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General Information:
Name __________________________________ M F
Social Security Number_______________ Date of Birth ___/____/____
Permanent Address______________________ Phone ( ) ___________
(Street)
_________________________________ ______________________
(City, State, Zip) (Country)
Current Address_______________________ Phone ( )____________
(Street)
______________________________________ _________________
(City, State, Zip) (Country)
I can be reached at my current address until: ______________________
Current E-Mail Address _______________________________________
Are you a U.S. Citizen? Yes No
How did you hear about us? internet (what site?) ________________
college career fair
flyer posted
friend
other ______________________
Personal Information:
Is there any health, other condition, or allergy that you have which may affect your ability to perform the
position for which you are applying, or other positions for which you may be considered? If so, please
explain.
Terms of Employment:
I understand that The Outdoor School is only able to provide housing to employees.
Yes
I Prefer to Work…
Fall Season (approximately August-December)
Spring Season (approximately February-May)
Education:
High School: School ______________________________________________
Did you receive a diploma? ______ Year of Graduation ______
G.P.A. ______
College: Current College _______________________________________
Major/Minor _______________________________________
Years Attended ______ Degree Granted ______
G.P.A. ______
College: Previous College _______________________________________
Major/Minor _______________________________________
Years Attended ______ Degree Granted ______
G.P.A. ______
References:
Please list 3 adult professionals we may contact (not relatives) who have knowledge of your character,
experience, and ability.
Reference 1: __________________________________ Relation to you ________________
Address ________________________________ Phone ( ) __________________
(street)
___________________________________________
(city, state, zip)
E-Mail Address ______________________________________
Reference 2: __________________________________ Relation to you ________________
Address ________________________________ Phone ( ) __________________
(street)
___________________________________________
(city, state, zip)
E-Mail Address ______________________________________
Reference 3: __________________________________ Relation to you ________________
Address ________________________________ Phone ( ) __________________
(street)
___________________________________________
(city, state, zip)
E-Mail Address ______________________________________
Employment History:
Present or Last Position: __________________________________________
Employer: _______________________________________________
Address: ________________________________________________
Supervisor: _____________________________________
Phone: __________________________
Email: __________________________
Position Title: ___________________________________
Dates of Employment, From: ___________To: ___________
Responsibilities: _________________________________________________
Reason for Leaving: _______________________________________________
Previous Position: __________________________________________
Employer: _______________________________________________
Address: ________________________________________________
Supervisor: _____________________________________
Phone: __________________________
Email: __________________________
Position Title: ___________________________________
Dates of Employment, From: ___________To: ___________
Responsibilities: _________________________________________________
Reason for Leaving: _______________________________________________
Previous Position: __________________________________________
Employer: _______________________________________________
Address: ________________________________________________
Supervisor: _____________________________________
Phone: __________________________
Email: __________________________
Position Title: ___________________________________
Dates of Employment, From: ___________To: ___________
Responsibilities: _________________________________________________
Reason for Leaving: _______________________________________________
Skills and Knowledge:
Please complete the section below describing your skill level in the listed disciplines. Place the following
numbers in the blanks preceding those skills that apply to your background: 1=expert, 2=advanced,
3=intermediate, 4=beginner. Leave blank if you have no specific education or experience in a particular
area. Please explain any ranking of 1 or 2 at the top of the next page.
College Courses or Extensive
Experience:
Activities/Skills: Work or Other Experience:
___ Astronomy ___ Backpacking ___ Camp Counselor
___ Biology ___ Car/Tent Camping ___ Farming/Ranching
___ Chemistry ___ Caving ___ Fishing
___ Child Development ___ Farm Animals ___ Fishing
___ Communications/Debate ___ Foreign Language ___Lifeguarding
___ Drama/Performing Arts Specify ___________ ___ Trail Maintenance
___ Ecology ___ Nature Study ___ Working with children
___ Education (level ____ ) ___ Orienteering
___ Entomology ___ Public Speaking
___ Environmental Ed. ___ Rock Climbing
___ Environmental Studies ___ Ropes Course
___ History ___ Sign Language
___ Math ___ Sports
___ Natural Science Specify ____________
___ Psychology ___ Swimming
___ Social Work
You currently hold certification in:
Certifying Body: Date of Expiration:
CPR _____________________ _____________________
First Aid _____________________ _____________________
Lifeguarding _____________________ _____________________
Ropes Course _____________________ _____________________
Other _____________________ _____________________
Please explain any ranking of 1 or 2.
