STAFF APPLICATION Please complete CLEARLY in blue/black ink (unless completed electronically). The Boston Minuteman Council, Boy Scouts of America, is an equal opportunity employer. The Boston Minuteman Council does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical disability, military status, or unfavorable discharge from military service. In accordance with Boy Scouts of America qualifications and requirements, I hereby subscribe to the Scout Oath or Promise, Law, and the declaration of religious principle. I agree to abide by the Charter, Bylaws, and Rules and Regulations of the Boy Scouts of America. Applicants are not required to give any information on this form that is prohibited by federal, state, or local law. All camp staff members must be registered members of the Boy Scouts of America. Name: Email: Preferred Phone: Current BSA Unit: Position (if applicable): Check One: * Age 15 or under * Age 16 or older * Age 18 or older * Age 21 or older * Age 25 or older EDUCATION HISTORY SCHOOL DATES HIGHEST LEVEL SPECIAL TRAINING & CERTIFICATIONS (CPR/First Aid, Lifeguard, National Camp School, National Youth Leader Training, BALOO, etc.) TRAINING DATE SCOUTING & CAMPING EXPERIENCE (Participation and Leadership) PROGRAM / ROLE (unit position, camp staff, participant, camper, etc.) DATE Please list all employers within the last five years (if none, write NONE ): 1. 2. 3. Have you ever been convicted of a felony? Y / N Are you eligible to work in the United States? Y / N Do you have any restrictions on your availability?
For which camp session(s) are you applying? Please check all that apply: T.L. STORER SCOUT RESERVATION * June 28- August 8 BOY SCOUT DAY CAMP @ CAMP SAYRE * July 7-11 WEBELOS RESIDENT CAMP @ T.L. STORER * July 27- August 5 CUB SCOUT DAY CAMP * July 14-18 @ Camp Sayre, Milton * July 21-25 @ Camp Sayre, Milton * July 28- Aug 1 @ Camp Sayre, Milton * August 4-8 @ Camp Sayre, Milton * TBA @ Riverbend Park, Medford * TBA @ Riverbend Park, Medford * TBA @ Minuteman High School, Lexington CUB SCOUT RESIDENT CAMP @ CAMP NORSE * July 20-25 CUB SCOUT FAMILY CAMP @ CAMP NORSE * June 13-15 * August 1-3 * June 20-22 * August 8-10 * June 27-29 * August 15-17 * July 11-13 What type of position are you seeking? * Paid * Volunteer (including registration fee reimbursements) Indicate desired position(s) and specific areas in order of preference; not all camps employ each position. Please note minimum age requirements: 21 years old or older: * Camp Director * Program Director * Health & Safety Officer * Business Director * Aquatics Director * Shooting Sports Director * Rifle Range Director * COPE& Climbing Director * Provisional Scoutmaster 18 years old or older: * Camp Commissioner * Program Instructor * Site Commissioner * Dining Hall Steward * Archery Director * BB Shooting Director * Handicraft Director * Horse Director * Nature Director * Older Boy Program Director * Scoutcraft Director * Trailblazer Director 16 years old or older: * Aquatics Instructor * Climbing Instructor * COPE Instructor * Older Boy Instructor * Trading Post Manager * Trading Post Clerk * Office Manager 15 years old or older: * Lifeguard * Kitchen Staff * Den Leader * Counselor in Training (Norse only) * Nature Instructor * Scoutcraft Instructor * Trailblazer Instructor * Handicraft Instructor * Horse Instructor 14 years old or older: * Program Aide * Den Chief * Counselor in Training If applying for a program position, please note specific area(s) of interest: Give any additional information relating to the position, including Scouting experience or experience working with children:
PERSONAL SKILLS SUMMARY (please indicate certification(s) as appropriate) HAVE HAVE HAVE NO TAUGHT KNOWLEDGE TRIED INTEREST ARCHERY ARTS & CRAFTS BB SHOOTING BOATING CLIMBING CYCLING FIRST AID FISHING HANDICRAFT HIKING KNOTS/ROPES NATURE QUIET GROUP ACTIVITIES RIFLE SHOOTING SCOUTCRAFT SONG LEADING/CAMPFIRE PROGRAMS SPORTS/TEAM GAMES SWIMMING NOTES REFERENCES: List references that you will ask to submit recommendations on your behalf (either the attached Personal Reference form or a letter). References may not be related to the applicant nor be your supervisors for the job for which you are applying. If no Scouting leader, submit a character reference. References are valid for three years and must be resubmitted once three seasons have passed. Teacher/Supervisor/Colleague Phone # Scouting Leader Phone # Personal Phone # APPLICANT S ACKNOWLEDGEMENT All employees will be required to provide proof of identity and either U.S. Citizenship or evidence that they have a legal right to work in the U.S. either permanently, or are working under a temporary visa. All employees under age 16 need to obtain working papers in the state of