RM_StatsCamp Ollin Staff ApplicationUsername *Password *Password must be at least 7 characters long.Enter password again *Staff ApplicationApplication Instructions Use the Continue and Back buttons on each page to navigate through this online form. Required fields are in red asterisk (*) . This application is for a paid or internship staff position at Camp Ollin. If you have any questions, please contact the camp office at 971-301-2291 or email. Thank you for your interest in joining the Camp Ollin family for the summer of 2018!Email *General InformationGeneral InformationFirst Name *Last Name *Birthdate *Age *Gender * Male Female Please upload a current photo of yourself. *Staff PositionsStaff PosiitionsAlthough most first year staff will be general counselors, please select one or more of the positions below if you have a skilled background.Counselor Each counselor is paired with another counselor and assigned a tent which they will make a family for a week while at camp. Our goal is that every member of the Camp Ollin family, staff and campers alike, leave camp having built new and lasting friendships, learned new skills, enjoyed the value of each other's stories and camp traditions, but most importantly, created memories to last a lifetime. Lifeguard Lifeguard is paired with the Medical personnel and assigned to monitor all aquatic activities during the camp. Our goal is that every camper and staff have fun and safe interactions with Oregon waters. Medical Personnel Medic personnel is paired with off-duty Lifeguard and assigned to monitor all health and safety throughout all activities during the camp. Our goal is that every campers and staff have a fun and safe experience visiting the Oregon coast. Cook Cook personnel is paired with a off-duty staff and assigned to monitor all diets and food demands during the camp. Our goal is that every campers and staff have a fun, delicious, and safe taste-bud with outdoor cooking. Permanent AddressPermanent AddressPlease complete the following.Permanent Address State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Home Phone *Mobile Number *At any point during the year do you reside at an alternative address? * Yes No An Alternative Address State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming EducationEducationAre you currently enrolled in school? * Yes No School NameMajor or DegreeHighest Level Attained Degree *Select an optionNoneGEDHigh School DiplomaAABA/BSMA/MSPhDSelect the Highest Degree You AttainedEmergency ContactsEmergency ContactsIn the event of an emergency, please provide two alternate contacts.Contact #1 First Name *Contact #1 Last Name *Contact #1 Relationship *Contact #1 Phone Number *Contact #1 Mobile Number * Contact #2 First Name *Contact #2 Last Name *Contact #2 Relationship *Contact #2 Phone Number *Contact #2 Mobile Number *Employment HistoryEmployment HistoryPlease list your most recent previous employers and your volunteer experience below.Employment History #1Employer *Position *Address * State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Phone Number *Email *Can we contact this employer? * Yes Do not contact this employer Employment History #2EmployerPositionAddress State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Phone NumberEmailCan we contact this employer? Yes Do not contact this employer Employment History #3EmployerPositionAddress State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Phone NumberEmailCan we contact this employer? Yes Do not contact this employer Camp ExperiencePrevious Camp ExperienceHave you ever worked at or attended another camp? * Yes No OtherIf YES, Please provide detailsPlease provide any additional information regarding your skills and qualifications. *CertificationsFood Handler - Oregon issued certificate * Yes No Expiration DatePlease upload the scanned or a picture of your certificate here. Food Handler - Other state issued certificate * Yes No Expiration Date *Please upload the scanned or a picture of your certificate here. First Aid * Yes No Expiration Date *Please upload the scanned or a picture of your certificate here. CPR * Yes No Expiration Date *Please upload the scanned or a picture of your certificate here. Lifeguard - Ocean Lifesaving or similar certification * Yes No Expiration Date *Please upload the scanned or a picture of your certificate here. Lifeguard- general certification * Yes No Expiration Date *Please upload the scanned or a picture of your certificate here. Nurse certification (CNA, LPN, RN, etc.) * Yes No Expiration Date *Please upload the scanned or a picture of your certificate here. Do you have other certification not listed here? If so, please add here with type of certification and expiration date.Additional QuestionsAdditional QuestionsAre you available to work from Monday July 16th to Friday July 27th, 2018? * Yes No How many years of experience with ASL have you had? *Explain your experience with using American Sign Language (ASL) *Are you able to perform the essential functions of the job for which you have applied, with or without reasonable accommodations? * Yes No Our camp program is a smoke-free environment. Are you able to refrain from smoking while at camp, during camp trip, and other camp related activities areas? * Yes No We have a zero tolerance policy with respect to drugs and underage drinking. As a staff member, will abstaining from drugs or alcohol consumption, including marijuana, be a problem for you? * Yes No At Camp Ollin we follow a dress and appearance code and strive to maintain a professional appearance. Are you willing to follow the dress code as outlined on the website? * Yes No Have you ever been convicted of a felony or misdemeanor? * Yes No Have you ever been charged with DUI (Driving Under the Influence of alcohol or other drugs)? * Yes No Have you ever (1) been adjudged liable for civil penalties or damages involving sexual or physical abuse of a child, (2) been subject to a court order involving sexual or physical abuse of a child, or (3) had your parental rights terminated because of sexual or physical abuse of a child? * Yes No ReferencesReferencesCharacter is an important piece of our hiring process. To move forward in the application process, please provide a minimum of three references below.PLEASE NOTE: At least 3 references should be from a professional reference, including past employers or teachers. Co-workers, friends, or family cannot be used as references. Please provide a frequently checked email address for each reference, as the reference request form will be automatically sent to the email address provided.Reference Information #1First Name *Last Name *Title *Relationship *Years known *EmailPhone NumberCompanyAddress State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Can we contact this reference? * Yes No Reference Information #2First Name *Last Name *Title *Relationship *Years known *EmailPhone NumberCompanyAddress State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Can we contact this reference? * Yes No Reference Information #3First Name *Last Name *Title *Relationship *Years known *EmailPhone NumberCompanyAddress State or Region Alabama Alaska Arizona Arkansas Armed Forces America Armed Forces Europe Armed Forces Pacific California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Can we contact this reference? * Yes No TermsTerms & ConditionsBy submitting this application, you are confirming that all information contained therein is true.By entering my electronic signature below, I affirm that I have read and agree to the terms and conditions in this application. * Yes, I agreed No, I disagreed By entering my electronic signature below, I acknowledge that a background check may be performed on me. * Yes, I agreed No, I disagreed Signature * Note: It looks like JavaScript is disabled in your browser. 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