FAQ

Camp Brochure

Staff Application

If you would like to download a printable version of this application to fax or mail, please click here.

Fax number:	715-356-1683
Mailing address:	Camp Agawak 7851 Agawak Rd Minocqua, WI 54548

First & Last Name:		Email:
Address, City, State, and Zip:
Home Phone:	- -	Cell Phone:	- -
What is the best day/time and way to reach you?		Are you available for an interview?	Yes No

Position Applying for:

What type of position are you interested in?
Salary desired:
Dates you are available:
How did you hear about Camp Agawak?

Age and Gender are critical occupational qualifications for the following positions: Cabin Counselor/Activity Instructor, Trip Leader, Activity Specialist, Nurse. If you are applying for one of these positions, please answer the following 2 questions:

Date of Birth:

Gender:

If you are applying for a position other than listed above, are you over 18 years of age?

Yes No

Our staff positions require that you be mobile over a variety of terrain and engage in physical activities with our campers. Do you feel that you are physically able to perform the essential functions of the position you are applying for?

Yes No.

If no, please explain:

Many positions require driving campers. If you have a valid driver’s license, please indicate the state and license number.

State:
DL #:

Camp Agawak is a smoke free, drug free, and alcohol free environment. Are you prepared to abstain from the use of drugs of any kind for the summer on camp premises?

Yes No

Do you have any visible tattoos or body piercings?

Yes No

If yes, please specify:

Education:

School 1	/ - / Dates Attended	School
School 1	Major (if applicable)	Degree Earned
School 2	/ - / Dates Attended	School
School 2	Major (if applicable)	Degree Earned
School 3	/ - / Dates Attended	School
School 3	Major (if applicable)	Degree Earned

Employment:

List chronologically the previous two years, including current employment information

Position 1	/ - / Dates Employed	Position Held	Employer
Position 1	-- Phone	Supervisor	Reason for leaving
Position 2	/ - / Dates Employed	Position Held	Employer
Position 2	-- Phone	Supervisor	Reason for leaving
Position 3	/ - / Dates Employed	Position Held	Employer
Position 3	-- Phone	Supervisor	Reason for leaving

Camp Experience:

Camp 1	/ - / Dates		Camp Name
	Director	-- Phone	Camper OR Staff/Position
Camp 2	/ - / Dates		Camp Name
	Director	-- Phone	Camper OR Staff/Position

Activities:

Please indicate if you can: LEAD (qualified to organize, teach and take charge of the activity independently), ASSIST (general knowledge and experience with the activity), OR leave blank for neither.

Activity Name	Lead	Assist	Describe your Experience
Aerobics
Archery
Arts & Crafts
Backpacking
Baseball
Basketball
Biking
Canoeing/Kayaking
Candle Making
Cooking
Dance
Diving
Drama
First Aid
Fishing
Frisbee Golf
Gymnastics
Hiking
Lifeguard Training
Overnight Camping
Photography
Piano
Riflery
Roller Blading
Running
Sailing
Snorkeling
Soccer
Softball
Swimming
Tennis
Volleyball
Water-Skiing

Please list any specific training, certifications or credentials that may be a benefit to Camp Agawak:

Are there any activities that are not listed that you are qualified to Lead/Teach? If so, please describe.

Please describe what prior experience or training you’ve had specifically working with children:

What contributions do you think you can make at Camp Agawak? And what is your greatest asset?

What contributions do you think a well-run camp can make to children?

Please describe your personality:

References:

(please provide three non-relative professional references)

	1	2	3
Name:
City/State:
Email:
Phone:	--	--	--
Relationship:

Internet Presence:

The internet is widely used and Camp Agawak is interested in protecting our campers, our reputation and our staff. So that we can learn about your presence on the internet and view sites that would be available to our campers and parents, we ask that you list any sites you are on and username or logon information needed to view these public spaces.

	Site 1	Site 2	Site 3
Internet Site
Your name on this site
Other information needed to locate your presence on this site

Other:

Have you ever been arrested or convicted of a criminal offense or at present, the subject of a criminal investigation?

Yes No

If yes, please specify:

Have you ever been charged with or convicted of sexual abuse or molestation?

Yes No

If yes, please specify:

If hired, are you willing to submit to and pass a random controlled substance test?

Yes No

By submitting this form, I give permission for Camp Agawak to conduct a criminal background check, review my motor vehicle records and view my public internet postings. I acknowledge that any future employment is dependent on the satisfactory completion of these background steps. I further certify that the answers and all information provided is true and I understand any misrepresentation or omission of facts on my part will be justification for separation from Camp Agawak, if employed.

I AGREE WITH THE STATEMENT ABOVE

Thank you for taking the time to complete this application. We will be in contact with you regarding possible employment with Camp Agawak.

Camp Agawak is an equal opportunity employer, and we do not and will not discriminate on the basis of race, religion, national origin, sex, age, handicap, marital status, or status as a disabled veteran. Information provided on this application will not be used for any discriminatory purpose.

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