Please elaborate on any skills, hobbies, pursuits, or interests you have developed. Rate
your level of skill (beginner, intermediate, advanced, expert). List awards received.
Please list any clubs, community activities, sports, church, or other organizations in which
you participate.
Please describe any experience with children you have.
What do you consider your greatest strengths?
What do you consider your greatest areas of improvement?
I understand that as an Outdoor School Instructor, I will be asked to perform many different duties. I will help
wherever needed.
I authorize investigation of all statements herein and release The Outdoor School/Camp Champions and all others from
liability in connection with the same. I understand that, if employed, I will be an at-will employee and that any
agreement of the contrary must be in writing and signed by the director of The Outdoor School. I also understand that
untrue, misleading, or omitted information herein may result in dismissal, regardless of the time of discovery of The
Outdoor School.
In connection with my application for employment, I authorize The Outdoor School to solicit information about my
background including, but not limited to, information as to my employment, education, consumer credit history, military
service, driving record, criminal record and/or public records history. I authorize all persons who may have information
relevant to this investigation to disclose said information. I release from liability all persons, companies, governmental
or other agencies and corporations disclosing such information. I hereby further authorize that a photocopy of this
authorization may be considered an original.
Signature: ____________________________________ Date: _____________________________
All statements become part of any future employee personnel files. This application stands valid for 120 days from the
date received. If The Outdoor School makes no decision regarding employment within 120 days, applicant should file
another application if he/she still desires employment.
Return Application to:
The Outdoor School
Attn: Maddie Kissane
775 Camp Road
Marble Falls, TX 78654
(800) 696-3334
(830) 598-6282

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instructor-application-for-website-updated-july-2011

  • 1. General Information: Name __________________________________ M F Social Security Number_______________ Date of Birth ___/____/____ Permanent Address______________________ Phone ( ) ___________ (Street) _________________________________ ______________________ (City, State, Zip) (Country) Current Address_______________________ Phone ( )____________ (Street) ______________________________________ _________________ (City, State, Zip) (Country) I can be reached at my current address until: ______________________ Current E-Mail Address _______________________________________ Are you a U.S. Citizen? Yes No How did you hear about us? internet (what site?) ________________ college career fair flyer posted friend other ______________________ Personal Information: Is there any health, other condition, or allergy that you have which may affect your ability to perform the position for which you are applying, or other positions for which you may be considered? If so, please explain. Terms of Employment: I understand that The Outdoor School is only able to provide housing to employees. Yes
  • 2. I Prefer to Work… Fall Season (approximately August-December) Spring Season (approximately February-May) Education: High School: School ______________________________________________ Did you receive a diploma? ______ Year of Graduation ______ G.P.A. ______ College: Current College _______________________________________ Major/Minor _______________________________________ Years Attended ______ Degree Granted ______ G.P.A. ______ College: Previous College _______________________________________ Major/Minor _______________________________________ Years Attended ______ Degree Granted ______ G.P.A. ______ References: Please list 3 adult professionals we may contact (not relatives) who have knowledge of your character, experience, and ability. Reference 1: __________________________________ Relation to you ________________ Address ________________________________ Phone ( ) __________________ (street) ___________________________________________ (city, state, zip) E-Mail Address ______________________________________ Reference 2: __________________________________ Relation to you ________________ Address ________________________________ Phone ( ) __________________ (street) ___________________________________________ (city, state, zip) E-Mail Address ______________________________________ Reference 3: __________________________________ Relation to you ________________
