Kia Kima Staff Application

Applicant E-mail Address *

Applicant Address *

Line 1

Line 2

City

State

Zip Code

Country

Applicant Gender *

Male Female

Birthday (DD/MM/YYYY) *

Scouting Background

Years in Scouting *

Current/Past Unit Positions *

Are you a member of the Order of the Arrow? *

Ordeal Brotherhood Vigil I am not.

Camp Background

Years at camp as staff: *

Please list past staff positions and years. *

Did you participate in the Camp Staff Development (C.S.D.) program? *

Yes No

Please list any specialized trainings or certifications that might be relevant. *

Character and community Involvement

Please describe any church, school, or community activities in which you are involved. *

What are your hobbies? *

How has Scouting benefited your life? *

Please list any awards, recognitions, or honors you have received. *

What areas of Scouting and/or outdoor skills/adventure do you like best? *

Staff Placement preferences

Please list your top three desired positions at camp. *

In what areas of camp do you feel most qualified to instruct? *

What merit badges have you earned that are relevant to the camp program? *

Why do you want to work on the Kia Kima Staff? *

Is there anything else you would like to tell the hiring committee (other relevant work experience, etc.)? *

References

Please list two references whom we can contact to discuss your potential employment at Kia Kima. Please list the name, phone number, and e-mail address for both references. You may list titles or other information, too, but this information not required.

Availability

Please list the dates your are available to work this summer. *

Would you like to work in Camp Osage or Camp Cherokee? (Placement will be wherever you are most needed.) *

Camp Osage Camp Cherokee No preference

Submit your application

Please review this application carefully to affirm that the information is correct, to the best of your knowledge. In signing this application, you attest that the information given is true. You also agree to forfeit the right to view your employment file concerning reference information, in order to protect all parties involved. If you agree, please type your name, as you would sign it, below.