaster Asst. Cook R.O.C.K.S. Staff Health Officer Asst. Quartermaster C.O.P.E. Staff Chaplain Office Manager S.T.E.M. Staff Shooting Sports Dir. Shooting Sports Staff ScoutCraft Staff Range Officer Pool Lead Mountain Biking Staff Outdoor Skills Dir. Waterfront Lead HandiCraft Staff S.T.E.M. Lead Eco/Con Staff *The Great White Buffalo Expedition Positions Preference: I am interested in the following camp positions. They are listed in order of my preference. 1. 2. 3. 4. Having reviewed the minimum age requirements for the above camp positions, I will meet the minimum age for the positions I am applying for by June 12, 2017. Yes No List the top ten merit badges and/or programs you feel most confident in teaching. 1. 6. 2. 7. 3. 8. 4. 9. 5. 10.
Areas of Knowledge, Experience, and/or Merit Badges: Indicate with a check mark what merit badges (MB), experience, or training you have completed. AQUATICS Swimming MB Basketry MB Lifesaving MB Indian Lore MB Env. Science MB Snorkeling Leatherwork MB Mammal Study MB Mile Swim Woodcarving MB Nature MB Rowing MB Welding MB Forestry MB Canoeing MB Music MB Weather MB Motor Boating MB Pottery MB Pulp & Paper MB Small Boat Sailing MB Kayaking MB BSA Lifeguard Astronomy MB Reptile & Amphibian Study MB ARC Basic Rescue Communications MB Geology MB & Water Safety Public Speaking MB Bird Study MB ARC Advanced Computers MB Botany MB Lifesaving Cinematography MB Soil & Water ARC Water Safety Robotics MB Conservation MB Instructor Nuclear Science MB Fish & Wildlife MB ARC Water Safety Engineering MB Fishing MB Instructor Space Exploration MB Fly Fishing MB CPR Training Photography MB Insect Study MB Date Video Editing CPR Instructor Graphic Design SHOOTING SPORTS Date The S.T.E.M Program Archery MB SCOUTCRAFT Camping MB Wilderness Survival HANDICRAFT THE ARTS AND TECHNOLOGY OLDER BOY PROGRAM C.O.P.E. Participant Climbing MB Rifle Shooting MB Shotgun MB Pioneering MB Mountain Biking MB Song Leading Geocaching MB Scout vs Wild Music Merit Badge Emergency Prep MB Spec Ops Campfires Search & Rescue MB Mountain Man Leading Games Orienteering MB Great White Buffalo Exp. Bugling ECOLOGY CONSERVATION PROGRAM EXPERIENCE Camping MB Extreme Aquatics Play and Instrument Outpost B.L.A.S.S. What Instrument(s)?
MEDICAL EXPERIENCE Medical Student Paramedic Medical Doctor Advanced First Aid Certificate CPR Training Nursing Student LPN RN EMT UNIT POSITIONS PREVIOUSLY HELD SPL ASPL Patrol Leader Asst. Patrol Leader Scribe Quartermaster Webmaster Historian Jr. Asst. Scoutmaster TRAINING EXPERIENCE National Youth Leadership Training NYLT Staff National Leadership Seminar Counselor-In-Training Leave No Trace Trainer AGFC Hunter Safety Archery Instructor Certification NRA Instructor Wood Badge Wood Badge Staff Scouter s Key Commissioner College Philmont Training Center Philmont Training Course National Camp School Certification Certification Area: Certification Date: Camp Staff Experience: Camp Year Position
Education: Name of College / School: Grade Completed: Course/ Major: Extra - Curricular Activities: Leadership Positions: Honors & Recognitions: REFERENCES REQUIRED: Adult member of your troop, team, or post, or current employer: Name: Phone #: Address: City: State: Zip: Position or Title: Community Leader (youth leader, religious leader, civic leader): Name: Phone #: Address: City: State: Zip: Position or Title: Teacher, supervisor, or associate: Name: Phone #: Address: City: State: Zip: Position or Title:
Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status or handicap. Due to the strenuous nature of some camp staff positions, medical certifications must be met by all camp staff members. DECLARATION OF PRINCIPLES: The principles of the are based on the Scout Oath and Scout Laws and one is committed to the goal of teaching young people to make ethical decisions for the rest of their lives. Do you agree with this declaration of principle? YES NO Where you referred or recommended for hire by a Camp Commissioner, Director, or Staff member? YES NO If yes, by whom were you recommended? Unit Leader Signature of Endorsement Date Applicant Signature Date Parent Signature Date (Parent s signature required if applicant is under 18 years of age) --------------------------------------------------------------------------------------------------------------------- (Office Use Only) Date of Interview: Considered for: Interviewed by: