Why do you feel you are best suited to work with the age group(s) you selected?

Professional Certifications
Please list the names and expiration dates of any professional certifications you currently hold (for example: CPR, Water Safety Instructor, Certified Lifeguard, First Aid, Wilderness First Response, etc.):

Work Dates
Please provide the dates you are available to work this summer:

There are many opportunities for Camp Echo staff to work before and after the camp season for additional pay. If this is of interest to you, please indicate when you would be willing to work: Pre-season   Post-season

Tell us why you have chosen to apply to our camp(s) in particular:

	Please indicate areas in which you have... 0. No interest   1. Interest   2. Experience/Training   3. Instructional Ability
	Creative Arts			Sports
	Ceramics/Pottery	0 1 2 3		American Football	0 1 2 3
	Crafts	0 1 2 3		Archery	0 1 2 3
	Drawing	0 1 2 3		Basketball	0 1 2 3
	Home Cooking	0 1 2 3		Golf	0 1 2 3
	Journalism	0 1 2 3		Gymnastics	0 1 2 3
	Leatherworking	0 1 2 3		Hockey	0 1 2 3
	Natural Crafts	0 1 2 3		Lacrosse	0 1 2 3
	Painting	0 1 2 3		Martial Arts	0 1 2 3
	Photography	0 1 2 3		Mountain Biking	0 1 2 3
	Sculpture	0 1 2 3		Soccer	0 1 2 3
	Video	0 1 2 3		Softball/Baseball	0 1 2 3
	Woodworking	0 1 2 3		Tennis	0 1 2 3
	Performing Arts			Volleyball	0 1 2 3
	Acting	0 1 2 3		Other
	Comedy (Stand-up)	0 1 2 3		Other
	Costume Design	0 1 2 3		Aquatics
	Creative Writing	0 1 2 3		Canoeing/Kayaking	0 1 2 3
	Dance	0 1 2 3		Fishing	0 1 2 3
	Directing	0 1 2 3		Swimming	0 1 2 3
	Improv. Acting	0 1 2 3		Water Aerobics	0 1 2 3
	Leading Songs	0 1 2 3		Water Polo	0 1 2 3
	Lighting	0 1 2 3		Nature/Ecology
	Playing Instrument	0 1 2 3		Animal Care	0 1 2 3
	List Instrument			Astronomy	0 1 2 3
	Set Design	0 1 2 3		Botany	0 1 2 3
	Sound	0 1 2 3		Environmental Ed.	0 1 2 3
	Stage Mgmt.	0 1 2 3		Geology	0 1 2 3
	Voice Instruction	0 1 2 3		Support
	Camping Skills			Housekeeping	0 1 2
	Backpacking	0 1 2 3		Office	0 1 2
	Orienteering	0 1 2 3		Parent Relationships	0 1 2
	Outdoor Cooking	0 1 2 3		Security	0 1 2
	Primitive Camping	0 1 2 3		Maintenance	0 1 2
	Adventure			Culinary	0 1 2
	Horseriding (Western)	0 1 2 3		Other Skills
	Rappelling	0 1 2 3
	Rock Climbing	0 1 2 3
	Ropes Course (high)	0 1 2 3
	Team Initiative (low)	0 1 2 3

Choose three areas from above that you would most like to teach.

If both general counselor and specialty counselor positions were available, which would you prefer?

List any additional experience/skills you have that may apply to your position as a staff member:

Please describe your most recent experience working with children:

Please answer the following questions. If you answer "Yes" to any of these questions, please explain in the space provided below.

Explain any "Yes" answers in this space:

In order to safeguard the well-being of our campers, Camp Echo will investigate the accuracy of all information provided during the application process. This investigation may include, but is not limited to, reference checks with past employers, the military, educational institutions, volunteer organizations, civic groups, and law enforcement agencies. As an applicant submitting this form, you consent to a professionally-conducted background check. Please note that Camp Echo employees are required to cooperate with random substance abuse testing.

Important Information for Camp Echo Staff

Smoking is not permitted on camp property or during any off-site camp activities. The illegal use of any controlled substance is absolutely prohibited while you are a staff member with Camp Echo. No alcoholic beverages may be brought onto camp property, and no one is to return to camp under the influence.

It is very important that you read and understand Camp Echo's Staff Application Handbook. As a member of our staff, you will be required to adhere to these policies and guidelines as well as those described in our staff manual and as conveyed during training. The Application Handbook will give you a basic understanding of the requirements of our camp jobs so you can ensure that a position with Camp Echo is appropriate for you.

Camp work is physically, mentally, and emotionally demanding, requires long hours, mobility over a variety of terrain, and involves adherence to camp policies that may be limiting (limited time off, lack of privacy, no smoking, etc.).

Is there anything that would prohibit you from complying with this lifestyle and these policies?
Yes No

If you checked yes or require any special accommodations to perform your duties, please explain:

By submitting this form, I certify that all information I provided on this application and all other information provided as part of the application and interview process is correct and true.