Camp Kirk Staff Application

Today's Date *

Your Name *

First

Last

Pronouns

Will you be 19 years old by June 2023?

Yes
No
I turn 19 in the summer

Email *

Phone Number *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

What position(s) are you applying for? Please make sure you review our Job Descriptions on the staff section of our website before making your selection *

General Staff
Care Staff (maintenance)
Swim Staff
Ropes Course Instructor
Canoe Trip Leader
Healthcare Coordinator
Program Director
Mentorship Director
Sous Chef
Kitchen Staff
Other

To see our current job openings, please visit www.campkirk.com/jobs

What position are you applying for? *

Please rank your experience within each program area *

	No experience	Some experience	Lots of experience	Have taught/facilitated program
Swim	Swim No experience	Swim Some experience	Swim Lots of experience	Swim Have taught/facilitated program
Archery	Archery No experience	Archery Some experience	Archery Lots of experience	Archery Have taught/facilitated program
A&C	A&C No experience	A&C Some experience	A&C Lots of experience	A&C Have taught/facilitated program
Pottery	Pottery No experience	Pottery Some experience	Pottery Lots of experience	Pottery Have taught/facilitated program
Challenge Ropes Course	Challenge Ropes Course No experience	Challenge Ropes Course Some experience	Challenge Ropes Course Lots of experience	Challenge Ropes Course Have taught/facilitated program
Rock Climbing	Rock Climbing No experience	Rock Climbing Some experience	Rock Climbing Lots of experience	Rock Climbing Have taught/facilitated program
Leadership Programming	Leadership Programming No experience	Leadership Programming Some experience	Leadership Programming Lots of experience	Leadership Programming Have taught/facilitated program
Drama	Drama No experience	Drama Some experience	Drama Lots of experience	Drama Have taught/facilitated program
Music	Music No experience	Music Some experience	Music Lots of experience	Music Have taught/facilitated program
Martial Arts	Martial Arts No experience	Martial Arts Some experience	Martial Arts Lots of experience	Martial Arts Have taught/facilitated program
Ecology/ Nature Programming	Ecology/ Nature Programming No experience	Ecology/ Nature Programming Some experience	Ecology/ Nature Programming Lots of experience	Ecology/ Nature Programming Have taught/facilitated program
Camping + Outdoors Skills	Camping + Outdoors Skills No experience	Camping + Outdoors Skills Some experience	Camping + Outdoors Skills Lots of experience	Camping + Outdoors Skills Have taught/facilitated program
Canoeing	Canoeing No experience	Canoeing Some experience	Canoeing Lots of experience	Canoeing Have taught/facilitated program
Sports	Sports No experience	Sports Some experience	Sports Lots of experience	Sports Have taught/facilitated program

Certification

Do you hold any of the following certifications (current or expired)?

National Lifeguarding (NL)
Bronze Cross
Wilderness First Aid
ACCT (High Ropes) Level 1 or Level 2
G Level Drivers License (or equivalent)
Food Handler Certificate

How did you learn about Camp Kirk? *

If a former staff referred you to Camp Kirk, please share their name:

Please list any personal or professional experience you have with the neurodivergent and/or disability community

Why do you want to work at Camp Kirk? *

Please upload a current copy of your resume *

Click or drag a file to this area to upload.