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Cuyuna Camp Staff Application

Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status or the presence of a health problem or handicap that is unrelated to the person's ability to perform the job assigned.

Personal Contact Information
Full Name:
Work Phone:
Home Phone:
Cell Phone:
E-mail:
 
Permanent Address
Street Address:
Address (cont.):
City:
State:
Zip Code:
 
Temporary Address (if applicable)
Street Address:
Address (cont.):
City:
State:
Zip Code:
 
Are you 21 or over?  
If not, how old?  
   

Scouting Experience

No scouting experience is required for a job, only a desire to have fun and work with kids!
 

Scout Troop:
Current Rank:
What leadership positions have you held?
Previous experience at camps:
Previous positions at camps:
   

In the box below, explain why you want to work on camp staff. 
Feel free to include any other information that you would like us to know.

 

What positions would you like to hold at Cuyuna Scout Camp?
(Number your top 3 job preferences in order, using "1" as your top choice.)
21 Aquatics Director 18 Commissary Manager 16 Aquatics Specialist
21 Business Manager 18 Commissioner 16 Foxfire Specialist
21 C.O.P.E. Director 18 C.O.P.E. Instructor 15 Ecology Specialist
21 Health Officer 18 Eagle Trail Director 15 Eagle Trail Specialist
21 Program Director 18 Ecology Director 15 Quartermaster
21 Shooting Sports Dir. 18 Foxfire Director 14 Counselor in Training
18 Archery Instructor 18 Trading Post Manager

* Numbers are the minimum age required.
   
     

Have you participated in any of the following activities
or hold any of these certifications?

Check if Yes Type of Certificate Expiration Date
BSA National Camp School
Red Cross W.S.I./Lifeguard
Lifeguard B.S.A.
NRA Instructor
E.M.T./Nurse/MD
Red Cross First Aid
C.P.R.
Woodbadge/Other Scout Training
Other:
     

Which have you earned, or if over 18, feel qualified to instruct?

Archery Geology Shotgun
Astronomy * Hiking Small Boat Sailing
Backpacking Indian Lore Soil & Water Conservation
Basketry Insect Study * Swimming
Bird Study Leather Work Weather
* Camping * Lifesaving Wilderness Survival
Canoeing Mammals Study Wood Carving
Climbing Metal Work  
C.O.P.E. Nature Tenderfoot
Cooking Orienteering 2nd Class
* Emergency Preparedness * Personal Fitness 1st Class
* Environmental Science Pioneering Totin' Chip
* First Aid Reptile & Amphibian Study Firem'n chit
Fish & Wildlife Management Rifle Paul Bunyan Woodsman
Fishing Rowing Mile Swim BSA
Forestry   Snorkeling BSA
     

Other Questions
Highest educational institution attended:
Diplomas, certificates, or degrees:
Have you ever been convicted of a crime:
If "Yes", explain:
Do you used illegal drugs?
If "Yes", explain:
List activities or hobbies:
List awards, societies, honors, etc.:
(include OA honor)
Dates Available:
Salary Expected:  $
   

References

Please list three references other than parents or relatives whom we may contact regarding your application.  Examples:  Teachers, Principal, Minister, Former employer, etc.
 

Name Address and Phone Number Relationship
(no relatives!)
     

Signatures

All the statements on this application are true to the best of my knowledge and I meet the age requirements of the jobs applied for.  I understand that a personal interview may be required prior to my being offered a position on Cuyuna Camp Staff.
 

Entering my full name in the space below will constitute a digital signature on this application for the purpose of being considered for a position on Cuyuna Camp Staff.  I recognize that if I am under the age of 18, I must have my parents actual written signature before being offered a position on Cuyuna Camp Staff.

Applicants Full Name:
Date:
Parents full name: (if under 18)
Date:
     
     
 
 

  

  

 
 
The mission of the Boy Scouts of America is to prepare young people to make ethical and moral choices over their lifetimes by instilling in them the values of the Scout Oath and Law.
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