Wellspring Camps Employment Application

Wellspring Camps

42675 Road 44

Reedley,CA 93654

Tel 866 364 0808

Fax 559 638 2685

www.wellspringcamps.com

E M P L O Y M E N T A P P L I C A T I O N

Required fields are indicated by an *

First Name *

Last Name *

Gender *

Male Female

Date of birth *

Applying for position *

Location *

Please attach/upload a MS Word compatible resume *

Permanent Address

Address 1 *

Address 2

City *

State *

Country *

Zip *

Birthplace *

Citizenship *

Permanent Phone *

Cell Phone

Email Address *

Best time to reach you *

Driver's License # *

Driver's License State and/or Country *

Do you have a bus Drivers License or CDL? *

Yes No

Do you have a clean driver's record? *

Yes No

Can you walk/run 1 mil in 10mins or less? *

Yes No

Are you a smoker? *

Yes No

College/University *

Present Occupation or Current Year in school *

School/Current Address

Address 1 *

Address 2

City *

State *

Country *

Zip *

Current Phone *

To which address should we send mailings *

Home/Permanent School/Current

Graduation Date *

Summer Vacation Dates *

Major or Degree *

How did you hear about Wellspring *

Career Objectives *

Qualifications:

Check the activities that you are qualified to lead:

Art and Crafts
Music and Drama
Sporting Activities
Yoga and/or Pilates
Group Exercise Instruction
Dance
Games and/or Initiatives
Swimming
Personal Trainer
Culinary
Nutrition
Camping and Hiking
Canoeing and/or Kayaking
Mountain Biking
Rock climbing
Ropes course

Check the activities that you can assist in:

Art and Crafts
Music and Drama
Sporting Activities
Yoga and/or Pilates
Group Exercise Instruction
Dance
Games and/or Initiatives
Swimming
Personal Trainer
Culinary
Nutrition
Camping and Hiking
Canoeing and/or Kayaking
Mountain Biking
Rock climbing
Ropes course

If you currently have, or have ever had, AMERICAN RED CROSS, YMCA/YWCA, CANADIAN RED CROSS, OR ELLIS ASSOCIATES CERTIFICATES in any of the following areas, please provide the expiration date. Otherwise, please leave the field empty. Enter the date in the form mm/dd/yyyy (ex. 01/17/2005)

Certification	Professional Body	Expiration
CPR
Basic First Aid
AED
Advanced Wilderness First Aid
Wilderness First Aid
Wilderness First Responder
Emergency Medical Technician or Wilderness Emergency Medical Technician
Ropes Instructor
Rocks Instructor
Canoe and/or Kayak
Lifeguarding
Other. Please List.

Swimming Ability: *

Weak Average Strong

Rate comfort at Camping: *

Weak Average Strong

Do you have any military experience? If so, explain *

Do you play any musical instruments? If so, which one(s)? *

Past Employment: Please list past three jobs *
Dates	Employer	City/State	Nature of Work

Please indicate any employers whom you would prefer that we not contact and state the reason for this request

Have you ever worked at another camp? If yes, please list below *

Yes No

Past Camp Employment
Dates	Employer	City/State	Nature of Work

Please list 3 professional references *
Name	Email	Cell #

Lack of experience is not necessarily an obstacle to employment

What do you feel are your greatest strengths? *

What is/was one of your greatest struggles, and how did you deal with it? *

If you were in charge of hiring staff, what would be the most important question you would ask them? *

If desired, please write a brief explanation as to why you�d like to work at Wellspring this summer.