  • 3. Address ________________________________ Phone ( ) __________________ (street) ___________________________________________ (city, state, zip) E-Mail Address ______________________________________ Employment History: Present or Last Position: __________________________________________ Employer: _______________________________________________ Address: ________________________________________________ Supervisor: _____________________________________ Phone: __________________________ Email: __________________________ Position Title: ___________________________________ Dates of Employment, From: ___________To: ___________ Responsibilities: _________________________________________________ Reason for Leaving: _______________________________________________ Previous Position: __________________________________________ Employer: _______________________________________________ Address: ________________________________________________ Supervisor: _____________________________________ Phone: __________________________ Email: __________________________ Position Title: ___________________________________ Dates of Employment, From: ___________To: ___________ Responsibilities: _________________________________________________ Reason for Leaving: _______________________________________________ Previous Position: __________________________________________ Employer: _______________________________________________ Address: ________________________________________________ Supervisor: _____________________________________ Phone: __________________________ Email: __________________________ Position Title: ___________________________________
  • 4. Dates of Employment, From: ___________To: ___________ Responsibilities: _________________________________________________ Reason for Leaving: _______________________________________________ Skills and Knowledge: Please complete the section below describing your skill level in the listed disciplines. Place the following numbers in the blanks preceding those skills that apply to your background: 1=expert, 2=advanced, 3=intermediate, 4=beginner. Leave blank if you have no specific education or experience in a particular area. Please explain any ranking of 1 or 2 at the top of the next page. College Courses or Extensive Experience: Activities/Skills: Work or Other Experience: ___ Astronomy ___ Backpacking ___ Camp Counselor ___ Biology ___ Car/Tent Camping ___ Farming/Ranching ___ Chemistry ___ Caving ___ Fishing ___ Child Development ___ Farm Animals ___ Fishing ___ Communications/Debate ___ Foreign Language ___Lifeguarding ___ Drama/Performing Arts Specify ___________ ___ Trail Maintenance ___ Ecology ___ Nature Study ___ Working with children ___ Education (level ____ ) ___ Orienteering ___ Entomology ___ Public Speaking ___ Environmental Ed. ___ Rock Climbing ___ Environmental Studies ___ Ropes Course ___ History ___ Sign Language ___ Math ___ Sports ___ Natural Science Specify ____________ ___ Psychology ___ Swimming ___ Social Work You currently hold certification in: Certifying Body: Date of Expiration: CPR _____________________ _____________________ First Aid _____________________ _____________________ Lifeguarding _____________________ _____________________ Ropes Course _____________________ _____________________ Other _____________________ _____________________
  • 5. Please explain any ranking of 1 or 2. Please elaborate on any skills, hobbies, pursuits, or interests you have developed. Rate your level of skill (beginner, intermediate, advanced, expert). List awards received. Please list any clubs, community activities, sports, church, or other organizations in which you participate. Please describe any experience with children you have. What do you consider your greatest strengths?
  • 6. What do you consider your greatest areas of improvement? I understand that as an Outdoor School Instructor, I will be asked to perform many different duties. I will help wherever needed. I authorize investigation of all statements herein and release The Outdoor School/Camp Champions and all others from liability in connection with the same. I understand that, if employed, I will be an at-will employee and that any agreement of the contrary must be in writing and signed by the director of The Outdoor School. I also understand that untrue, misleading, or omitted information herein may result in dismissal, regardless of the time of discovery of The Outdoor School. In connection with my application for employment, I authorize The Outdoor School to solicit information about my background including, but not limited to, information as to my employment, education, consumer credit history, military service, driving record, criminal record and/or public records history. I authorize all persons who may have information relevant to this investigation to disclose said information. I release from liability all persons, companies, governmental or other agencies and corporations disclosing such information. I hereby further authorize that a photocopy of this authorization may be considered an original. Signature: ____________________________________ Date: _____________________________ All statements become part of any future employee personnel files. This application stands valid for 120 days from the date received. If The Outdoor School makes no decision regarding employment within 120 days, applicant should file another application if he/she still desires employment. Return Application to: The Outdoor School Attn: Maddie Kissane 775 Camp Road Marble Falls, TX 78654 (800) 696-3334 (830) 598-6282