Employment Application
Name (last):
 (first):
 (middle):
Applying for the position of:

Camp Thorpe is a summer camp for children and adults with special needs. We are dedicated to helping our campers enjoy a camping experience regardless of their special need. We are looking for Head Counselors, General Counselors, Specialty Counselors in Arts & Crafts, Nature, Sports, Swim, Music, Dance and Nurses. If you are interested in helping others, you are encouraged to apply.
Present Address:
Street:
City/State:
 Zip Code:
Permanent Address:
Street:
City/State:
 Zip Code:
Telephone (Present):
 Telephone (Permanent):
Cell Phone:
E-mail:
 Dates of availability:
Nearest Relative:
Name:
 Telephone:
Cell Phone:
 Relation:
References
Please include at least two references that are not family members and who are aware of your work ethic.
Name:
 Telephone:
 E-mail:
Name:
 Telephone:
 E-mail:
Name:
 Telephone:
 E-mail:
Name:
 Telephone:
 E-mail:
Educational History
High School:
Name and Location:
 Year Completed:
College:
Name and Location:
 Year Completed:
 Degree or Major:
Post-graduate/other:
Name and Location:
 Year Completed:
 Degree or Major:
Awards, Memberships, Scholarships etc.


Current Certifications
Indicate all current certifications:
CPR First Aid WSI
EMT LPN RN
Other:
Camping Experiences
Describe your camping experiences. (Include any experiences in which you have worked in a camp setting.)


Specific Skills

Camping
Can assume full responsibility Proficient and can lead or direct Some knowledge and can assist
Outdoor Living:
Storytelling:
Hiking:
(other)
:

Arts and Crafts
Can assume full responsibility Proficient and can lead or direct Some knowledge and can assist
Painting:
Drawing:
Beadwork:
Activities:
(other)
:

Nature
Can assume full responsibility Proficient and can lead or direct Some knowledge and can assist
Crafts:
Fishing:
Activities:
(other)
:

Sports
Can assume full responsibility Proficient and can lead or direct Some knowledge and can assist
Basketball:
Group Games:
Aerobics:
Floor Games:
Tennis:
Softball:
Olympic Activities:

Water Front
Can assume full responsibility Proficient and can lead or direct Some knowledge and can assist
Boating:
Swimming:
Adaptive Aquatics:
Water Games:
(other)
:

Music/Theater
Can assume full responsibility Proficient and can lead or direct Some knowledge and can assist
Leading Songs:
Instrumental Music:
Music Activities:
Acting:
Costumes:
Directing:
(other)
:
Instrument(s) Played:
Personal Information
Describe your hobbies:


Describe yourself and your goals for the future:


Why should you get this job?


Do you have any physical limitations or health conditions which would affect your ability to perform the duties of a staff member?
Yes No
If yes, please explain:


Do you smoke? Yes No
Are you willing to smoke in a designated area? Yes No

Have you ever been convicted of a crime other than a minor traffic violation? (Please be aware that you may be asked to undergo a criminal records check prior to employment.)
Yes No
Experiences
Describe any experiences you have had with children and/or adults with physical, emotional or developmental special needs:


Have you provided individualized care to children and/or adults with special needs?
Yes No
If yes, please describe. (Include any work with medical issues:)


Describe any experiences where you have cared for others, regardless of special circumstances:


Describe any experiences you have had with children or adults who have behavioral challenges:


Describe any experiences you have had working with individuals that have experienced physical or sexual abuse:


Leadership
Describe any teaching or leadership experience you have taken part in:


Describe one small or large group activity where you were responsible for the function:


Describe any supervisory experiences you have had in which you have been responsible for other staff members:


Occupational History
List all positions held starting with your most recent experience:


Name of Employer:
 Telephone:
Address:
Title of Your Position:
 Salary:
Start Date:
 End Date:
Job Responsibilities:




Name of Employer:
 Telephone:
Address:
Title of Your Position:
 Salary:
Start Date:
 End Date:
Job Responsibilities:




Name of Employer:
 Telephone:
Address:
Title of Your Position:
 Salary:
Start Date:
 End Date:
Job Responsibilities:


Dear Applicant,

Thank you for considering employment opportunities for the upcoming summer at Camp Thorpe! We are looking for qualified and energetic counselors and staff who are interested in working with children and adults with special needs. Staff in the past have found the experience to be both professionally enriching and a lot of fun.

The philosophy from which we function is a simple one, "The purpose of Camp Thorpe is to help individuals leave a camping experience with good health, enhanced self-respect and respect for others, new leisure skills and an expanded respect for nature." Currently, camping experiences are provided to children and adults with a variety of physical and mental challenges. Camp Thorpe's tradition, created amongst the natural elements of the Vermont Green Mountains, provides these experiences to campers regardless of handicap or financial means. The original philosophy created a support structure that would enable the Camp to offer camperships for partial or full tuition for families needing financial assistance.

We are fortunate to have a fine physical facility which includes a craft house, a lodge, an infirmary, a large dining hall with a multipurpose room, cabins for campers and staff, a pool, pond, playground and tennis court. Trails through the surrounding woods lead to cabins that are often used for picnic activities.

During the 2010 Season, we will be running three two-week sessions and a final one-week session at both the Pine Haven Campus (for adults) and the Mountain Reach Campus (for children). Counselors and staff will be asked to arrive by Tuesday June 15th. Campers will arrive on Sunday, June 20th. The last day Camp will be in session will be Saturday, August 7th.

Counselor in-service will involve Camp procedures, CPR and First Aide, conflict resolution and general program development using the experiences and strengths of the staff.

An Employment Application is included above. If you continue to be interested in pursuing a position, please fill it out and return it to me. I ask that you also provide me with the names and phone numbers of three people who are familiar with your work and are willing to serve as a reference for you.

If you have questions prior to filling out the application, do not hesitate to contact me by calling 1-802-247-6611 or email me at cthorpe@sover.net. I look forward to hearing from you.

Sincerely,

Lyle P. Jepson
Director