Name: LifeSouth Blood Drive
Start: 2022-02-04T10:00:00-05:00
End: 2022-02-04T16:30:00-05:00
Location: Chattahoochee Nature Center

Name(Required)

First Last

Phone(Required)

Email(Required)

Date of Birth(Required)

School Name(Required)

Major(Required)

T-shirt Size(Required)

Small

Medium

Large

X Large

Special Dietary Needs(Required)

Permanent Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Do you need time off during the summer?(Required)

Yes

No

Dates of training/employment fall between May 18, 2022 and August 5, 2022. Please indicate if there is any time during this period when you would not be able to work. Hiring preference is given to employees who are able to commit to the entire summer.

Since you answered yes, when?

General Information(Required)

Logistics for the summer, please check each box to acknowledge each item.

I am applying for the following position(s):(Required)

Please read job descriptions on website. Feel free to select more than one. KEY: *Please fill out additional application obtained from Debby **Additional training provided

Since your job of choice is subbing, please list when you would be able to be at camp:(Required)

Specialist/Travel Program

I have a solid idea of what this job looks like and the skills expected of me for this job

I have questions about this position or would like to learn more to see if I’m a good fit

I am lifeguard certified or willing to become one

If you are applying for a Specialist or Travel Program position, please check the boxes that apply to that position.

Travel program

I have a clean driving record

I feel comfortable driving a 12 passenger van

I meet the age requirement for this position.

Canoe

Yes

No

Archery

I understand there is an online training course I will need to complete in order to become certified by May 20, 2022

Pool

I am already certified as a lifeguard

I need certification. I feel confident in my swimming skills that I can pass the pretest for certification.

I am comfortable learning how to maintain chemical levels and cleaning with bleach

Canoe Training

I will participate in the additional Canoe Training (date TBD but will be sometime in May).

What are you hoping to get out of this summer?(Required)

What is your age group of choice and why do you feel you are a great fit for them? If there is an age group you feel uncomfortable working with why and how can we help you gain confidence with this age?(Required)

What do you like about the position(s) you have chosen?(Required)

If you had to give yourself a grade for last summer, how would you rate your personal performance? Why did you give yourself the grade you did?(Required)

How are you planning to improve your performance as a staff member at camp this summer?(Required)

I expect returners to lead by example. What areas are you an “expert” in and how are you planning to lead the way and leave your mark this summer?(Required)

How can Camp help you grow?(Required)

How can the Camp K admin team support your growth?(Required)

What was your favorite part of camp last summer?(Required)

What part of your job last summer did you feel like you thrived in?(Required)

What is one part of your job that stresses you out?(Required)

What part of last summer frustrated you the most?(Required)

Over the last 9 months what did you do with your life? Tell us about 2 things you have done, accomplished or learned since we saw you last. How will you apply those lessons/skills to your work at Camp?(Required)

Share a moment recently when you felt like an adult… or at least the most adultist person around. What was it and what did you learn about yourself in that moment?(Required)

Every year there are improvements that can be made to camp. What do you see as an improvement to make camp better? What suggestions do you have that could help this area improve?(Required)

As a returner I understand the following

Please check each box to acknowledge each item.

Each year is different(Required)

By checking this box I realize that each year at camp is different as new campers and new staff bring a new dynamic and energy. While there are constants, it’s important to remember this dynamic as you return. Returners bring a lot to the table and can pass on a lot from prior experiences. Returning to camp with an open and welcoming attitude helps to make the transition to a new summer easier and benefits everyone on our team.

Lead by example(Required)

By checking this box I realize that as a returning staff member to Camp Kingfisher I understand that I will be expected to lead by example, speak up if I see something wrong at camp, be a mentor to newer staff and campers, approach change with a positive attitude. I also understand that I will be asked to be an active participant in staff training this includes being asked to help lead in some training sessions.

Voluntary Disclosure

Have you ever been arrested or indicted for any form of child abuse, misconduct, or for any behavior that might be considered inappropriate for someone who will be working with children?(Required)

Yes

No

Have you ever been convicted or pleaded guilty to child abuse or any other felony?(Required)

Yes

No

Since you chose yes, please explain(Required)

Consent(Required)

By checking this box I realize that I am giving consent for Camp Kingfisher at the Chattahoochee Nature Center to obtain references and a criminal background check on me.

Consent(Required)

By checking this box I realize that I am giving consent for Camp Kingfisher at the Chattahoochee Nature Center to obtain references and a criminal background check on me.

Please list a few days/time we can contact you by phone to chat about this upcoming summer?(Required)

Any additional comments or concerns?

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Choice of Program(s)*
Preferred Date 1*
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Preferred Date 3*
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What is your preferred program time?*
Do you have any topics of interest that you would like us to focus on?*
Is there anything else we should know?*
Name*
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How many children will be participating in the program?*
How many adults will be participating in the program (including teachers, chaperones, and school staff)?*
Choice of Program(s)*
Preferred Date 1*
MM slash DD slash YYYY
Preferred Date 2*
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Preferred Date 3*
MM slash DD slash YYYY
What is your Preferred Program Time?
Do you have any topics of interest that you would like us to focus on?*
Is there anything else we should know?*
What type of virtual program are you interested in?*
Name*
First Last
Email*
Phone*
Name of School/Organization*
Age range/grade level of participants*
How many children will be participating in the program?*
How many adults will be participating in the program (including teachers, chaperones, and school staff)?*
Choice of Animal*
Preferred Date 1*
MM slash DD slash YYYY
Preferred Date 2*
MM slash DD slash YYYY
Preferred Date 3*
MM slash DD slash YYYY
Do you have any topics of interest that you would like us to focus on?*
Is there anything else we should know?*
Name*
First Last
Email*
Phone*
Name of School/Organization*
Age range/grade level of participants*
How many children will be participating in the program?*
How many adults will be participating in the program (including teachers, chaperones, and school staff)?*
Choice of Program(s)*
Preferred Date 1*
MM slash DD slash YYYY
Preferred Date 2*
MM slash DD slash YYYY
Preferred Date 3*
MM slash DD slash YYYY
Do you have any topics of interest that you would like us to focus on?*
Is there anything else we should know?*

Name*
First Last
Email*
Phone*
Name of School/Organization*
Name of School/Organization*
How many children will be participating in the program?*
How many adults will be participating in the program (including teachers)?*
Choice of Program*
3 Preferred Program Dates*
Do you have any topics of interest that you would like us to focus on?*
Is there anything else we should know?*

Name*
First Last
Email*
Phone*
Name of School/Organization*
Age range/grade level of participants*
How many children will be participating in the program?*
How many adults will be participating in the program (including teachers)?*
Choice of animal:*
- Box Turtle
- Snake
- Gopher Tortoise
- Opossum
- Bird of Prey
3 Preferred Program Dates*
Do you have any topics of interest that you would like us to focus on?*
Is there anything else we should know?*

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The Nature Club Dine and Discover: Snakes with Kathy Church

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