Wellspring Camps
42675 Road 44
Reedley,CA 93654
Tel 866 364 0808
Fax 559 638 2685
www.wellspringcamps.com

E M P L O Y M E N T   A P P L I C A T I O N

Required fields are indicated by an *

First Name *
Last Name *
Gender *Male Female
Date of birth *
Applying for position *
Preferred location (please select top 2 choices) *
Phone 1 *
Phone 2
Email Address *
What dates are you available this summer for work? (start to end) *
Please attach/upload a MS Word compatible resume *

Please answer yes or no to each of the following items:
(Answering NO will not necessarily make you ineligible for a position)
Are you at least 21 years old? *Yes No
Are you looking for an academic internship opportunity? *Yes No
Do you have a valid driver's license? *Yes No
Have you been a licensed driver for at least 3 years? *Yes No
Do you have a clean driving record? *Yes No
Do you have a bus Drivers License or CDL? *Yes No
Are you a smoker? *Yes No
Can you walk or run 1 mile in 10mins or less? *Yes No
Do you have current CPR/First-Aid Certification? *Yes No
Do you have previous work experience at a summer camp? *Yes No
Do you have on-the-job experience working with children? *Yes No
Do you have experience working with a special-needs population *Yes No

Permanent Address
Address 1 *
Address 2
City *
State *
Country *
Zip *
 
Birthplace *
Citizenship *

School/Current Address
Address 1 *
Address 2
City *
State *
Country *
Zip *
To which address should we send mailings *Home/Permanent School/Current

Driver's License # *
Driver's License State and/or Country *
College/University *
Present Occupation or Current Year in school *
Graduation Date *
Major or Degree *
How did you hear about Wellspring *
Career Objectives *
 

Qualifications:
Check the activities that you are qualified to lead:

Yoga and/or Pilates
Group Exercise Instruction
Martial Arts Instruction
Dance
Swimming
Culinary
Nutrition
Camping and Hiking
Canoeing and/or Kayaking
Mountain Biking
Rock climbing
Ropes course

If you currently have, or have ever had, AMERICAN RED CROSS, YMCA/YWCA, CANADIAN RED CROSS, OR ELLIS ASSOCIATES CERTIFICATES in any of the following areas, please provide the expiration date. Otherwise, please leave the field empty. Enter the date in the form mm/dd/yyyy (ex. 01/17/2005)
CertificationProfessional BodyExpiration
CPR
Basic First Aid
AED
Advanced Wilderness First Aid
Wilderness First Aid
Wilderness First Responder
Emergency Medical Technician or Wilderness Emergency Medical Technician
Ropes Instructor
Rocks Instructor
Canoe and/or Kayak
Lifeguarding
Other. Please List.
 
Swimming Ability: * Weak Average Strong
Rate comfort at Camping: * Weak Average Strong
Do you have any military experience? If so, explain *
Do you play any musical instruments? If so, which one(s)? *

Past Employment: Please list past three jobs *
DatesEmployerCity/StateNature of Work

Please indicate any employers whom you would prefer that we not contact and state the reason for this request
Have you ever worked at another camp? If yes, please list below *Yes No

Past Camp Employment
DatesEmployerCity/StateNature of Work


Please list 3 professional references *
NameEmailCell #


Lack of experience is not necessarily an obstacle to employment

What do you feel are your greatest strengths? *
What is/was one of your greatest struggles, and how did you deal with it? *
If you were in charge of hiring staff, what would be the most important question you would ask them? *
What does 'living a healthy lifestyle' mean to you? What do you do day to day to live in good health? *
Considering how important role modeling is to Wellspring, how would you be a role model for our programs? *
How often do you exercise (defined as > 30 minutes of brisk walking per dose)? *
What types of exercises do you do over the course of a typical week? *
Describe your current and past participation in sports (what sports, proud accomplishments, etc.). *
Have you ever taught or coached others in exercise or sport? If so, please describe. *
Please describe what you consider a healthy diet to be. *
What percentage of calories from fat would you guess Americans typically eat? What do you think would be the ideal percentage of calories from fat? *
Please write a few paragraphs explaining why you want to work for Wellspring Camps.