Riverview Camp Staff Application

Staff Information For Application

Thank you for your interest in being a camp counselor!

If you're looking for an opportunity for an exciting summer complete this application. We will contact you with complete details about our application process.

Please accept my application for:
Junior Counselor: High School age counselor training.
Senior Counselor: College age counselor.

Indicate sessions you are available to work: ** All Staff must attend Staff Orientation.
	Staff Orientation	May 24 - June 1
	Mini Session	June 1 - June 6
	1st Session	June 8 - June 20
	2nd Session	June 22 - July 4
	3rd Session	July 6 - July 18
	4th Session	July 20 - August 1

Name:

College:

College Address:

City:

State:

Zip:

College Phone:

Mobile Phone:

E-mail:

Home Address:

City:

State:

Zip:

Home Phone:

Birthdate:

Social Security #:

- -

Grade Level:

Current GPA:

Are you a U.S. citizen? Yes: No:

If no, are you authorized to work in U.S.?
Yes No

In addition to their cabin duty, each counselor is required to work in 5 activity areas each day. Please check the left boxes to indicate the activities that you would be able to help with. Check both boxes for activities you are especially qualified.

Arts & Crafts
Volleyball
Sports
Swimming
Riflery
Canoeing
Gymnastics
Guitar
Archery
Soccer
Diving
Dance
Tennis
Cheerleading
Backpacking
Rock Climbing

Riding (english)
Riding (western)
Drama
Chorus
Nature
Outdoor Living Skills
Flag Twirling
Baton
Golf
Ropes Course
Campfire Programs
Skits & Stunts
Master of Ceremonies
Worship Services
Bible Study

Please explain how you're qualified to teach the activities you have checked.

Please indicate any prior experience working at camps or with children.

Do you hold certification in any of the following disciplines.(please include the date completed)
Water Safety Intructor	date
Basic First Aid	date
Wilderness First Aid	date
Lifeguard Training	date

How did you become interested in employment at Riverview Camp for Girls.

What organizations have you been involved in?
(Young Life, Campus Crusade, FCA, BCM, CYO, Youth Groups, Sorority, etc.)

As a role model, how do you feel you can contribute to the Christian atmosphere at camp?

Background Investigations: I hereby authorize RIVERVIEW CAMP FOR GIRLS or other authorized representatives of the company bearing this release to obtain any information pertaining to my background, including any of the services noted below, for employment or volunteer purposed. I hereby fully release and discharge my prospective employer, other authorized representatives of the company, or other source providing information from all claims and damages arising out of or relating to any investigation of my background for said purposes. Please Provide Minimum 7 Years of Residential History Below.
Current Address
At address since:
Street:
City:
State:	Zip:
County:
Previous Address 1
Date from	until
Street:
City:
State:	Zip:
County:
Previous Address 2
Date from	until
Street:
City:
State:	Zip:
County:
Other Relevant Information

Riverview Counselors

Riverview Staff