Job Application: Youth Development Professional

Fields marked with an asterisk (*) must be filled out before submitting.

Age 15 to 17 *	Yes No
Age 18 or older *	Yes No
Education *

Early Childhood Education Units
Employment History (dates and contacts)
Please list any dates or times that you are not available to work.
Personal References (phone numbers)
Three words that describe your personality
What importance do these three traits play in working with kids?
What is your personal philosophy towards camp?
What makes a successful youth program?
Please list any special training, education or certifications you have.
Check any talents and interests you would bring to the program.	Rock climbing Sewing Soccer Cooking Swimming Painting or Drawing Football Puzzle’s and Challenges Baseball Arts and Crafts Basketball Scrap booking Hockey Public speaking Volleyball Music Group Games Dance Paintball Computer and Internet Fitness Health and Nutrition Sign Language Science and Nature Photography / Video Camping Fishing Hiking Foreign Language Lifeguard Woodworking Skateboarding Rollerblading Snowboarding or Skiing
Please list any talents not mentioned above.
How did you here about us?
Have you ever been convicted of a crime, including sex related or child abuse offenses? *	Yes No
If yes to conviction, please explain.
In checking the box below I declare that the above information I have provided is true and I can provide documentation to verify the information if needed. *	Verify true.