2021 Junior Staff Application

PARENTS: This application is an opportunity for your child to get some practical experience in the working world – please provide guidance but allow your child to fill out this form on their own.

All Jr. Staff positions are non-paid volunteer

Camp Anokijig is an equal opportunity employer.

Application deadline is January 18th, 2021. Applications received after this date will be considered on the basis of remaining staff opening.

First name *

Last name *

Middle initial *

Date of birth *

Month

Day

Year

Age *

Sex *

Home address *

City *

State *

Zip *

Country *

Home phone number *

Applicant's cell-phone number

Parent's cell-phone number

Applicant's e-mail address *

Parent or guardian's e-mail address *

T-shirt size *

Previous camper? *

Previous Stamper? *

Previous volunteer? *

Previous Junior Staff? *

Years completed as Jr. Staff? *

Educational Background:

School name *

Grade next fall *

City or District #

In what courses do you do your best work?

Your Last Day of School *

Month

Day

Year

Your Last Day of School for Spring 2021

2021 Summer Camp Schedule Preferences

Staff Training attendance is required by the ACA for all staff members – you must complete video training, live online training, and attend one of the Jr. Staff orientation sessions that are offered in order to be considered for Jr. Staff.

The current orientation plan includes:

1. Online Video Training to be completed by May 15th, 2020

2. Live online training (mulitple scheduling options avaialable) May 23rd - June 4th.

3. Onsite Training Options:

Jr. Staff Training (June 5 - 11) *NOTE Start date/day is a Saturday*
Alternate Jr. Staff Training (June 12 - 18) *NOTE Start date/day is a Saturday*
Alt Alt Jr. Staff Training (June 26 - July 2) *NOTE Start date/day is a Saturday*

The Alternate Orientation Sessions are available only for those who are still in school during the regular training session unless arrangements are made with the camp management. Training dates will be assigned at time of confirmation.

Choose "Yes" for all sessions that you are available to volunteer and "No" for any that you are absolutely not available.

Session 1 (June 13 - 18) *

Session 2 (June 20 - 25) *

Session 3 (June 27 - July 2) *

Session 4 (July 4 - 9) *

Session 5 (July 11 - 16) *

Session 6 (July 13 - 23) *

Session 7 (July 25 - July 30) *

Session 8 (August 1 - 6) *

Session 9 (August 8 - 13) *

Rank the sessions that you would like to work in order of preference. Number 1 should be the one you want to attend most – we will do our best to accommodate your choices. Put 0 for weeks that you are unavailable to work.

Week 1 preference *

Week 2 preference *

Week 3 preference *

Week 4 preference *

Week 5 preference *

Week 6 preference *

Week 7 preference *

Week 8 preference *

Week 9 Preference *

Number of sessions that you would like to attend. *

Do not include the Jr. Staff Training session in this count

Personal References:

Give names and addresses of three persons who have knowledge of your character, experience and/or ability (be sure to notify your references that they may be contacted by Camp Anokijig)

Reference #1 name *

Address

E-mail address

Telephone # *

Reference #2 name *

Address

E-mail address

Telephone # *

Reference #3 name *

Address

E-mail address

Telephone # *

Previous Work Experience:

List any employers or volunteer agencies you have worked for in the last 5 years. Previous employers may be contacted for verification and reference purposes

Name of agency or employer

Name of supervisor

Address

Telephone #

Job duties

Dates of employment

Reason for leaving

Name of agency or employer

Name of supervisor

Address

Telephone #

Job duties

Dates of employment

Reason for leaving

Certification Courses Completed:

Have you completed any certification courses in the following areas? If so, click the topic name below and enter the course info.

Be sure to specify the certifying agency (Red Cross, American Heart, etc.) and type (basic, advanced...)

