Application

Application
Staff Main

YMCA Camp Chandler Staff Application

This is the complete staff application form. To be considered for any of our staff positions, complete an application. You can submit the application online or you can << print the form >> and mail it to YMCA Camp Chandler, P.O. Box 2336, Montgomery, AL 36103. Items in BOLD are required.

Position Applying For:

Personal Information:
First Name:
Middle Initial:
Last Name:
Birthday: format - mm/dd/yy	/ /19

Current Address:
Address:
City:
State & Zip Code:	,
Phone: format - (XXX) XXX-XXXX
E-mail Address:

Permanent Address:
Address:
City:
State & Zip Code:	,

Emergency Contact:
Name:
Phone: format - (XXX) XXX-XXXX

YMCA Experience:
Have you worked for another YMCA?	Yes No
If so, when, where and position?

Work Experience: #1 (Start with most recent )
Company Name:
Address:
Phone: format - (XXX) XXX-XXXX
Supervisor Name:
Employed Period: format - mm/yy	From: To:
Job Title and Description of Work:

Work Experience: #2
Company Name:
Address:
Phone: format - (XXX) XXX-XXXX
Supervisor Name:
Employed Period: format - mm/yy	From: To:
Job Title and Description of Work:

Work Experience: #3
Company Name:
Address:
Phone: format - (XXX) XXX-XXXX
Supervisor Name:
Employed Period: format - mm/yy	From: To:
Job Title and Description of Work:

Personal Reference: #1 (Adult Non-relatives Only; i.e., teachers, school officials, past employers, etc.)
Name:
Relation:
Phone: format - (XXX) XXX-XXXX
Address:
City:
State & Zip Code:	,

Personal Reference: #2 (Adult Non-relatives Only; i.e., teachers, school officials, past employers, etc.)
Name:
Relation:
Phone: format - (XXX) XXX-XXXX
Address:
City:
State & Zip Code:	,

Personal Reference: #3 (Adult Non-relatives Only; i.e., teachers, school officials, past employers, etc.)
Name:
Relation:
Phone: format - (XXX) XXX-XXXX
Address:
City:
State & Zip Code:	,

Education:
Name:
Location:
Years Attended
Graduation Date:
Courses/Major:
High School/College/Other:

Information:
1. Camping Experience: Name of Camp Years attended as Camper Years as Staff Positions Held:
2. List Clubs, Sports, Church, School, Youth Related Activities, Scouts or volunteer work you have participated in and offices held. List Dates, as well:
3. Honors and Achievements:
4. Are there any dates between June 1 and August 20 that you cannot work? If so, please list:
5. Have you ever been convicted of a felony? If so, please explain:	Yes No

Each counselor has skill responsibilities. Please indicate areas in which you have knowledge. Double check those areas, which you could teach. Motivation and desire to teach and learn are more important than an abundance of skill.

SPORTS- LAND ACTIVITIES:

Low Ropes Course	Football	Horseback
High Ropes Course	Volleyball	Soccer
Arts & Crafts	Basketball	Softball
Tent Camping	Hiking	Tennis

ADVENTURE PROGRAM:

Archery	Rappelling
Riflery - NRA	Floor Hockey
Instructor Rock Climbing	White Water
Orienteering

AQUATICS:

Fishing	Lifeguard
Canoeing	Water Skiing
Scuba/Snorkeling	Boat Driver
Sailing	Swim Lessons

Date of Life Guard Certification Expiration:
Format - mm/dd/yyyy

/ /

GROUP LEADERSHIP:

Bible Study	Song Leader	Group Games
Devotional Talks	Skits	Storytelling

NATURE STUDY:

Tree/Plant Identification

Animal Study

Paper/Candle Making

Please write a paragraph about yourself and why you believe you would make a good staff member of YMCA Camp Chandler:

The sole purpose of the use of the Social Security number and Date of Birth is to obtain criminal background checks. Discrimination because of race, creed, color, national origin, sex, or age is prohibited. The YMCA is an equal opportunity employer.