First Name:
Last Name:
Email:
Gender:	Male Female
Home Address:
School/Business Address:
Home Phone:
School/Business Phone:
Cell Phone:
Best number to call:	Home School/Business Cell
Best time to call:
Date of Birth:
Are you available to interview?	Yes No
If yes, where?:
Do you have a current driver’s license?	Yes No
Answer the following two questions only if you are applying for a position requiring driving.
Do you have a current chauffeur's license?	Yes No
Do you have a commercial driver's license?	Yes No
How did you hear about Camp Tanuga?
Earliest starting date available:
Latest ending date available:
Do you speak a foreign language?	Yes No
If so, which language(s):
What is your T-shirt size:	S M L XL XXL
Do you adhere to any special dietary regiment? Please explain:

Education
College	Major	Years completed as of next June	Degree granted

Past Employment
Provide a full record of all employment and explain any gaps in your employment history.
Dates	Employer	City/State	Nature of work
Please indicate any employers you do not wish us to contact and the reason:

Camp Experience
Lack of prior experience is not necessarily an obstacle to employment.
Camp	Director	State	Camper or Staff	Dates
			Camper Staff
			Camper Staff
			Camper Staff

Program Areas

Please put 1 before the following activities you can organize and teach as an expert, 2 for those activities you can assist in teaching, and 3 for those in which you have had some useful experience.

Athletics Aerobics N/A 1 2 3 Archery N/A 1 2 3 Baseball N/A 1 2 3 Basketball N/A 1 2 3 Field Hockey N/A 1 2 3 Golf: N/A 1 2 3 Gymnastics N/A 1 2 3 Lacrosse N/A 1 2 3 Martial Arts N/A 1 2 3 Physical Fitness N/A 1 2 3 Roller Blading N/A 1 2 3 Roller Hockey N/A 1 2 3 Self Defense N/A 1 2 3 Soccer N/A 1 2 3 Softball N/A 1 2 3 Track & Field N/A 1 2 3 Trapeze N/A 1 2 3 Volleyball N/A 1 2 3 Yoga N/A 1 2 3 Outdoor Adventure Backpacking N/A 1 2 3 Fishing N/A 1 2 3 Hiking N/A 1 2 3 Horseback Riding N/A 1 2 3 Mountain Biking N/A 1 2 3 Nature N/A 1 2 3 Overnight Camping N/A 1 2 3 Rappelling N/A 1 2 3 Rock Climbing N/A 1 2 3 Ropes Course (High) N/A 1 2 3 Team Building N/A 1 2 3 Music Instruments Drums N/A 1 2 3 Classical Guitar N/A 1 2 3 Folk Guitar N/A 1 2 3 Dance Ballet N/A 1 2 3 Choreography N/A 1 2 3 Folk N/A 1 2 3 Hip-Hop N/A 1 2 3 Jazz N/A 1 2 3 Modern N/A 1 2 3 Tap N/A 1 2 3

Waterfront Canoeing N/A 1 2 3 Kayaking N/A 1 2 3 Sailing N/A 1 2 3 Swimming N/A 1 2 3 Water Polo N/A 1 2 3 Waterskiing N/A 1 2 3 Boat Driver (ski/wake) N/A 1 2 3 Wake Boarding N/A 1 2 3 Tennis Instructor N/A 1 2 3 Tournament Play N/A 1 2 3 Inter-Arts Ceramics N/A 1 2 3 Copper Enameling N/A 1 2 3 Drawing N/A 1 2 3 Jewelry/Silver N/A 1 2 3 Leather N/A 1 2 3 Painting N/A 1 2 3 Photography N/A 1 2 3 Pottery N/A 1 2 3 Tie Dying N/A 1 2 3 Woodworking N/A 1 2 3 Office Skills Computer N/A 1 2 3 Typing N/A 1 2 3 Word Processing N/A 1 2 3 Dramatics Costuming N/A 1 2 3 Directing N/A 1 2 3 Lighting N/A 1 2 3 Stagecraft N/A 1 2 3 Miscellaneous Camp Newspaper N/A 1 2 3 Campfire N/A 1 2 3 Disc Golf N/A 1 2 3 Songs N/A 1 2 3

Certifications
Please list all that apply
Certifications	Expiration Date
Lifeguard Training (LGT)
Water Safety Instructor (WSI)
Registered Nurse (RN)
Licensed Practical Nurse (LPN)
Emergency Medical Technicians (EMT)
Other Nursing Certification
CPR
First Aid
Wilderness First Responder (WFR)
Other

Which of the above activities would you like to teach? Describe your level of proficiency in each. (experience, qualifications, teams, offices held, awards won, etc.)

1) Why do you want to be a member of the Camp Tanuga Staff and what contributions will you make?

2) Children tend to gravitate toward certain people. Do children like you? Why?

3) Please write a brief biographical description of yourself, including specialized experience or training in camping or other fields, which might have bearing on the position(s) for which you are applying.

With what age group do you prefer to live?
1st Choice:	6-9 10-12 13-15
2nd Choice:	6-9 10-12 13-15

Minimum salary expected (Keep in mind we provide room, board, and travel allowance.)
Can you perform essential functions of the job for which you have applied with or without reasonable accomodations.	Yes No
If you are hired, would you desire or need housing for any person(s) other than yourself?	Yes No
If yes, how many and names:
Have you ever been convicted of a felony or misdemeanor?	Yes No
If yes please indicate the conviction, dates and circumstances:
Please keep in mind that the Tanuga campus is smoke-free. Staff are only permitted to smoke off grounds or in the upper parking lot.
Are you willing and able to comply with our zero tolerance alcohol and drug policy?	Yes No

Please submit a photo of yourself:

The statements in this application are true, complete and correct. I understand that any untrue, misleading or omission of information, herein or in other documents completed by the applicant, shall be considered sufficient reason for withdrawal of an offer or subsequent termination of employment.

By electronic submission of this application to Camp Tanuga, I understand and agree to the conditions stated above.

Please note: Processing may take some time. DO NOT hit submit multiple times. If after a few minutes you do not see a "thanks" message, hit submit again.