EmailMe Form - Employment Application

Camp Applying For: *
Camp Bullowa - Cub Day Camp (Stony Point, NY) 5 weeks + Webelos Weekend
Position You Are Applying For: *
Health Officer (21+, CPR)
Aquatics Director (21+, CPR, cert.)
Shooting Sports Director (cert.)
Archery Director (cert.)
Shooting Sports Instructor
Archery Instructor
Lifeguard (CPR, cert.)
Nature Director
Arts & Crafts Director
Scout Skills Director
Sports/Games Director
Den Leader
Counselor in Training (14 yrs old)
Other
CONTACT INFORMATION
Name *
First Last
Address

Street Address City State / Province / Region Postal / Zip Code
Email *
Mobile Phone *
### - ### - ####
Date of Birth:
MM / DD / YYYY
Upload Your Resume
Word or PDF Documents Only

Please Type Yes or No: *

Are you a citizen of the United States?
Have you ever worked for the BSA?
Have you ever been convicted of a felony?
If yes, when and explain:
If no, are you authorized to work in the United States?

EDUCATION
High School Name:
High School City, State:
Start Date:
MM / YYYY
End Date:
MM / YYYY
Did you graduate?
Yes
No
Still Attending
Degree:
College Name:
College City, State:
Start Date:
MM / YYYY
End Date:
MM / YYYY
Did you graduate?
Yes
No
Still Attending
Degree:
Reference: *
Please list two professional or personal references.
Full Name
Relationship
Company
Phone
Address
Reference: *
Please list two professional or personal references.
Full Name
Relationship
Company
Phone
Address
Please Upload Certifications:

Add File

Example: National Camp School, CPR/First Aid, Lifeguard, Other Certifications
Why do you want to work for the Greater Hudson Valley Council? *
Dates Available - Starting:
MM / DD / YYYY
Dates Available - Ending:
MM / DD / YYYY
SCOUTING BACKGROUND
Currently Registered As:
District and Council Name:
Member of the OA:
Yes
No
High Adventure Experience:
Yes
No
PREVIOUS EMPLOYMENT
Company
Address

Street Address City State / Province / Region Postal / Zip Code
Phone
### - ### - ####
Supervisor Name:
Start Date:
MM / DD / YYYY
End Date:
MM / DD / YYYY
Job Title:
Reason For Leaving:
Ending Salary/Hour:
$ Dollars . Cents
May We Contact Your Supervisor:
Yes
No
Job Responsibilities:
MILITARY SERVICE:
Please include branch, dates of service, Rank at discharge, type of discharge
Signature
Clear
I certify that my answers are true and complete to the best of my knowledge. If this applications leads to employment, I understand that false or misleading information in my application or interview may result in my release.

CONTACT INFORMATION

EDUCATION

SCOUTING BACKGROUND

PREVIOUS EMPLOYMENT