Babysitting

Course

Expiration Date

Month

Day

Year

First Aid

Course

Expiration Date

Month

Day

Year

CPR

Course

Expiration Date

Month

Day

Year

AED

Course

Expiration Date

Month

Day

Year

Lifeguard

Course

Expiration Date

Month

Day

Year

Swim Instructor

Course

Expiration Date

Month

Day

Year

Other Relevant Courses

Course

Expiration Date

Month

Day

Year

Skill Chart

Indicate your skill-level & interest in these areas, using the following scale:

1 - No knowledge/not interested	4 - Considerable experience & Skill/ able to assist person in charge
2 - Little knowledge but interested	5 - Some leadership & teaching experience
3 - Have had experience as a participant	6 - Able to organize & teach as person in charge

NOTE: All skill programs may not be available for the "Family Style Program" however please complete the following in total in case we are able to add in the future.

Western Horseback Riding *

English Horseback Riding *

Water Games (Aquatics) *

Swimming *

Canoeing *

Kayaking *

Sailing *

Windsurfing *

Fishing *

Group Games (Landgames) *

Camping Skills (Trailcrafts) *

Archery *

Riflery/Firearm Safety *

Drama *

Dance *

Music (Vocal) *

Music (Instrumental) *

Arts and Crafts *

Photography *

Woodworking *

Nature Studies *

Campfire Programs *

Storytelling *

Song Leading *

Maintenance (Work Crew) *

Bookkeeping (Camp Store) *

Secretarial (Office Skills) *

For all applicants, which programs would you be most interested in working this upcoming year?

First Skill Choice

Second Skill Choice

Third Skill Choice

For returning staff, select the three skill areas you have worked the most in previous years.

Experience 1

Experience 2

Experience 3

Qualifications

Include any experience, trainings, or certifications that you believe would be beneficial to your role as an Anokijig staff member:

Activities

Any school, church or other activities in which you have participated and any positions of leadership held (Youth groups, dramatics, student government, sports, etc...)

Skills, hobbies or interests

Any skills, hobbies or interests you have that may be of use to you as a staff member

Camps

Any camps you have attended other than Camp Anokijig (What camp? What kind of camp? When did you attend?)

Experiences

Any experiences you have had at Camp Anokijig (Weekend volunteering, knighthood, skill awards, etc...) that you think would make you a good choice as a staff member

Other qualities

Any other qualities you have that would make you a good choice as a staff member

Why do you want to participate in the Anokijig Jr. Staff Leadership Program?

What motivates you to be an Anokijig Jr. Staff.

Your responses on this portion will remain confidential.

Do you use illegal drugs? *

Have you ever been charged with child neglect or abuse? *

Have you ever been convicted of any crimes against children? *

Have you ever been convicted of offenses related to obscenity, pornography, or crimes involving minors? *

Have you ever been convicted of a criminal offense? *

Have you ever been adjudged liable for civil penalites or damanges involving sexual or physical abuse of children? *

Are you now or have you ever been subject to any court order involving sexual or physical abuse of a minor, including but not limited to a domestic order of protection? *

Other than the previous; is there any fact or circumstances involving you or your background that would call into question you being entrusted with the supervision, guidance, and care of young people? *

Explain any "Yes" answers in full:

Applicants Affidavit

I affirm that the information provided by me in this application is true and correct without consequential omission of any kind whatsoever. I also authorize the companies, schools, or persons named by me to give any information they may have regarding me, whether or not it is in their records. I hereby release said companies, schools or persons from all liability for any damage for issuing this information. I understand that any misleading or incorrect statements may render this application void and if accepted, would be reason for termination from the program.I authorize Camp Anokijig to investigate my personal, criminal, or work history.I fully understand and agree that the submission of this application does not obligate Camp Anokijig to offer me a position in this volunteer program, continue to accept my services in the future, or obligate me to take part in this program. I affirm that I have shared my interest in participating and applying for this volunteer positon with my parent (s) or guardian and that I will need to aquire their signature to participate.

I understand that to complete my application my parent or guardian will need to complete the Junior Staff Application Parent Approval.

Agree w/ Affidavit *

I agree to the terms in the above statement.

Applicant's signature (full name): *

Today's date: *

Month

Day

Year

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2021 Junior Staff Application

2021 Junior Staff Application

All Jr. Staff positions are non-paid volunteer

Educational Background:

Personal References:

Previous Work Experience:

Certification Courses Completed:

Skill Chart

Qualifications

Your responses on this portion will remain confidential.

Applicants Affidavit