Massachusetts or New Hampshire. Applicants are not required to give any information prohibited by Federal, State or Local Law. This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Applicants are accepted for employment on a trial basis with a probationary period and if, in our judgment, it is found during this period that the employee is not adapted to the work assigned, or that information has been misrepresented, the employment may be terminated without reason. In connection with this application, an investigation may be made requesting information as to your character and general reputation. Information as to the nature and scope of any investigation requested will be furnished to you upon written request. Applicants certify that the answers given herein are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers in any application document may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts in any application document may be cause for my dismissal at any time without prior notice. I consent to and authorize The Boy Scouts of America to contact my former employers, references, and any and all other persons and organizations for information bearing upon my qualifications for employment. I further authorize the listed employers, schools and personal references to give the Boy Scouts of America (without further notice to me) any and all information about my previous employment and education, along with any other pertinent information they may have and hereby waive any actions which I may have against either party(ies) for providing a good faith reference. APPLICANT SIGNATURE DATE PARENT SIGNATURE (if under 18) DATE
PERSONAL REFERENCE Applicant: The candidate above is applying for a position with a Boston Minuteman Council Summer Camp. He/she has identified you as someone who could speak on his/her behalf. We appreciate any insight you can share on this applicant. Reference Name: Date: Email: Preferred Phone:! Scouting Leader! Teacher/Supervisor/Colleague! Personal In what context do you know the applicant? How long have you known the applicant? Dependability Initiative Role Model Team Player Oral Expression Interpersonal Skills Integrity Creativity Problem Solving Energy Positive Attitude Best I ve Ever Seen Please rate the candidate in each of the following areas Some Superior Satisfactory Concern COMMENTS! I recommend this candidate with enthusiasm! I recommend this candidate! I recommend this candidate with reservation Additional Comments: Recommender s Signature Date REFERENCES: Please submit reference form to applicant or directly to Boston Minuteman Council, Boy Scouts of America, ATTN: Summer Camp 411 Unquity Rd., Milton, MA 02186
PERSONAL REFERENCE Applicant: The candidate above is applying for a position with a Boston Minuteman Council Summer Camp. He/she has identified you as someone who could speak on his/her behalf. We appreciate any insight you can share on this applicant. Reference Name: Date: Email: Preferred Phone:! Scouting Leader! Teacher/Supervisor/Colleague! Personal In what context do you know the applicant? How long have you known the applicant? Dependability Initiative Role Model Team Player Oral Expression Interpersonal Skills Integrity Creativity Problem Solving Energy Positive Attitude Best I ve Ever Seen Please rate the candidate in each of the following areas Some Superior Satisfactory Concern COMMENTS! I recommend this candidate with enthusiasm! I recommend this candidate! I recommend this candidate with reservation Additional Comments: Recommender s Signature Date REFERENCES: Please submit reference form to applicant or directly to Boston Minuteman Council, Boy Scouts of America, ATTN: Summer Camp 411 Unquity Rd., Milton, MA 02186
PERSONAL REFERENCE Applicant: The candidate above is applying for a position with a Boston Minuteman Council Summer Camp. He/she has identified you as someone who could speak on his/her behalf. We appreciate any insight you can share on this applicant. Reference Name: Date: Email: Preferred Phone:! Scouting Leader! Teacher/Supervisor/Colleague! Personal In what context do you know the applicant? How long have you known the applicant? Dependability Initiative Role Model Team Player Oral Expression Interpersonal Skills Integrity Creativity Problem Solving Energy Positive Attitude Best I ve Ever Seen Please rate the candidate in each of the following areas Some Superior Satisfactory Concern COMMENTS! I recommend this candidate with enthusiasm! I recommend this candidate! I recommend this candidate with reservation Additional Comments: Recommender s Signature Date REFERENCES: Please submit reference form to applicant or directly to Boston Minuteman Council, Boy Scouts of America, ATTN: Summer Camp 411 Unquity Rd., Milton, MA 02186