City State Zip

Phone: Day ()  Evening ()

College Major Year

If college graduate, please speficy degree earned: Year

Graduate work/degrees Year

Were you ever a member of camp staff? Yes No Camp Name Location

Director Position(s) held Year
 

1. Position(s) Employer

   Address City State Zip

   Phone Supervisor Inclusive Dates

   Reason for Leaving

   Major Responsibilities:
    

2. Position(s) Employer

   Address City State Zip

   Phone Supervisor Inclusive Dates

   Reason for Leaving

   Major Responsibilities:
    

3. Position(s) Employer

   Address City State Zip

   Phone Supervisor Inclusive Dates

   Reason for Leaving

   Major Responsibilities:

Program Director (18)  state your choice 1st 2nd 3rd        Program Specialist (18)  state your choice 1st 2nd 3rd   

Unit Leader (21) state your choice 1st 2nd 3rd     Unit Assistant (18)  state your choice 1st 2nd 3rd

Waterfront Director (21)  state your choice 1st 2nd 3rd    Waterfront Assistant (18)  state your choice 1st 2nd 3rd  

 Business Manager (18)  state your choice 1st 2nd 3rd     Health Supervisor (21)  state your choice 1st 2nd 3rd

CAMPING SKILLS
Primitive Camping   1 2 3 Outdoor Cooking  1 2 3 Saw use  1 2 3 Firebuilding  1 2 3 Orienteering (compass) 1 2 3 Jackknife use 1 2 3
Tent Pitching 1 2 3 Knots (square & clove hitch) 1 2 3 Hiking 1 2 3 Low Ropes Course 1 2 3

SPORTS
Softball 1 2 3 Volleyball 1 2 3 Group Games 1 2 3 Soccer 1 2 3 Basketball 1 2 3 Archery 1 2 3
Cheerleading 1 2 3 Aerobics 1 2 3 New Games (non-competitive) 1 2 3

AQUATICS
Swimming 1 2 3 Row Boating 1 2 3 Canoeing 1 2 3 Sailing 1 2 3 Diving 1 2 3 Synchronized Swimming 1 2 3 Water Exercise 1 2 3 Kayaking 1 2 3

DANCING
Folk 1 2 3 Modern 1 2 3 Interpretive 1 2 3 Square 1 2 3

CREATIVE ARTS
Painting 1 2 3 Weaving 1 2 3 Crafts 1 2 3 Photography 1 2 3 Other: 1 2 3 Ceramics 1 2 3
Creative Writing 1 2 3 Drawing 1 2 3 Print Making 1 2 3 Sculpture 1 2 3

DRAMATICS
Acting 1 2 3 Creative Dramatics 1 2 3 Mime 1 2 3 Story Telling 1 2 3

NATURE & ECOLOGY
Astronomy 1 2 3 Geology (rocks) 1 2 3 Botany (plants) 1 2 3 Birds 1 2 3 Trails 1 2 3
Environmental Education 1 2 3 Ecology 1 2 3 Aquatic Studies 1 2 3

MUSIC
Play instrument 1 2 3 list:Song Leading 1 2 3

MISC.
Foreign Language 1 2 3 list:

Other Interest(s):

2.  SUMMARIZE courses taken or skills you have that relate to the position desired.

3.  LIST EXPERIENCE in working with children, your role, and the results.

4.  EXPLAIN why you are interested in working at GSTTC Day Camps?

PLEASE LIST any current certifications (i.e., ARC=American Red Cross)

Signature(Type your name)

Girl Scouts, Tarheel Triad Council is an equal opportunity employer and does not discriminate on the basis of race, color, sex, religion, disability, national or ethnic origin.